Strenuous exercise in warm environment is associated with improved microvascular function in sickle cell trait.

PURPOSE: Sickle cell trait is characterized by the presence of both normal and abnormal haemoglobin in red blood cells. The rate of exertional collapse is increased in athletes and military recruits who carry the trait, particularly in stressful environmental conditions. The aim of the present study was to investigate microvascular function and its determinants in response to intense exercise at control and warm environmental temperatures in carriers (AS) and non-carriers (AA) of sickle cell trait. METHODS: Nine AS and 11 AA, all healthy physically active young men, randomly participated in four experimental sessions (rest at 21 °C and 31 °C and cycling at 21 °C and 31 °C). All participants performed three exercises bouts as follows: 18-min submaximal exercise; an incremental test to exhaustion; and three 30-s sprints spaced with 20-s resting intervals. RESULTS: Skin Blood Flow (SkBF) was similar at rest between AA and AS. SkBF for all participants was higher at 31 °C than 21 °C. It was significantly higher in the AS group compared to the AA group immediately after exercise, regardless of the environmental conditions. No significant differences in hemorheological parameters, muscle damage or cardiac injury biomarkers were observed between the two groups. Our data also suggest higher oxidative stress for the AS group, with high superoxide dismutase (P = 0.044 main group effect). CONCLUSION: A specific profile is identified in the AS population, with increased microvascular reactivity after maximal exercise in stressful environment and slight pro-/antioxidant imbalance.

The complex relationship between effort and heart rate: a hint from dynamic analysis.

OBJECTIVE: Dynamic analysis can be used to study the changes of self-regulated biological processes driven by external stimuli. Recently, the changes of heart rate during effort tests has successfully been adjusted using a simple first-order differential equation model driven by body power expenditure. Although this approach produces valid estimates and yields pertinent indices for the analysis of such measurements, it suffers from an inability to model the saturation of the heart-rate increase at high power expenditures and the change of heart-rate equilibrium following effort. APPROACH: We propose a new analysis allowing the estimation of changes of the heart rate in response to effort (gain) as a function of the power expenditure value. MAIN RESULTS: When applied to the measured heart rates of 30 amateur athletes performing a maximum graded-effort treadmill test, the proposed model was able to predict 99% of the heart rate change measured during exercise. The estimated gains decreased with a power increase above the first ventilatory threshold. This trend was stronger above the second ventilatory threshold and was strongly correlated with the maximum oxygen consumption. SIGNIFICANCE: The proposed approach yields a highly precise model of heart rate dynamics during variable effort that reflects the changes of metabolic energy systems at play during exercise.

Validity of dynamical analysis to characterize heart rate and oxygen consumption during effort tests.

Performance is usually assessed by simple indices stemming from cardiac and respiratory data measured during graded exercise test. The goal of this study is to characterize the indices produced by a dynamical analysis of HR and VO2 for different effort test protocols, and to estimate the construct validity of these new dynamical indices by testing their links with their standard counterparts. Therefore, two groups of 32 and 14 athletes from two different cohorts performed two different graded exercise testing before and after a period of training or deconditioning. Heart rate (HR) and oxygen consumption (VO2) were measured. The new dynamical indices were the value without effort, the characteristic time and the amplitude (gain) of the HR and VO2 response to the effort. The gain of HR was moderately to strongly associated with other performance indices, while the gain for VO2 increased with training and decreased with deconditioning with an effect size slightly higher than VO2 max. Dynamical analysis performed on the first 2/3 of the effort tests showed similar patterns than the analysis of the entire effort tests, which could be useful to assess individuals who cannot perform full effort tests. In conclusion, the dynamical analysis of HR and VO2 obtained during effort test, especially through the estimation of the gain, provides a good characterization of physical performance, robust to less stringent effort test conditions.

Effect of warm environment on the skin blood flow response to food intake.

BACKGROUND AND OBJECTIVE: Warm exposure places high demands on thermoregulation mechanisms, which depend on the effectiveness of the microvascular function. The associations between the microcirculation and metabolism in warm environments have received little attention. The purpose of this study was to explore skin blood flow (SkBF) in response to food intake in a warm environment compared to control. METHODS: Thirty-two healthy, acclimated-to-warm-environment and physically active participants were recruited (20 females and 12 males). They participated in two sessions (warm environment: 31 °C and control: 20 °C, presented in randomized order). SkBF was measured before and after standardized food intake through the acquisition of perfusion signals by laser Doppler flowmetry (Periflux System 5000), following a local heating protocol. RESULTS: SkBF was affected by the environmental temperature, showing an increase in the warm environment compared to control (all p < .001). SkBF was significantly affected by food intake (all p < .007), being reduced after meals. In the men's group, SkBF was reduced in both environmental temperatures after meals. In women, meals affected SkBF at 20 °C but not in the warm environment. CONCLUSION: These results may indicate a competition between thermo- and glyco-regulation in a warm environment to the detriment of glucose homeostasis in women.

Ultra-endurance events in tropical environments and countermeasures to optimize performances and health.

Physical performance in a tropical environment, combining high heat and humidity, is a difficult physiological challenge that requires specific preparation. The elevated humidity of a tropical climate impairs the thermoregulatory mechanisms by limiting the rate of sweat evaporation. Hence, a proper management of whole-body temperature is required to complete an ultra-endurance event in such an environment. In these long-duration events, which can last from 8 to 20 h, held in hot and humid settings, performance is tightly linked to the ability in maintaining an optimal hydration status. Indeed, the rate of withdrawal in these longer races was associated with lower water intake, and the majority of finishers exhibited alterations in electrolyte balance (e.g., sodium). Hence, this work reviews the effects on performance of high heat and humidity in two representative ultra-endurance sports, ultramarathons and long-distance triathlons, and several countermeasures to counteract the impact of these harsh environmental stresses and maintain a high level of performance, such as hydration, cooling strategies and heat acclimation.

Effects of motor skill interventions on fundamental movement skills in children and adolescents with intellectual disabilities: a systematic review.

BACKGROUND: Children and adolescents with intellectual disabilities (ID) are characterised by deficits in fundamental movement skills (FMS). In youth with typical development, motor skill interventions have been recognised as an efficient means to improve FMS. However, the effects of these interventions among youth with ID have not yet been systematically reviewed. PURPOSE: The purpose of the present systematic review was to summarise the findings from studies pertaining to the effects of motor skill interventions designed to improve FMS in children and adolescents with ID. METHOD: A systematic literature search (without year restriction) was performed in 12 databases. Studies in press or published in English in a peer-reviewed journal were included if: (1) participants were youth with ID aged 5 to 22; (2) motor skill interventions aimed to improve one or several FMS; and (3) they were experimental, quasi-experimental or pre-experimental. The Physiotherapy Evidence Database scale was used to assess the quality of the studies. RESULTS: Through the search strategy, 1083 articles were identified, and 14 studies published between 1969 and 2018 met the inclusion criteria. In studies with children, motor skill interventions successfully improved balance skills and overall FMS, whereas mixed and inconclusive results were found for locomotor skills. In studies with adolescents, motor skill interventions were shown to successfully improve balance skills. However, none of the motor skill interventions reviewed focused on locomotor and object control skills. CONCLUSIONS: The reviewed motor skill interventions were effective in improving balance skills in both children and adolescents with ID as well as overall FMS in children with ID. Conversely, the effects of motor skill interventions targeting locomotor and object control skills remain unclear. Therefore, given the relatively small number of studies and their limitations, the present findings need to be interpreted with caution, and further rigorous studies are necessary.

Sex-specific association between obesity and self-reported falls and injuries among community-dwelling Canadians aged 65 years and older.

This study investigated the relationship between body mass index (BMI) and falls among community-dwelling elderly. Results indicate that obesity is associated with increased falls and there appears to be a sex-specific difference with obese men at higher risk of falling. Obesity is identified as a risk factor for falls in men. INTRODUCTION: The prevalence of falls, fall-related injuries, and obesity has increased over the last decade. The objectives of this study were to investigate sex-specific association and dose-response relationship between BMI and falls (and related injuries) among community-dwelling elderly. METHODS: Our study sample consisted of 15,860 adults aged 65 years or older (6399 men and 9461 women) from the 2008-2009 Canadian Community Health Survey-Healthy Aging (CCHS-HA). Falls, fall-related injuries, and BMI measures were self-reported. For both sex, dose-response curves presenting the relationship between BMI, falls, and fall-related injuries were first examined. Thereafter, multivariate logistic regression analyses were also performed to investigate these relationships after adjustment for potentially confounding variables. RESULTS: Of women, 21.7 % reported a fall and 16.9 % of men. The dose-response relationship between BMI and prevalence of falls showed that underweight and obese individuals reported falling more than normal and overweight individuals; this being more apparent in men than women. Finally, the dose relationship between BMI and prevalence of fall-related injuries showed that only obese men seem more likely to have sustained a fall-related injury. Results from the multivariate analysis showed that obesity in men was significantly associated with higher odds of falling odds ratio (OR) 1.33 (1.04-1.70) and was not significantly associated with higher odds of fall-related injuries OR 1.10 (0.66-1.84) over a 12-month period compared to normal weight men. For women, obesity was not significantly associated with higher fall prevalence OR 0.99 (0.79-1.25) and fall-related injuries OR 0.71 (0.51-1.00). CONCLUSION: Obesity is associated with self-reported falls, and there appears to be a sex-specific difference in elderly persons.

Precooling does not Enhance the Effect on Performance of Midcooling with Ice-Slush/Menthol.

This study investigated whether the combination of internal precooling (PC) and internal midcooling (MC cooling during exercise) would enhance performance more than MC alone. 9 trained males completed two 30-km cycling trials in a hot and humid environment (WBGT: 29±0.7°C, 80±0.02% relative humidity). For 30 min before exercise, the subjects sat quietly and drank water at 23°C (MC) or 3°C (PC+MC). During the MC and PC+MC time trials, they drank an ice-slush/menthol beverage (i. e., 0.025% menthol). Trial time, gastrointestinal temperature (Tco ), heart rate (HR), rating of perceived exertion (RPE), thermal sensation (TS), and thermal comfort (TC) were assessed. Trial time was not significantly different (P>0.05) between MC and PC+MC (3 737±552 s and 3 815±455 s). Before exercise, Tco was lower with precooling (37.0±0.3°C; P<0.02). During exercise, no between-trial differences were noted for Tco, HR, RPE, TC or TS, but RPE was significantly lower with PC+MC in the latter stages (P<0.05). (1) Cold beverage intake before exercise did not improve the subsequent exercise performance with ice-slush/menthol beverage intake, and (2) despite no improvement in performance, RPE declined in the latter stages of exercise in the condition of PC+MC, suggesting that this combination might be beneficial for longer exercise.

Prevalence of overweight and obesity among children and adolescents with intellectual disabilities: a systematic review and meta-analysis.

Although there have been numerous studies examining the prevalence of overweight and obesity among children and adolescents with intellectual disabilities, they have not yet been integrated and synthesized through a systematic quantitative review process. The purpose of this systematic review and meta-analysis was to determine: (i) the prevalence of overweight/obesity among children and adolescents with intellectual disabilities; (ii) the sources of heterogeneity in studies reporting the prevalence of overweight/obesity in this population; and (iii) the risk of overweight/obesity in this population compared with their typically developing peers. A systematic literature search was performed and 16 studies, published between 1985 and 2015, met the inclusion criteria. The resulting pooled prevalence estimates for overweight, overweight-obesity and obesity were respectively: (i) 15%, 30%, and 13%, in children; and (ii) 18%, 33%, and 15% in adolescents. Subgroup analyses showed significant variations in the pooled prevalence estimates as a function of geographical region, recruitment setting, additional diagnoses, and norms used to define overweight or obesity. The findings also showed adolescents with intellectual disabilities to be respectively 1.54 and 1.80 times more at risk of overweight-obesity and obesity than typically developing adolescents. Unfortunately, no such comparison is available for children. © 2016 World Obesity.

Imposed Cold-water Ingestion during Open Water Swimming in Internationally Ranked Swimmers.

The authors explored the effects of open water swimming in a tropical environment on both core temperature (T c) and thermal perceptions of high-level swimmers during an official international 10-km race and two 5-km swimming tests. The swimmers drank neutral water (i. e., 28.0±3.0°C) ad libitum every 2,000 m during Competition, whereas the ingested volume was imposed in the 5-km tests: every 1,000 m, they drank 190 mL of cold water (CW, 1.1±0.7°C) or neutral water (NW, 28.0±3.0°C). They also self-rated their thermal comfort and sensation (TC and TS), and their T c was recorded. The study demonstrated that adequate fluid intake significantly decreased T c in swimmers swimming at race pace in hot water (i. e., 37.5±0.3°C vs. 38.3±0.4°C, in NW vs. Competition, respectively). This effect was more pronounced with cold water (i. e., 36.7±1.1°C, in CW). No significant changes were noted in mean heart rate (i. e., 145±5, 143±4 and 141±5 bpm for NW, CW and Competition, respectively). Further studies are needed to explore the effect of this cooling method on the performances of international swimmers during tropical swimming events.

Anthropometric and physiological characteristics of Melanesian futsal players: a first approach to talent identification in Oceania.

This study assessed the anthropometric and physiological characteristics of elite Melanesian futsal players in order to determine the best performance predictors. Physiological parameters of performance were measured in 14 Melanesian (MEL-G, 24.4±4.4 yrs) and 8 Caucasian (NMEL-G, 22.9±4.9) elite futsal players, using tests of jump-and-reach (CMJ), agility (T-Test), repeated sprint ability (RSA), RSA with change-of-direction (RSA-COD), sprints with 5 m, 10 m, 15 m, and 30 m lap times, and aerobic fitness with the 30-15 intermittent fitness test (30-15 IFT). The anthropometric data revealed significantly lower height for MEL-G compared with NMEL-G: 1.73±0.05 and 1.80±0.08 m, respectively; P = 0.05. The CMJ was significantly higher for MEL-G than NMEL-G: 50.4±5.9 and 45.2±4.3 cm, respectively; P = 0.05. T-Test times were significantly lower for MEL-G than NMEL-G: 10.47±0.58 and 11.01±0.64 seconds, respectively; P = 0.05. MEL-G height was significantly related to CMJ (r = 0.706, P = 0.01), CMJpeakP (r = 0.709, P = 0.01) and T-Test (r = 0.589, P = 0.02). No significant between-group differences were observed for sprint tests or 30-15 IFT, including heart rate and estimated VO2max. Between groups, the percentage decrement (%Dec) in RSA-COD was significantly lower in MEL-G than NMEL-G (P = 0.05), although no significant difference was noted between RSA and RSA-COD. Within groups, no significant difference was observed between %Dec in RSA or RSA-COD; P = 0.697. This study presents specific anthropometric (significantly lower height) and physiological (significantly greater agility) reference values in Melanesians, which, taken together, might help coaches and physical fitness trainers to optimize elite futsal training and talent identification in Oceania.

Self-hydration and thermoregulatory processes of average-level paddlers during international surfski events in a tropical climate.

The aim was to investigate thermal response, hydration behaviour and performance in flatwater kayaking races in tropical conditions (35.9 ± 2.8°C and 64 ± 4% RH). Eight regionally ranked paddlers (ARP) participated in the 2012 Surfski Ocean Racing World Cup in Guadeloupe (an inline 15-km downwind race). Core temperature (Tc) and heart rate (HR) were measured using portable telemetry units, while water intake was deduced from backpack absorption. The kayakers were asked to rate both their comfort sensation and thermal sensation on a scale before and after the race. The performance was not related to any measured parameters, and high values of post-race Tc were related to high pre-race Tc. The present study demonstrated that average-range paddlers are able to perform in a tropical climate, drinking little and paddling at high intensity without any interference from thermal sensations. Core temperature at the end of the race was positively related to pre-race Tc, which reinforces the importance of beginning surfski races with a low Tc and raises the question of pre-cooling strategies for paddlers, and more specifically for those with a low convection body surface.

A pilot study on how do elite surfski padllers manage their effort and hydration pattern in the heat.

To investigate thermal response, hydration behaviour and performance over flatwater kayaking races in tropical conditions (36.8°C and 68% rh). Five internationally-ranked subjects participated in the 2012 Surfski Ocean Racing World Cup in Guadeloupe to the "Ze Caribbean Race 2012" [i.e., a 35-km downwind race]. Core temperature (T°C) and heart rate (HR) were measured using portable telemetry units whereas water intake was deduced from backpacks absorption. The kayakers were asked to rate both their comfort sensation and thermal sensation on a scale before and after the race. The performance was related to an increase in T°C, high HR and low water intake (WI); and (2) high values of final T°C were related to high pre T°C and greater increases in T°C being obtained with low pre T°C and (3) WI being related to high pre T°C. The present study demonstrated that the fastest kayakers were those able to paddle at the highest intensities, increasing their T°C and drinking little water without any interference from thermal sensations. Water intake was positively related to pre-race T°C, which reinforces the importance of beginning surfski races with a low T°C. This study demonstrated that well-trained kayakers drinking ad libitum were able to anticipate their intensity/heat storage ratio to prevent heat illness and severe dehydration and maintain high performance.

Relationships between heart rate and physiological parameters of performance in top-level water polo players.

The aim of this study was to measure the heart rate (HR) response of eight elite water polo players during the four 7-min quarters of the game and to check for relationships with the physiological parameters of performance ([Formula: see text]O2max, Th1vent, Th2vent). Each athlete performed a [Formula: see text]O2max treadmill test and played a water polo game wearing a heart rate monitor. The game fatigue index was calculated as the ratio of the fourth-quarter HR to the first-quarter HR: HR4/HR1. The results showed a slight decrease in fourth-quarter HR compared with the first quarter, with the mean four-quarter HR equal to 79.9±4.2% of HRmax. Stepwise multiple regression analysis showed [Formula: see text]O2max to be the main explanatory factor of game intensity, i.e. game HR expressed in %HRreserve (R=0.88, P<0.01). We observed that higher aerobic capacity resulted in higher game intensity. We also observed a decrease in the playing intensity in the fourth quarter compared with the first, likely due to very high game involvement. We concluded that high aerobic capacity seems necessary to ensure high game intensity in water polo. This suggests that coaches should encourage their athletes to reach a minimum level of [Formula: see text]O2max and that HR monitoring could be of great interest in the control of water polo training sessions.

Thermoregulation, hydration and performance over 6 days of trail running in the tropics.

The purpose of this study was to investigate thermal response, hydration and performance over a 6-day, 142-km trail running race in tropical conditions. 9 participants competed in the 2011 Gwadarun (30°C±2.4 °C and 82±4% RH). Data were collected on days 1, 4 and 6. Gastrointestinal temperature (Tgi) and heart rate (HR) were measured using portable telemetry units, whereas blood samples were collected for hematocrit, osmolarity, plasma concentrations, alkaline reserves and creatine phosphokinase. The performances expressed in speed were correlated with both total body water and body mass loss per hour (TBWL.h(-1) and ∆BM.h(-1)), HR and changes in Tgi per hour (∆Tgi.h(-1)): the more water and mass the participants lost, the higher the HR and the greater the Tgi change, and the better the performance. The ∆ Tgi.h(-1) was significantly correlated with ∆BM.h(-1), and the participants who lost the most mass had the greatest increases in Tgi. None of the blood parameters demonstrated significant changes. The present study showed that well-trained acclimated runners performing a 6-day trail race in a tropical environment and drinking ad libitum did not demonstrate heat-related illness or severe dehydration. Moreover, high performance was associated with increases in Tgi, TBW and BM losses per hour.

Fluid replacement strategy during a 27-Km trail run in hot and humid conditions.

We evaluated the effects of the fluid replacement strategy on core temperature, heart rate and urine osmolality during a 27-km trail run in tropical climate. 20 well-trained runners completed a 27-km trail race in tropical conditions. They were acclimatized to these conditions. Heart rate was monitored every 5 s, while core temperature and perceived thermal and comfort sensations were recorded before, at the 11(th) km, and just after the end of the race. Water intake, urine osmolality and body mass were measured before and after the race. Core temperature and the scores of perceived thermal and comfort sensations were significantly higher at the 11(th) km and at the end of the race compared to before the race, but not at the 11(th) km compared to the end of the race [corrected]. No participant exhibited dehydration as assessed by urine osmolality. The less the trail runners weighed, the greater the heat retention was. The less hot they felt at the end of the race, the more they lost water, and the better the performance was. The fastest runners were able to tolerate a greater variation in core temperature between the beginning and the end of the trail race with lower water intake.

Living and training in a tropical environment: a challenge for aerobic exercise applied knowledge and perspectives.

The tropical climate is unique in that the seasons are dominated by the movement of the tropical rain belt, resulting in dry and wet seasons rather than the four-seasonal pattern of changes in temperature and day length seen in other parts of the world. Humid tropics are characterized by consistently high monthly temperatures, often exceeding 18 degrees C throughout the year; and rainfall that exceeds evapotranspiration for at least 270 days per year Although considerable information has been gathered on the physiological adaptation to hot/dry climates, data on acclimation to hot/humid climates are still limited. This review focusses on the effects of the tropical environment on human exercise performance through studies performed in the Caribbean, with a special emphasis on prolonged aerobic exercise such as swimming, cycling and running.

Living and training in a tropical environment: a challenge for aerobic exercise applied knowledge and perspectives / Vivir y entrenar en un ambiente tropical: un reto para las perspectivas y los conocimientos aplicados en relación con el ejercicio aeróbico

The tropical climate is unique in that the seasons are dominated by the movement of the tropical rain belt, resulting in dry and wet seasons rather than the four-seasonal pattern of changes in temperature and day length seen in other parts of the world. Humid tropics are characterized by consistently high monthly temperatures, often exceeding 18°C throughout the year, and rainfall that exceeds evapotranspiration for at least 270 days per year. Although considerable information has been gathered on the physiological adaptation to hot/dry climates, data on acclimation to hot/humid climates are still limited. This review focusses on the effects of the tropical environment on human exercise performance through studies performed in the Caribbean, with a special emphasis on prolonged aerobic exercise such as swimming, cycling and running.

El clima tropical es único en el sentido de que las estaciones están dominadas por el movimiento del cinturón de lluvias tropicales, que trae como consecuencias estaciones de seca y lluvia, antes que el patrón de cuatro estaciones que produce los cambios de temperatura y duración del día, observados en otras partes del mundo. Los trópicos húmedos se caracterizan por temperaturas mensuales consistentemente altas, que a menudo exceden 18°C a lo largo del año, y precipitaciones que exceden la evapotranspiración durante por lo menos 270 días en el año. Aunque se ha reunido considerable información sobre la adaptación fisiológica a los climas cálidos y secos, los datos sobre la aclimatación a los climas calientes y húmedos, son todavía limitados. Esta revisión se centra en los efectos del ambiente tropical sobre el rendimiento de los ejercicios humanos a través de estudios realizados en el Caribe, con un énfasis especial en ejercicios aeróbicos prolongados, tales como la natación, el ciclismo, y la carrera.