The relationship between low energy availability, injuries, and bone health in recreational female athletes.

Background: Low energy availability (LEA) causes pathophysiology of the female athlete's body affecting the bone and reproductive health and was observed to have a high prevalence in recreational female athletes previously. The aim of this study was to analyse the relationship between low energy availability in females questionnaire (LEAF-Q), bone mineral density (BMD), and postural stability in recreational athletes. Methods: Recreational female athletes (n = 24, age: 23.71 ± 2.94, Tier I) completed LEAF-Q, postural stability measurement during quiet stance (Zebris platform FDM; GmbH) and their BMD was measured using DXA (Hologic QDR Horizon A). Non-parametric statistical tests were used to analyse the relationships between LEAF-Q, BMD, and postural stability and to compare differences between participants divided by the LEAF-Q score and its subscales. Results: Risk of LEA was observed in 50% of recreational athletes participating in this study. Up to 46% of participants perceived menstrual bleeding changes related to training and 37.50% experienced menstrual dysfunction. Body composition and body weight fluctuations were observed to affect postural stability and BMD. With the risk score for LEA, the BMD and postural stability were not negatively affected in recreational athletes. However, the high number of recreational athletes in the risk score for LEA and menstrual dysfunctions highlights the need for public health programs aimed to increase awareness of LEA and its health consequences and for open communication about the menstrual cycle. Future longitudinal studies observing LEA, BMD, menstrual function, postural stability, and their interrelationship in female athletes are needed to increase the knowledge of this topic.

Effect of home training during the COVID-19 lockdown on physical performance and perceptual responses of team-sport athletes: a mini-review.

This article aims to summarize the effects of home training performed during the COVID-19 lockdown on physical performance and perceptual responses among team-sport athletes. Studies with comparison of pre-post lockdown results of physical performance and perceptual responses were considered. A search was made in PubMed and SPORTDiscus databases. The PICO criteria were used for the keywords "athlete" AND "home-based training" AND "performance" OR "mental health", with their respective entry terms. The multistage process of selection followed the PRISMA 2020 recommendations. Of 586 records identified, 9 articles were available for the final process. Physical performance was evaluated for 8 studies with the VO2max change ranging from 5.7% to -9%; an increase in the duration of sprint test ranging from 0.4% to 36%; an increase of agility duration of 12.4%; a decrease in maximal repetition load of 2.9%; and changes in countermovement jump height ranging from -4.7% to +15.4% after home training. Regarding the perceptual responses, no significant changes in wellbeing and mental index and a significant decrease in motivation and perceived effort were reported during the home training in lockdown. Based on the articles selected, home training programmes performed by athletes from team sports during the COVID-19 lockdown presented inconsistent results in physical performance, decreasing by up to 36%, and maintaining the wellbeing and mental index, but with a significant drop in training motivation and perceived effort. Caution should be taken considering the small number of articles included in the study.

Preventing chronic fatigue in Czech young athletes: The features description of the "SmartTraining" mobile application.

This study describes a beta version of a mobile application (app) that focuses on preventing chronic fatigue in Czech youth athletes. The first version of the SmartTraining app was developed for athletes as a way to prevent chronic fatigue via alertness and education. For alertness, a multistage process was developed using a combination of parameters about training responses, such as tiredness, well-being, heart rate, energy balance and psychological, and health-related aspects. According to the combination of the multistage parameter outcomes, the algorithm classifies the risk of fatigue based on semaphore light: green corresponds to low, yellow to moderate and red to high risk. The education presented in the app consisted of written and "animated videos" material about the variables involved in training, such as training demands and athletes' responses, regeneration, nutrition and communication between athletes, coaches, and parents. Subsequently, a beta version of the app was created and freely available to download for Android or iOS mobile. The app can be used in daily routines to reduce the risk of chronic fatigue from inadequate training dose response. Prevention can minimise the risk of injury or physical and emotional burnout in youth. Informing athletes on how to carefully handle the training factors can improve athletes' awareness of their performance and health status. Collaboration between sports scientists and the commercial sector allows for the efficient development of an easy-to-use and low-cost tool for use in sports settings. Future steps should be performed to validate the app's accuracy in its alertness and in the efficiency of the educational process.

Determination of Critical Power Using Different Possible Approaches among Endurance Athletes: A Review.

Critical power represents an important parameter of aerobic function and is the highest average effort that can be sustained for a period of time without fatigue. Critical power is determined mainly in the laboratory. Many different approaches have been applied in testing methods, and it is a difficult task to determine which testing protocol it the most suitable. This review aims to evaluate all possible tests on bicycle ergometers or bicycles used to estimate critical power and to compare them. A literature search was conducted in four databases (PubMed, Scopus, SPORTDiscus, and Web of Science) published from 2012 to 2022 and followed the PRISMA guidelines to process the review. Twenty-one articles met the eligibility criteria: records with trained or experienced endurance athletes (adults > 18), bicycle ergometer, a description of the testing protocol, and comparison of the tests. We found that the most widely used tests were the 3-min all-out tests set in a linear mode and the traditional protocol time to exhaustion. Some other alternatives could have been used but were not as regular. To summarize, the testing methods offered two main approaches in the laboratory (time to exhaustion test andthe 3-min all-out test with different protocols) and approach in the field, which is not yet completely standardized.

Prevalence of Risk for Orthorexia in Athletes Using the ORTO-15 Questionnaire: A Systematic Mini-Review.

The article aims to summarize the literature about the profile of risk of orthorexia in athletes using the ORTO-15 questionnaire. The search was performed at PubMed, Embase, Web of Science, and Sport Discus databases, using the terms "orthorexia" AND "athletes" with the respective entry terms. A multistage process of selection followed the PRISMA 2020 recommendation. A total of 688 articles were identified, and six studies were available for the final process. The prevalence of risk for orthorexia was assessed by the articles by the ORTO-15 questionnaire and ranged between 38 and 35 points. The comparison between male and female athletes and, athletes and non-athletes was not significant in the six articles. In conclusion, the review highlights that athletes from different sports, included in the review, do not present a risk of orthorexia nervosa considering the cutoff of 40 points, but not 35 points. Also, athletes present the same orthorexic behavior compared to non-athletes, demonstrating that orthorexia is an issue that needs to be considered in the general population. Moreover, a special focus should be given on the ORTO-15 questionnaire, about the sensitivity to diagnose the prevalence of orthorexia, especially in athletes.

Effects of Dietary Nitrates on Time Trial Performance in Athletes with Different Training Status: Systematic Review.

Much research has been done in sports nutrition in recent years as the demand for performance-enhancing substances increases. Higher intake of nitrates from the diet can increase the bioavailability of nitric oxide (NO) via the nitrate-nitrite-NO pathway. Nevertheless, the increased availability of NO does not always lead to improved performance in some individuals. This review aims to evaluate the relationship between the athlete's training status and the change in time trial performance after increased dietary nitrate intake. Articles indexed by Scopus and PubMed published from 2015 to 2019 were reviewed. Thirteen articles met the eligibility criteria: clinical trial studies on healthy participants with different training status (according to VO2max), conducting time trial tests after dietary nitrate supplementation. The PRISMA guidelines were followed to process the review. We found a statistically significant relationship between VO2max and ergogenicity in time trial performance using one-way ANOVA (p = 0.001) in less-trained athletes (VO2 < 55 mL/kg/min). A strong positive correlation was observed in experimental situations using a chronic supplementation protocol but not in acute protocol situations. In the context of our results and recent histological observations of muscle fibres, there might be a fibre-type specific role in nitric oxide production and, therefore, supplement of ergogenicity.

Effect of Compression Garments on Physiological Responses After Uphill Running.

Limited practical recommendations related to wearing compression garments for athletes can be drawn from the literature at the present time. We aimed to identify the effects of compression garments on physiological and perceptual measures of performance and recovery after uphill running with different pressure and distributions of applied compression. In a random, double blinded study, 10 trained male runners undertook three 8 km treadmill runs at a 6% elevation rate, with the intensity of 75% VO2max while wearing low, medium grade compression garments and high reverse grade compression. In all the trials, compression garments were worn during 4 hours post run. Creatine kinase, measurements of muscle soreness, ankle strength of plantar/dorsal flexors and mean performance time were then measured. The best mean performance time was observed in the medium grade compression garments with the time difference being: medium grade compression garments vs. high reverse grade compression garments. A positive trend in increasing peak torque of plantar flexion (60º·s-1, 120º·s-1) was found in the medium grade compression garments: a difference between 24 and 48 hours post run. The highest pain tolerance shift in the gastrocnemius muscle was the medium grade compression garments, 24 hour post run, with the shift being +11.37% for the lateral head and 6.63% for the medial head. In conclusion, a beneficial trend in the promotion of running performance and decreasing muscle soreness within 24 hour post exercise was apparent in medium grade compression garments.

Does Sodium Citrate Cause the Same Ergogenic Effect As Sodium Bicarbonate on Swimming Performance?

The aim of this study was to investigate the effect of ingesting sodium bicarbonate (SB) and sodium citrate (SC) on 400 m high-intensity swimming performance and blood responses. Six nationally ranked male swimmers (20.7 ± 2.1 yrs; 184 ± 6 cm; 79.9 ± 3.9 kg; 10.6 ± 1% body fat) participated in a double blinded, placebo controlled crossover trial. Ninety minutes after consuming SB (0.3 g·kg-1), SC (0.3 g·kg-1) or a placebo (PL) participants completed a single 400-m freestyle maximal test on three consecutive days. The order of the supplementation was randomized. Capillary blood samples were collected on 4 occasions: at rest (baseline), 60 min post-ingestion, immediately post-trial and 15 min post-trial. Blood pH, HCO3- concentration and base excess (BE) were determined. Blood pH, HCO3-, BE were significantly elevated from before loading to the pre-test (60 min post-ingestion) (p < 0.05) after SB ingestion, but not after SC ingestion (p > 0.05). Performance times were improved by 0.6% (p > 0.05) after supplementation of SB over PL in 5 out of 6 participants (responders). In contrast, ingestion of SC decreased performance by 0.2% (p > 0.05). No side effects were observed in either trial. Delayed blood response was observed after SC ingestion compared to SB and this provided no or modest ergogenic effect, respectively, for single bout high-intensity swimming exercise. Monitoring the magnitude of the time-to-peak level rise in alkalosis may be recommended in order to individualize the loading time accordingly before commencement of exercise.

Anthropometric characteristics and body bomposition in aikido practitioners / Características antropométricas y composición corporal en practicantes de aikido

Although aikido is a non-competitive martial art, it is recognised by SportAccord as worldwide practiced combat sport. There is a lack of scientific research in aikido and the influence of aikido practice on the human body is not known. This is the first study that presents anthropometric characteristics and body composition data in aikido practitioners. 33 adult male aikido athletes (age 36.5±9.6 years, height 178±8 cm, weight 81.2±10.1 kg) were measured. All subjects were divided from beginner to intermediate and advanced group, and were recruited from the Czech Aikido Federation which is officially recognised by the centre of aikido in Japan. As main methods, bio impedance and skinfold measurements were realized. In aikido, body composition does not play an important role compared to other martial arts. Average values are similar to reference of non-athlete population (BMI 25.6±2.7 kg/m, BF 17.18±5.18 %, FFM 65.71±7.69 kg, BSA 1.98±0.15 m2). Even though, aikido has positive effects on body composition, it does not have a high impact. Thus, aikido players should also gain benefits from other aspects of martial arts.

A pesar de que el aikido es un arte marcial no competitivo, es reconocido por SportAccord como un deporte de combate practicado en todo el mundo. Existe escasa investigación científica sobre el aikido y la influencia de su práctica en el cuerpo humano. Este es el primer estudio que presenta las características antropométricas y datos de composición corporal en practicantes de Aikido. Se midieron 33 hombres adultos, atletas de aikido (edad 36,5±9,6 años, altura 178±8 cm, peso 81,2±10,1 kg). Los sujetos fueron divididos en los grupos: principiante, intermedio y avanzado, reclutados desde la Federación Checa de Aikido, que es reconocida oficialmente por el centro de aikido en Japón. Como métodos principales, se realizaron mediciones de bioimpedancia y pliegues cutáneos. En el aikido, la composición corporal no juega un rol importante en comparación con otras artes marciales. Los valores promedio fueron similares en comparación a valores de la población no deportista (IMC 25,6±2,7 kg/m, BF 17,18±5,18 %, FFM 65,71±7,69 kg, BSA 1,98±0,15 m2). A pesar de que el aikido tiene efectos positivos en la composición corporal, no tiene un alto impacto. Por lo tanto, los atletas de aikido deberían también obtener beneficios de otros elementos de las artes marciales.

Case Study: Competition Nutrition Intakes During the Open Water Swimming Grand Prix Races in Elite Female Swimmer.

The nutritional intake of elite open water swimmers during competition is not well established, and therefore this case study aims to provide new insights by describing the feeding strategies adopted by an elite female swimmer (28 yrs; height; 1.71 m; body mass: 60 kg; body fat: 16.0%) in the FINA open water Grand Prix 2014.Seven events of varying distances (15-88 km) and durations (3-12 hrs) were included. In all events, except one, feeds were provided from support boats. Swimmer and support staff were instructed to track in detail all foods and beverages consumed during the events. Nutritional information was gathered from the packaging and dietary supplements labels and analyzed by nutrition software. Mean carbohydrate (CHO) and protein intake reached 83 ± 5 g·h-1 and 12 ± 8 g·h-1, respectively. Fat intake was neglected (~1 g·h-1). Mean in-race energy intake reached 394 ± 26 kcal·h-1. Dietary supplements in the form of sport beverages and gels, containing multitransportable CHO, provided 40 ± 4 and 49 ± 6% of all CHO energy, respectively. Caffeine (3.6 ± 1.8 mg·kg-1 per event) and sodium (423 ± 16 mg·h-1) were additionally supplemented in all events. It was established that continuous intake of high doses of CHO and sodium and moderate dose of caffeine were an essential part of the feeding strategy for elite-level high intensity ultra-endurance open-water swimming races. A well scheduled and well-prepared nutrition strategy is believed to have ensured optimal individual performance during Grand Prix events.