Search Results (786)

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: Anaemia in adolescents can be influenced by parasitic infections, systemic inflammation, and nutritional status. Objective: To determine whether C-reactive protein (CRP), nutritional status, and infection with Ascaris lumbricoides, Giardia lamblia, or Trichuris trichiura are associated with anaemia in adolescent athletes from Tacna compared to non-athletes. Methods: A cross-sectional study was conducted involving 250 male football players aged 13–18 years and 150 age-matched non-athletes. Haemoglobin, haematocrit, ferritin, serum iron, CRP, and parasitic status were measured; mean comparisons and logistic regression were applied. Results: Anaemia was more prevalent among athletes than non-athletes (30% vs. 18%; p < 0.001). Infected athletes showed lower haemoglobin (11.9 ± 1.1 g/dL) and higher CRP (5.0 ± 1.9 mg/L) levels compared to non-infected athletes (13.8 ± 1.0 g/dL and 2.2 ± 1.1 mg/L; p < 0.001). Logistic regression identified CRP as an independent predictor of anaemia (adjusted OR = 1.20; 95% CI: 1.08–1.38; p < 0.001), while parasitic infections showed no direct association after adjustment. Underweight status was associated with a higher prevalence of anaemia (36%). Conclusions: Systemic inflammation emerged as the main factor associated with anaemia in this population, with parasitic infections contributing indirectly by increasing inflammation. Periodic deworming, iron supplementation, and CRP monitoring are recommended to reduce the burden of anaemia in adolescent athletes from endemic regions. Full article

Maintaining body symmetry in sports characterized by high lateralization is crucial for optimizing long-term athletic performance and mitigating injury risk. This study aimed to evaluate the extent of morphological asymmetry in anthropometric features among elite professional fencers. Additionally, the presence of functional asymmetry and its associations with morphological asymmetry were assessed. Thirty-two Polish adult female fencers, aged 18–33 yrs, were examined. Data collection involved a questionnaire survey, anthropometric measurements, calculation of anthropological indices, and assessment of functional asymmetry. For the 24 bilateral anthropometric features, small differences were found in seven characteristics: foot length, subscapular skinfold thickness, upper arm circumference, minimum and maximum forearm circumference, upper limb length, and arm circumference in tension. Morphological asymmetry index did not exceed 5%. Left-sided lateralization of either the upper or lower limbs was associated with significantly high asymmetry, specifically indicating larger minimum forearm circumferences in the right limb. Continuous, individualized monitoring of morphological asymmetry and its direction in athletes is essential, demanding concurrent consideration of functional lateralization. This ongoing assessment establishes a critical baseline for evaluating training adaptations, reducing injury susceptibility, and optimizing rehabilitation strategies. Deeper investigation of symmetry within non-dominant limbs is warranted to enhance our understanding. Full article

Mental health disorders, particularly depression and anxiety, have become increasingly prevalent among elite athletes, exacerbated by factors such as competitive pressure and the Coronavirus Disease 19 (COVID-19) pandemic. This study analyzes trends in the use of antidepressants, anxiolytics, and cannabinoids (delta-9-tetrahydrocannabinol (THC)/cannabidiol (CBD)) among Italian athletes from 2011 to the first half of 2023 (FH2023), referring to anti-doping reports published by the Italian Ministry of Health. Data from 13,079 athletes were examined, with a focus on non-prohibited medications, banned substances, and regulatory impacts, including threshold adjustments for THC since 2013 and the legalization of CBD. The results show fluctuating use of antidepressants/anxiolytics, with peaks in 2021 and the FH2023, coinciding with post-pandemic awareness. Positive THC cases rose following regulatory changes, reflecting socio-cultural trends. Gender disparities emerged, with THC use predominantly among males (e.g., nine males vs. one female in 2013), though female athletes were underrepresented in testing. This study highlights the need for personalized, evidence-based strategies that balance therapeutic efficacy and anti-doping compliance. Clinicians should carefully consider prescribing selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines to address depression and anxiety and should monitor the risks of CBD contamination. Future research should adopt longitudinal, gender-sensitive approaches to refining guidelines and combating stigma in professional sports. Full article

Understanding the foot strike pattern (FSP) and impact force of running-related injuries is crucial for athletes and researchers. This study investigated a novel method for detecting FSP using the loadsol^® sensor insole during treadmill running. Twelve collegiate athletes ran at three different speeds (12, 15, and 20 km/h), with their FSP determined using both the kinematic method based on the foot strike angle and the loadsol^® method based on the plantar force applied to the rear-, mid-, and forefoot sensor areas. This study provides significant insights into FSP detection. Comparing the kinematic method to the loadsol^® method, the rearfoot, midfoot, and forefoot strike detection rates were 94.7%, 37.1%, and 81.8%, respectively. Moreover, the FSP was not uniform, even during treadmill running at a constant speed, with most participants exhibiting mixed patterns across different speeds. The loadsol^® sensor insole could offer a promising device for in-field measurement of FSP and impact forces, potentially helping researchers and athletes better understand and predict the potential running-related injury risks by monitoring step-to-step variations in running biomechanics. Full article

The rapid proliferation of wearable sensors and advanced tracking technologies has revolutionized data collection in elite sports, enabling continuous monitoring of athletes’ physiological and biomechanical states. This study proposes a comprehensive big data analytics framework that integrates data acquisition, processing, analytics, and decision support, demonstrated through synthetic datasets in football, basketball, and athletics case scenarios, modeled to represent typical data patterns and decision-making workflows observed in elite sport environments. Analytical methods, including gradient boosting classifiers, logistic regression, and multilayer perceptron models, were employed to predict injury risk, optimize in-game tactical decisions, and personalize sprint mechanics training. Key results include a 12% reduction in hamstring injury rates in football, a 16% improvement in clutch decision-making accuracy in basketball, and an 8% decrease in 100 m sprint times among athletes. The framework’s visualization tools and alert systems supported actionable insights for coaches and medical staff. Challenges such as data quality, privacy compliance, and model interpretability are addressed, with future research focusing on edge computing, federated learning, and augmented reality integration for enhanced real-time feedback. This study demonstrates the potential of integrated big data analytics to transform sports performance optimization, offering a reproducible and ethically sound platform for advancing personalized, data-driven athlete management. Full article

Background: Motion capture (MoCap) technologies have transformed athlete monitoring, yet athletic departments face complex decisions when selecting systems for multiple sports. Methods: We conducted a narrative review of peer-reviewed studies (2015–2025) examining optical marker-based, inertial measurement unit (IMU) systems, including Global Navigation Satellite System (GNSS)-integrated systems, and markerless computer vision systems. Studies were evaluated for validated accuracy metrics across indoor court, aquatic, and outdoor field environments. Results: Optical systems maintain sub-millimeter accuracy in controlled environments but face field limitations. IMU systems demonstrate an angular accuracy of 2–8° depending on movement complexity. Markerless systems show variable accuracy (sagittal: 3–15°, transverse: 3–57°). Environmental factors substantially impact system performance, with aquatic settings introducing an additional orientation error of 2° versus terrestrial applications. Outdoor environments challenge GNSS-based tracking (±0.3–3 m positional accuracy). Critical gaps include limited gender-specific validation and insufficient long-term reliability data. Conclusions: This review proposes a tiered implementation framework combining foundation-level team monitoring with specialized assessment tools. This evidence-based approach guides the selection of technology aligned with organizational priorities, sport-specific requirements, and resource constraints. Full article

Background: The Fit-Model in bodybuilding is a relatively new category designed for women seeking a balanced physique, avoiding excessive muscularity and extreme leanness. This study examined the dietary strategies, body composition changes, and plasma leptin fluctuations of Fit-Model athletes during a seven-week pre-competition phase. Methods: Twelve females (age: 27.6 ± 4.4 years, body mass: 60.0 ± 6.2 kg) preparing for a national championship were monitored for energy and macronutrient intakes, total, lean, and fat mass, plasma leptin levels, and menstrual cycle characteristics. The five highest-ranked athletes were selected to compete at the world championship, allowing for comparisons between national and international athletes. Results: Low carbohydrate intake was reported, and total energy intake decreased from 1700 to 1520 kcal/day approaching the contest day. Athletes experienced an average body mass loss of 4.2 kg, with no clear relationship between final weight or fat mass and competitive success. Plasma leptin levels were markedly low during all 7 weeks of preparation with a further decline before the contest, but did not correlate with either changes in body composition and weight or energy or macronutrient intakes. Menstrual cycle disturbances were prevalent, with only two athletes maintaining regular cycles by the end of the preparation. Conclusions: Fit-Model athletes undergo a considerable decline in body weight and fat mass during the final weeks before the contest, yet these changes do not appear to be decisive for performance outcomes. Persistently low leptin levels and menstrual irregularities call for strategies that balance physique optimization with endocrine health to support both the performance and well-being of athletes. Full article

Physiological tremor analysis is a practical tool for assessing the neuromuscular impacts of sport-specific training. The purpose of this study was to examine and compare the physiological characteristics of lower limb resting postural tremor in athletes from Poland’s national speed skating team, following both sprint and endurance workouts. The study included 19 male, well-trained, elite athletes (with a mean age of 18 ± 3.1 years, body mass of 71.4 ± 10.1 kg, height of 178.5 ± 9.0 cm, and training experience of 12.6 ± 2.8 years) and a control group of 19 physically active but non-athlete men (with a mean age of 19 ± 2.3 years, body mass of 78.9 ± 12.1 kg, and height of 181.5 ± 11.0 cm). This group was assessed under resting conditions to provide baseline reference values for physiological tremor and to evaluate whether the neuromuscular tremor response is specific to trained athletes. Tremor amplitude and frequency were measured using an accelerometer, with data log-transformed to normalize the power spectrum distribution. Key findings indicate a significant effect of training condition on tremor amplitude in the low-frequency range (L(2_5); F_(1,18) = 38.42; p < 0.0001; η_p² = 0.68) and high-frequency range (L(9_14); F_(1,36) = 19.19; p < 0.0001; η_p² = 0.51). Post hoc analysis showed that tremor amplitude increased significantly after both sprint (p < 0.001) and endurance training (p < 0.001) compared to rest. No significant differences were observed between sprint and endurance training conditions for L(2_5) (p = 0.1014), but sprint training resulted in a greater increase in tremor in the high-frequency range (L(9_14); p < 0.0001). Tremor frequency (F(2_5) and F(9_14)) also increased significantly post-training. Notably, no differences were observed between limbs, indicating symmetrical neuromuscular adaptation. These findings highlight the utility of tremor analysis in monitoring neuromuscular fatigue and performance in speed skaters. Future research should explore the application of this method in broader athletic populations and evaluate its potential integration into training programs. Full article

Background: Sport plays an important role in the health promotion of people with cerebral palsy (CP). However, risk factors may impair sport performance and health in non-ambulatory athletes. Therefore, the aim of the present study was to explore body composition and bone health in a group of world-class Boccia players with CP. Methods: Five BC2-class players with CP, aged 15–42 years old, were assessed using Dual-Energy X-Ray Absorptiometry (DXA) for body composition and bone mineral density (BMD) and content (BMC). The fat mass index (kg/m²) was used to define obesity, and the BMD Z-score used to analyze bone health. A preliminary indicator of sarcopenia was considered using the appendicular lean mass index. Results: Players 1 and 3 exhibited similar body compositions (obesity class 1 and BMD Z-score are below the expected range for age). Player 5 exhibited multiple health-related risk factors. The results regarding youth players (Player 2 and Player 4) should be analyzed with caution. Conclusions: Overall, due to Boccia’s specific characteristics, players may benefit from close monitoring by multidisciplinary teams and supplementary strategies (e.g., strength training, individualized diet plans) to promote quality of life and performance. However, further research is needed to confirm the data, since these preliminary findings do not allow for broader generalizations. Full article

Background: Athletic success depends not only on physical performance and psychological well-being but also on the effective emotional regulation of adaptive processes to prevent sports injuries in stressful situations such as competition. This study analyzes the relationship between emotional state, pre-competitive anxiety, and injury incidence in female volleyball players throughout an entire competitive season. Methods: The POMS and CSAI-2 questionnaires were administered before 16 league matches to 21 high-performance players (mean age = 29.66 ± 5.19 years). Results: Players exhibited an iceberg mood profile with low levels of pre-competitive anxiety. Negative moods were higher at the start and decreased over time, while positive moods increased as matches progressed (p < 0.05). Anxiety remained stable throughout. Additionally, 28.6% of players experienced injuries; injured players showed higher cognitive anxiety, lower self-confidence, and emotional instability, suggesting a potential psychological risk profile for injury, even though group differences did not reach statistical significance. Significant correlations were found between Total Mood Disturbance (TMD) and cognitive anxiety (r = 0.49, p < 0.05) and between vigor and self-confidence (r = 0.52, p < 0.01), indicating a bidirectional relationship. A bidirectional relationship between mood and anxiety was confirmed, highlighting the POMS Total Mood Disturbance (TMD) index as a global emotional indicator. Conclusions: These findings suggest that managing worries, self-confidence, and emotional balance are key factors in injury prevention, emphasizing the importance of regularly monitoring and managing psychological indicators as part of injury prevention strategies. 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

Elite soccer places significant neuromuscular and metabolic stress on athletes, leading to elevated production of reactive oxygen and nitrogen species (RONS), particularly in skeletal muscle, where intense contractile activity and increased oxygen flux drive oxidative processes. These reactive species play a dual role in skeletal muscle, supporting adaptive signaling at controlled levels while causing oxidative damage when poorly regulated. This paper presents an integrated synthesis of current knowledge on redox biology in elite soccer players, focusing on the origins and regulation of RONS, the functions of enzymatic and non-enzymatic antioxidant systems, and how both RONS and antioxidant responses influence muscle performance, fatigue, recovery, and long-term physiological adaptation. Drawing on studies conducted between 2000 and 2025, the discussion underscores the seasonal fluctuations in oxidative stress, individual variability in redox responses, and the potential adverse effects of unsystematic antioxidant supplementation. The analysis also emphasizes the value of using biomarker-guided, periodized antioxidant interventions tailored to training demands. Future directions include longitudinal tracking and the use of AI-assisted monitoring to enable personalized strategies for maintaining redox balance and optimizing performance in elite sport. Full article

Background/Objectives: The objective of this study was to compare muscular strength and neuromuscular activation characteristics between male gymnasts and physical education (PE) students during isometric shoulder extension and flexion tasks. Methods: Thirteen competitive male gymnasts (age: 19.59 ± 1.90 years; body mass: 66.54 ± 6.10 kg; height: 169.38 ± 6.28 cm; mean ± SD) and thirteen male physical education (PE) students (age: 20.96 ± 2.30 years; body mass: 74.00 ± 8.69 kg; height: 174.96 ± 4.93 cm) voluntarily participated in the study. Peak torque (PT), rate of torque development (RTD), RTD normalized to body mass (RTD/BM), and muscle activation assessed via surface electromyography (EMG), normalized to maximal EMG activity (EMG/EMGmax), were evaluated during bilateral isometric shoulder extension and flexion at a joint angle of 45°. Measurements were analyzed across the following time intervals: −50 to 0 ms (pre-tension), 0–30 ms, 0–50 ms, 0–100 ms, and 0–200 ms relative to contraction onset. Custom MATLAB R2024b scripts were used for data processing and visualization. One-way and two-way multivariate analyses of variance (MANOVAs) were conducted to test for group differences. Results: Gymnasts exhibit higher values of PT, PT/BM, RTD, and RTD/BM particularly within the early contraction phases (i.e., 0–50 ms and 0–100 ms) compared to PE students (p < 0.05 to <0.001; η² = 0.04–0.66). Additionally, EMG activity normalized to maximal activation (EMG/EMGmax) was significantly greater in gymnasts during both early and mid-to-late contraction phases (0–100 ms and 0–200 ms), (p < 0.05 to <0.001; η² = 0.04–0.48). Conclusions: These findings highlight gymnasts’ superior explosive neuromuscular capacity. Metrics like RTD, RTD/BM, and EMG offer valuable insights into rapid force production and neural activation, supporting performance monitoring, training optimization, and injury prevention across both athletic and general populations. Full article

Background/Objectives: This study evaluated the reliability and validity of three methods to measure jump height during countermovement jumps performed with (CMJ_AS) and without (CMJ_NAS) arm swing: (1) an impulse–momentum method with force platforms (FP_imp), (2) a flight time method with force platforms (FP_time), and (3) an inertial measurement unit (PUSH Band 2.0; PUSH2). Methods: Eighteen physically active men performed CMJ_AS and CMJ_NAS on force platforms while wearing PUSH2 over two days. Besides jump height, we computed intraclass correlation coefficients (ICC) and the absolute and relative increases in jump height due to arm swing, compared to CMJ_NAS. Results: The reliability of intra-session, inter-session, and concurrent measures were good to excellent (intra-session ICC_2,1 = 0.957–0.979, inter-session ICC_2,1 = 0.806–0.990, concurrent ICC_3,1 = 0.940–0.973) for CMJ_AS and CMJ_NAS heights, in all three methods. The three methods showed high to very high reliability for both the absolute and relative indices of arm swing contribution (ICC_2,1 = 0.649–0.812). FP_time significantly overestimated CMJ_NAS height relative to FP_imp (p < 0.01). The absolute index of arm swing contribution was similar in FP_imp and FP_time (p = 0.38) but higher in PUSH2 (p < 0.01), indicating that arm swing amplified overestimation. Conclusions: All three methods demonstrated high reliability for jump height measurements, but FP_time and PUSH2 misestimated jump height depending on jump modalities. Caution is advised when assessing the absolute and relative contribution of arm swing, because errors in CMJ_NAS and CMJ_AS height measurements can affect these values and their interpretation. Full article