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1.
Nutrients ; 16(9)2024 Apr 26.
Article in English | MEDLINE | ID: mdl-38732553

ABSTRACT

Considering a lack of respective data, the primary objective of this study was to assess whether seasonal variation in vitamin D status (D-status) affects the extent of improvement in physical performance (PP) in conscripts during basic military training (BMT). D-status, PP and several blood parameters were measured repeatedly in conscripts whose 10-week BMT started in July (cohort S-C; n = 96) or in October (cohort A-C; n = 107). D-status during BMT was higher in S-C compared to A-C (overall serum 25(OH)D 61.4 ± 16.1 and 48.5 ± 20.7 nmol/L, respectively; p < 0.0001). Significant (p < 0.05) improvements in both aerobic and muscular endurance occurred in both cohorts during BMT. Pooled data of the two cohorts revealed a highly reliable (p = 0.000) but weak (R2 = 0.038-0.162) positive association between D-status and PP measures both at the beginning and end of BMT. However, further analysis showed that such a relationship occurred only in conscripts with insufficient or deficient D-status, but not in their vitamin D-sufficient companions. Significant (p < 0.05) increases in serum testosterone-to-cortisol ratio and decreases in ferritin levels occurred during BMT. In conclusion, a positive association exists between D-status and PP measures, but seasonal variation in D-status does not influence the extent of improvement in PP in conscripts during BMT.


Subject(s)
Military Personnel , Physical Endurance , Seasons , Vitamin D , Humans , Vitamin D/blood , Vitamin D/analogs & derivatives , Male , Physical Endurance/physiology , Young Adult , Hydrocortisone/blood , Vitamin D Deficiency/blood , Vitamin D Deficiency/epidemiology , Nutritional Status , Testosterone/blood , Adult , Cohort Studies , Adolescent
2.
J Sports Med Phys Fitness ; 64(5): 490-495, 2024 May.
Article in English | MEDLINE | ID: mdl-38305005

ABSTRACT

BACKGROUND: Energy availability (EA) and relative energy deficiency in sport (RED-S) are understudied in East African endurance athletes, both females (F) and males (M). This study assessed the metabolic hormonal profiles of such athletes relative to their EA status. METHODS: Forty athletes (F=16, M=24) had their EA status, training, maximal oxygen uptake, and resting blood samples assessed using standard research practices. Subjects were stratified into two groups, high EA (HiEA) and low EA (LoEA) based on combined median value. RESULTS: Cortisol (P=0.034) and insulin (P=0.044) were significantly elevated in the LoEA group, while growth hormone (P=0.045) was significantly suppressed; and, prolactin (P=0.078) trended towards suppression, respectively compared to the HiEA group. All other hormonal comparison were non-significant. CONCLUSIONS: Metabolic hormonal profiles of female and male African distance runners are affected by their EA status. Aspects of these alterations agree in part with published findings based upon White populations, although some differences exist and need further investigation.


Subject(s)
Energy Metabolism , Hydrocortisone , Insulin , Prolactin , Running , Humans , Female , Male , Hydrocortisone/blood , Adult , Insulin/blood , Running/physiology , Prolactin/blood , Energy Metabolism/physiology , Oxygen Consumption/physiology , Relative Energy Deficiency in Sport/blood , Human Growth Hormone/blood , Young Adult , Africa, Eastern , East African People
3.
Nutrients ; 14(24)2022 Dec 13.
Article in English | MEDLINE | ID: mdl-36558461

ABSTRACT

Data on the effect of vitamin D (Vit-D) supplementation on cardiorespiratory fitness (VO2max) are conflicting. A possible source of discrepancies in the literature is the heterogeneity in baseline Vit-D status among participants in previous studies. The main objectives of the present study were to assess the impact of Vit-D supplementation on VO2max and inflammatory status in Vit-D deficient young healthy men. Participants (n = 39, baseline serum Vit-D level < 50 nmol/L) were quasi-randomly assigned to one of the two groups, which, in a double-blind manner, supplemented their diet daily with either Vit-D (8000 IU; VD) or placebo (PLC) and concomitantly performed a 12-week supervised resistance training program. During the 12-week intervention, serum Vit-D concentrations increased 3.9-fold (p < 0.001) in the VD group while no changes occurred in the PLC group. Baseline VO2max did not differ in the two groups and remained unchanged during the intervention. Serum interleukin-10/tumour necrosis factor alpha ratio increased significantly (30%, p = 0.007; effect size 0.399) in VD but not in PLC group. In conclusion, 12-week Vit-D supplementation increases serum 25(OH)D levels and improves inflammatory status, but has no impact on VO2max in Vit-D deficient young men engaged in resistance training.


Subject(s)
Cardiorespiratory Fitness , Resistance Training , Vitamin D Deficiency , Male , Humans , Vitamin D , Vitamin D Deficiency/drug therapy , Vitamins , Dietary Supplements , Ergocalciferols/therapeutic use , Double-Blind Method , Cholecalciferol
4.
Physiol Rep ; 10(9): e15280, 2022 05.
Article in English | MEDLINE | ID: mdl-35510322

ABSTRACT

Changes in hydration status influence plasma volume (PV) which is associated with post-exercise parasympathetic reactivation. The present study hypothesized that, after dehydrating cycling exercise in the heat (DE), stimulation of PV expansion with sodium citrate (CIT) supplementation would promote heart rate variability (HRV) recovery in endurance-trained men. Twelve participants lost 4% of body mass during DE. During subsequent 16-h recovery, participants consumed water ad libitum (CIT =5.5-L, PLC =5.1-L) and ate prescribed food supplemented with CIT or placebo in a randomized, double-blind, crossover manner. Relative changes in PV were assessed across DE and 16-h recovery. HRV was analyzed before and 16 h after DE in three conditions for altogether four 5-min periods: supine in a thermoneutral environment, supine in the heat (32°C, 46% relative humidity; 2 periods), and standing in the heat. A larger expansion of PV across 16-h recovery occurred in CIT compared to placebo trial (p < 0.0001). However, no between-trial differences appeared in HRV parameters (lnRMSSD, lnSDNN, lnLF/HF) in any 5-min period analyzed before or 16 h after DE (in all cases p > 0.05). Increases in HR (p < 0.001) and lnLF/HF (p = 0.005) and decreases in lnRMSSD (p < 0.001) and lnSDNN (p < 0.001) occurred following DE in both trials. Larger PV expansion induced by CIT supplementation after DE does not improve recovery of HRV at rest and has no influence on HRV responsiveness in endurance-trained men.


Subject(s)
Eating , Hot Temperature , Cross-Over Studies , Heart Rate , Humans , Male , Sodium Citrate
6.
Eur J Appl Physiol ; 122(1): 199-208, 2022 Jan.
Article in English | MEDLINE | ID: mdl-34643795

ABSTRACT

PURPOSE: This study examined and compared select Triad-RED-S components/risk factors in high-level Kenyan male and female distance runners to corresponding control groups; focusing on examining energy intake (EI), bone indices, and hormonal markers. METHODS: A cross-sectional, observational design was used in which Kenyan male and female (n = 30 and n = 26, respectively) middle- and long-distance runners and corresponding male and female control groups (n = 29 and n = 29, respectively) were examined. The participant's bone mineral density (BMD) at the lumbar spine, right femur, and total body were measured using a dual-energy X-ray absorptiometry analysis. Complete blood counts (CBC) were done on the whole blood specimens and hormonal measurements were performed on plasma specimens. In addition, athletes completed metabolic testing to determine maximal oxygen uptakes and 7-day dietary diaries. RESULTS: Overall daily EI across runners and controls within each sex were low, but not significantly different (p > 0.05). Prevalence of low BMD values (Z score < - 2.0) was comparable across groups in each sex (p > 0.05). CBC measures suggested that both runners and controls were healthy. Finally, slight hormonal differences between runners and their respective controls existed (p < 0.05), but were not clinically meaningful or observed in typical Triad-RED-S-related parameters. CONCLUSION: High-level Kenyan male and female runners had low daily EI, but no tendency toward a higher prevalence of low BMD, or Triad-RED-S-related hormonal abnormalities. The occurrence of low EI was not a major risk factor in our athletes; this calls into question whether the current criteria for Triad-RED-S are entirely applicable for athletes of African ethnicity.


Subject(s)
Athletes , Energy Metabolism/physiology , Relative Energy Deficiency in Sport/epidemiology , Absorptiometry, Photon , Blood Cell Count , Bone Density , Cross-Sectional Studies , Energy Intake , Female , Hormones/blood , Humans , Kenya/epidemiology , Male , Oxygen Consumption , Prevalence , Risk Factors , Running
7.
Eur J Appl Physiol ; 121(7): 2077-2090, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33821332

ABSTRACT

PURPOSE: Vitamin D (Vit-D) supplementation has been shown to increased muscle strength in young adults. It remains unclear if Vit-D supplementation enhances the efficacy of resistance training (RT). This study tested the hypothesis that Vit-D supplementation would enhance the RT-induced increases in muscle strength and lean body mass (LBM) in Vit-D deficient young men. METHODS: Thirty-nine men (baseline serum 25(OH)D < 50 nmol L‒1) were quasi-randomly assigned to one of the two groups that performed a 12-week supervised RT program concomitant with either Vit-D (8000 IU daily; VD) or placebo (PLC) supplementation. RESULTS: During 12-week RT, energy and nutrient (except Vit-D) intake and training loads did not differ in the two groups. Serum 25(OH)D levels increased from 36.3 ± 9.2 to 142.4 ± 21.9 nmol L‒1 (P < 0.05) in VD group and remained unchanged between 36.3 ± 8.9 and 29.4 ± 6.6 nmol L‒1 (P > 0.05) in PLC group. Muscle strength (1-repetition maximum) increased (P < 0.05) to an equal extent in the two groups in 5 exercises performed on RT equipment, whereas strength gains in chest press and seated row were greater (P < 0.05) in PLC compared to VD group. Total and regional LBM (measured by DXA scan) increased (P < 0.05) equally in the two groups. Android fat mass decreased (P < 0.05) in VD group only. CONCLUSION: Vit-D supplementation does not enhance the efficacy of RT in terms of muscle strength and LBM gains in Vit-D deficient young healthy men.


Subject(s)
Body Mass Index , Muscle Strength/drug effects , Resistance Training , Vitamin D Deficiency/drug therapy , Vitamin D Deficiency/physiopathology , Vitamin D/administration & dosage , Double-Blind Method , Humans , Male , Young Adult
8.
J Strength Cond Res ; 35(2): 481-486, 2021 Feb 01.
Article in English | MEDLINE | ID: mdl-29952871

ABSTRACT

ABSTRACT: Mooses, M, Haile, DW, Ojiambo, R, Sang, M, Mooses, K, Lane, AR, and Hackney, AC. Shorter ground contact time and better running economy: evidence from female Kenyan runners. J Strength Cond Res 35(2): 481-486, 2021-Previously, it has been concluded that the improvement in running economy (RE) might be considered as a key to the continued improvement in performance when no further increase in V̇o2max is observed. To date, RE has been extensively studied among male East African distance runners. By contrast, there is a paucity of data on the RE of female East African runners. A total of 10 female Kenyan runners performed 3 × 1,600-m steady-state run trials on a flat outdoor clay track (400-m lap) at the intensities that corresponded to their everyday training intensities for easy, moderate, and fast running. Running economy together with gait characteristics was determined. Subjects showed moderate to very good RE at the first (202 ± 26 ml·kg-1·km-1) and second (188 ± 12 ml·kg-1·km-1) run trials, respectively. Correlation analysis revealed significant relationship between ground contact time (GCT) and RE at the second run (r = 0.782; p = 0.022), which represented the intensity of anaerobic threshold. This study is the first to report the RE and gait characteristics of East African female athletes measured under everyday training settings. We provided the evidence that GCT is associated with the superior RE of the female Kenyan runners.


Subject(s)
Oxygen Consumption , Running , Female , Gait , Kenya , Male
9.
Res Q Exerc Sport ; 90(4): 470-478, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31282820

ABSTRACT

Purpose: The purpose of this study was to investigate the differences in metabolic responses between the track and the treadmill (1% inclination) running. The latter is recommended for use in laboratory settings to mimic outdoor running. Method: Seventeen male endurance athletes (mean 25.8, s = 3.8 years) performed 4-min running bouts on an indoor track and the treadmill. Results: At all speeds (11, 13, and 15 km·h-1) athletes showed better economy on the track running compared to the treadmill expressed as oxygen (7.9%, 5.2%, and 2.8%) and caloric (7.0%, 5.3%, and 2.6%) unit cost. Rating of perceived exertion was evaluated substantially higher at all speeds on the treadmill (F(1,16) = 31.45, p < .001, η2p = .663) compared to running on the track. Participants presented lower heart rate (F(1,16) = 13.74, p = .002, η2p = .462) on the track at the speed of 11 and 13 km·h-1 compared to the treadmill, but not at 15 km·h-1 (p = .021). Conclusions: We conclude that constant inclination (i.e.. 1%) during the treadmill test might not be suitable to reproduce comparable effort to running on the track; rather, there is an optimal treadmill inclination for different intensities to reproduce similar effort compared to the track running.


Subject(s)
Exercise Test , Physical Conditioning, Human/methods , Running/physiology , Track and Field/physiology , Adult , Energy Metabolism/physiology , Heart Rate/physiology , Humans , Male , Oxygen Consumption/physiology , Perception/physiology , Physical Conditioning, Human/instrumentation , Physical Endurance/physiology , Physical Exertion/physiology , Surface Properties , Young Adult
10.
Medicina (Kaunas) ; 55(4)2019 Apr 12.
Article in English | MEDLINE | ID: mdl-31013820

ABSTRACT

Background and objectives: In temperate environments, acute orally induced metabolic alkalosis alleviates exercise stress, as reflected in attenuated stress hormone responses to relatively short-duration exercise bouts. However, it is unknown whether the same phenomenon occurs during prolonged exercise in the heat. This study was undertaken with aim to test the hypothesis that ingestion of an alkalizing substance (sodium citrate; CIT) after dehydrating exercise would decrease blood levels of stress hormones during subsequent 40 km cycling time-trial (TT) in the heat. Materials and Methods: Male non-heat-acclimated athletes (n = 20) lost 4% of body mass by exercising in the heat. Then, during a 16 h recovery period prior to TT in a warm environment (32 °C), participants ate the prescribed food and ingested CIT (600 mg·kg-1) or placebo (PLC) in a double-blind, randomized, crossover manner with 7 days between the two trials. Blood aldosterone, cortisol, prolactin and growth hormone concentrations were measured before and after TT. Results: Total work performed during TT was similar in the two trials (p = 0.716). In CIT compared to PLC trial, lower levels of aldosterone occurred before (72%) and after (39%) TT (p ˂ 0.001), and acute response of aldosterone to TT was blunted (29%, p ˂ 0.001). Lower cortisol levels in CIT than in PLC trial occurred before (13%, p = 0.039) and after TT (14%, p = 0.001), but there were no between-trial differences in the acute responses of cortisol, prolactin or growth hormone to TT, or in concentrations of prolactin and growth hormone before or after TT (in all cases p > 0.05). Conclusions: Reduced aldosterone and cortisol levels after TT and blunted acute response of aldosterone to TT indicate that CIT ingestion during recovery after dehydrating exercise may alleviate stress during the next hard endurance cycling bout in the heat.


Subject(s)
Aldosterone/blood , Dehydration/diet therapy , Dietary Supplements , Hydrocortisone/blood , Sodium Citrate/administration & dosage , Adult , Athletic Performance/physiology , Cross-Over Studies , Double-Blind Method , Estonia , Exercise/physiology , Exercise Test , Growth Hormone/blood , Hot Temperature , Humans , Male , Physical Endurance , Prolactin/blood , Statistics, Nonparametric , Time Factors
11.
Int J Sport Nutr Exerc Metab ; 29(2): 117-129, 2019 Mar 01.
Article in English | MEDLINE | ID: mdl-30747558

ABSTRACT

Distance events in Athletics include cross country, 10,000-m track race, half-marathon and marathon road races, and 20- and 50-km race walking events over different terrain and environmental conditions. Race times for elite performers span ∼26 min to >4 hr, with key factors for success being a high aerobic power, the ability to exercise at a large fraction of this power, and high running/walking economy. Nutrition-related contributors include body mass and anthropometry, capacity to use fuels, particularly carbohydrate (CHO) to produce adenosine triphosphate economically over the duration of the event, and maintenance of reasonable hydration status in the face of sweat losses induced by exercise intensity and the environment. Race nutrition strategies include CHO-rich eating in the hours per days prior to the event to store glycogen in amounts sufficient for event fuel needs, and in some cases, in-race consumption of CHO and fluid to offset event losses. Beneficial CHO intakes range from small amounts, including mouth rinsing, in the case of shorter events to high rates of intake (75-90 g/hr) in the longest races. A personalized and practiced race nutrition plan should balance the benefits of fluid and CHO consumed within practical opportunities, against the time, cost, and risk of gut discomfort. In hot environments, prerace hyperhydration or cooling strategies may provide a small but useful offset to the accrued thermal challenge and fluid deficit. Sports foods (drinks, gels, etc.) may assist in meeting training/race nutrition plans, with caffeine, and, perhaps nitrate being used as evidence-based performance supplements.


Subject(s)
Athletic Performance/physiology , Nutritional Requirements , Running/physiology , Sports Nutritional Physiological Phenomena , Walking/physiology , Adaptation, Physiological , Athletes , Dietary Carbohydrates , Humans , Performance-Enhancing Substances/administration & dosage
12.
Med Sci Sports Exerc ; 51(2): 299-307, 2019 02.
Article in English | MEDLINE | ID: mdl-30188362

ABSTRACT

INTRODUCTION: Recombinant human erythropoietin (rHuEpo) administration enhances oxygen carrying capacity and performance at sea level. It remains unknown whether similar effects would be observed in chronic altitude-adapted endurance runners. The aim of this study was to assess the effects of rHuEpo on hematological and performance parameters in chronic altitude-adapted endurance runners as compared to sea level athletes. METHODS: Twenty well-trained Kenyan endurance runners (KEN) living and training at approximately 2150 m received rHuEpo injections of 50 IU·kg body mass every 2 d for 4 wk and responses compared with another cohort (SCO) that underwent an identical protocol at sea level. Blood samples were obtained at baseline, during rHuEpo administration and 4 wk after the final injection. A maximal oxygen uptake (V˙O2max) test and 3000-m time trial was performed before, immediately after and 4 wk after the final rHuEpo injection. RESULTS: Hematocrit (HCT) and hemoglobin concentration (HGB) were higher in KEN compared to SCO before rHuEpo but similar at the end of administration. Before rHuEpo administration, KEN had higher V˙O2max and faster time trial performance compared to SCO. After rHuEpo administration, there was a similar increase in V˙O2max and time trial performance in both cohorts; most effects of rHuEpo were maintained 4 wk after the final rHuEpo injection in both cohorts. CONCLUSIONS: Four weeks of rHuEpo increased the HGB and HCT of Kenyan endurance runners to a lesser extent than in SCO (~17% vs ~10%, respectively) and these alterations were associated with similar improvements in running performance immediately after the rHuEpo administration (~5%) and 4 wk after rHuEpo (~3%).


Subject(s)
Adaptation, Physiological , Altitude , Erythropoietin/administration & dosage , Oxygen/blood , Performance-Enhancing Substances/administration & dosage , Physical Endurance/physiology , Running/physiology , Adult , Doping in Sports , Erythropoietin/metabolism , Hematocrit , Hemoglobinometry , Humans , Kenya , Male , Oxygen Consumption , Performance-Enhancing Substances/metabolism , Recombinant Proteins/administration & dosage , Recombinant Proteins/metabolism , Young Adult
13.
Curr Sports Med Rep ; 17(12): 457-466, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30531464

ABSTRACT

Frequent, low doses of recombinant human erythropoietin (rHuEpo) have been shown to increase the oxygen carrying capacity of an athlete and enhance endurance performance, although its effect on repeated sprint ability (RSA) remains unknown. If the mechanisms behind improved RSA performance reside within the augmented O2 carrying capacity, then carbon monoxide (CO) inhalation should inhibit RSA. Purpose: The aim of this study was to assess the effects on maximal oxygen uptake (V˙O2max) and RSA of two interventions known to differentially influence blood oxygen carrying capacity. Methods: Fourteen endurance-trained individuals were administered microdoses of rHuEpo (20-40 IUkg) or placebo twice per week for 7 wk using a randomized, crossover design. V˙O2max and RSA were measured at baseline and after rHuEpo administration. Total hemoglobin mass (tHb-mass) was measured twice at baseline (14 and 7 d before the first injection), three times during rHuEpo administration (10, 24, and 38 d after the first rHuEpo injection) and twice after the cessation of rHuEpo administration (7 and 21 d after the final injection) using the optimized CO rebreathing method. V˙O2max and RSA also were assessed in a separate cohort of 11.


Subject(s)
Athletic Performance , Carbon Monoxide/metabolism , Erythropoietin/administration & dosage , Oxygen Consumption , Recombinant Proteins/administration & dosage , Adult , Athletes , Cross-Over Studies , Exercise Test , Humans , Male , Young Adult
14.
Int J Sport Nutr Exerc Metab ; 28(4): 364-374, 2018 Jul 01.
Article in English | MEDLINE | ID: mdl-30040508

ABSTRACT

Low energy availability (LEA) is a key element of the Female Athlete Triad. Causes of LEA include failure to match high exercise energy expenditure (unintentional) or pathological behaviors of disordered eating (compulsive) and overzealous weight control programs (misguided but intentional). Recognition of such scenarios in male athletes contributed to the pronouncement of the more inclusive Relative Energy Deficiency in Sport (RED-S) syndrome. This commentary describes the insights and experience of the current group of authors around the apparently heightened risk of LEA in some populations of male athletes: road cyclists, rowers (lightweight and open weight), athletes in combat sports, distance runners, and jockeys. The frequency, duration, and magnitude of the LEA state appear to vary between populations. Common risk factors include cyclical management of challenging body mass and composition targets (including "making weight") and the high energy cost of some training programs or events that is not easily matched by energy intake. However, additional factors such as food insecurity and lack of finances may also contribute to impaired nutrition in some populations. Collectively, these insights substantiate the concept of RED-S in male athletes and suggest that a specific understanding of a sport, subpopulation, or culture may identify a complex series of factors that can contribute to LEA and the type and severity of its outcomes. This commentary provides a perspective on the range of risk factors that should be addressed in future surveys of RED-S in athletic populations and targeted for specific investigation and modification.


Subject(s)
Energy Intake , Energy Metabolism , Malnutrition/diagnosis , Nutritional Requirements , Sports Nutritional Physiological Phenomena , Athletes , Body Weight , Humans , Male , Malnutrition/prevention & control , Malnutrition/therapy , Risk Factors , Sports
15.
Appl Physiol Nutr Metab ; 43(6): 571-579, 2018 Jun.
Article in English | MEDLINE | ID: mdl-29324186

ABSTRACT

The purpose of this study was to assess the impact of sodium citrate (CIT) ingestion (600 mg·kg-1) during recovery from dehydrating cycling exercise (DE) on subsequent 40-km cycling performance in a warm environment (32 °C). Twenty male nonheat-acclimated endurance athletes exercised in the heat until 4% body mass (BM) loss occurred. After 16 h recovery with consumption of water ad libitum and prescribed diet (evening meal 20 kcal·kg-1, breakfast 12 kcal·kg-1) supplemented in a double-blind, randomized, crossover manner with CIT or placebo (PLC), they performed 40-km time-trial (TT) on a cycle ergometer in a warm environment. During recovery greater increases in BM and plasma volume (PV) concomitant with greater water intake and retention occurred in the CIT trial compared with the PLC trial (p < 0.0001). During TT there was greater water intake and smaller BM loss in the CIT trial than in the PLC trial (p < 0.05) with no between-trial differences (p > 0.05) in sweat loss, PV decrement, ratings of perceived exertion, or TT time (CIT 68.10 ± 3.28 min, PLC 68.11 ± 2.87 min). At the end of TT blood lactate concentration was higher (7.58 ± 2.44 mmol·L-1 vs 5.58 ± 1.32 mmol·L-1; p = 0.0002) and rectal temperature lower (39.54 ± 0.50 °C vs 39.65 ± 0.52 °C; p = 0.033) in the CIT trial than in the PLC trial. Compared with pre-DE time point, PV had decreased to a lower level in the PLC trial than in the CIT trial (p = 0.0001). In conclusion, CIT enhances rehydration after exercise-induced dehydration but has no impact on subsequent 40-km cycling TT performance in a warm uncompensable environment.


Subject(s)
Bicycling , Citrates/administration & dosage , Dehydration/drug therapy , Hot Temperature , Physical Endurance/drug effects , Administration, Oral , Adult , Biomarkers/blood , Body Temperature Regulation , Citrates/adverse effects , Cross-Over Studies , Dehydration/blood , Dehydration/diagnosis , Dehydration/physiopathology , Double-Blind Method , Drinking , Estonia , Exercise Test , Fluid Shifts , Humans , Lactic Acid/blood , Male , Plasma Volume , Recovery of Function , Sodium Citrate , Time Factors , Treatment Outcome , Water-Electrolyte Balance , Weight Loss
16.
BMC Genomics ; 18(Suppl 8): 817, 2017 Nov 14.
Article in English | MEDLINE | ID: mdl-29143667

ABSTRACT

BACKGROUND: Recombinant human erythropoietin (rHuEpo) can improve human performance and is therefore frequently abused by athletes. As a result, the World Anti-Doping Agency (WADA) introduced the Athlete Biological Passport (ABP) as an indirect method to detect blood doping. Despite this progress, challenges remain to detect blood manipulations such as the use of microdoses of rHuEpo. METHODS: Forty-five whole-blood transcriptional markers of rHuEpo previously derived from a high-dose rHuEpo administration trial were used to assess whether microdoses of rHuEpo could be detected in 14 trained subjects and whether these markers may be confounded by exercise (n = 14 trained subjects) and altitude training (n = 21 elite runners and n = 4 elite rowers, respectively). Differential gene expression analysis was carried out following normalisation and significance declared following application of a 5% false discovery rate (FDR) and a 1.5 fold-change. Adaptive model analysis was also applied to incorporate these markers for the detection of rHuEpo. RESULTS: ALAS2, BCL2L1, DCAF12, EPB42, GMPR, SELENBP1, SLC4A1, TMOD1 and TRIM58 were differentially expressed during and throughout the post phase of microdose rHuEpo administration. The CD247 and TRIM58 genes were significantly up- and down-regulated, respectively, immediately following exercise when compared with the baseline both before and after rHuEpo/placebo. No significant gene expression changes were found 30 min after exercise in either rHuEpo or placebo groups. ALAS2, BCL2L1, DCAF12, SLC4A1, TMOD1 and TRIM58 tended to be significantly expressed in the elite runners ten days after arriving at altitude and one week after returning from altitude (FDR > 0.059, fold-change varying from 1.39 to 1.63). Following application of the adaptive model, 15 genes showed a high sensitivity (≥ 93%) and specificity (≥ 71%), with BCL2L1 and CSDA having the highest sensitivity (93%) and specificity (93%). CONCLUSIONS: Current results provide further evidence that transcriptional biomarkers can strengthen the ABP approach by significantly prolonging the detection window and improving the sensitivity and specificity of blood doping detection. Further studies are required to confirm, and if necessary, integrate the confounding effects of altitude training on blood doping.


Subject(s)
Erythropoietin/administration & dosage , Erythropoietin/pharmacology , Recombinant Proteins/adverse effects , Recombinant Proteins/pharmacology , Transcriptome/drug effects , Adult , Doping in Sports , Dose-Response Relationship, Drug , Hematology , Humans , Male , Models, Biological
17.
J Hum Kinet ; 56: 229-239, 2017 Feb.
Article in English | MEDLINE | ID: mdl-28469761

ABSTRACT

The aim of the present study was to investigate lower limb anthropometric and composition variables related to running economy (RE) and running performance in a homogeneous group of high level European distance runners. RE at the speeds of 14, 16 and 18 km·h-1 (189 ± 12; 188 ± 11; 187 ± 11 O2 ml·kg-1·km-1) and maximal oxygen uptake (VO2max) (67.3 ± 2.9 ml·kg-1·min-1) of 13 high level distance runners were determined on a motorised treadmill. Anthropometric variables and body composition were measured. The BMI was related to RE at the speed of 14 (r2 = 0.434; p = 0.014), 16 (r2 = 0.436; p = 0.014) and 18 km·h-1 (r2 = 0.389; p = 0.023). Lower leg length was negatively related to RE at the speed of 16 and showed such a tendency at the speed of 14 and 18 km·h-1. VO2max indicated a moderate relationship with RE at the speeds of 14, 16 and 18 km·h-1 (r2 = 0.372, p = 0.030; r2 = 0.350, p = 0.033; r2 = 0.376, p = 0.026, respectively) which was confirmed by subsequent partial correlation analysis. While lower leg length and the BMI presented a relationship with RE, none of the calculated body composition and anthropometric proportions were related to RE or performance. The relationship between RE and VO2max would confirm the notion that RE could be at least partly compensated by VO2max to achieve high performance results.

18.
Mil Med ; 182(3): e1810-e1818, 2017 03.
Article in English | MEDLINE | ID: mdl-28290964

ABSTRACT

INTRODUCTION: In Estonian Defense Forces that are drawn up on the basis of the conscription model considerable numbers of young men are prematurely discharged from military service for medical reasons, but causes leading to premature dropout of conscripts have not been systematically studied. However, one of the factors involved could be relatively demanding physical training that starts at the beginning of military service in the form of basic military training (BMT). Cumulative training and nontraining stresses experienced by conscripts during BMT may exceed their physiological adaptability and increase the probability of becoming prematurely discharged. Therefore, the primary purpose of this study was to assess physiological responses to 10-week BMT in Estonian conscripts. MATERIALS AND METHODS: The protocol of the study confirmed to the standards set by the Declaration of Helsinki and it was approved by the Research Ethics Committee of the University of Tartu. Mean ± SD age and body mass index of 94 conscripts studied was 20.9 ± 1.7 years and 24.2 ± 3.0 kg · m-2, respectively. Fasting venous blood analysis was performed four times during BMT (October to December) and once 15 weeks after the end of BMT (in March). One-factor (time) repeated measures analysis of variance was used to evaluate the differences within the variables. Statistical significance was set at p < 0.05. Where a significant main effect was observed, Tukey's honesty significant difference post-hoc analysis was used to locate differences between the means. A Pearson product moment coefficient of correlation (r) with α level set at 0.05 was applied to determine the relationship between variables. RESULTS: Significant increases in serum testosterone concentration (60.6%), testosterone to cortisol ratio (61.1%), blood erythrocyte count (4.3%), hemoglobin concentration (3.8%) and hematocrit (2.2%), and decrease in serum ferritin concentration (39.3%) occurred between weeks 1 and 10 during BMT (in all cases p < 0.0001). Fifteen weeks later, these parameters were still at increased or decreased levels, respectively, compared to week 1. The prevalence of vitamin D deficiency (serum 25(OH) D concentration <50 nmol · L-1) increased from 42.6% in week 1 to 80.8% in week 10 and to 91.5% 15 weeks later. Serum 25(OH)D levels did not correlate with testosterone concentrations (r = 0.062, p = 0.552 in Wk-1 and r = -0.079, p = 0.448 in Wk-25). CONCLUSION: These findings suggest that BMT induces anabolic physiological adaptations in conscripts despite vitamin D deficiency and decrease in iron status. However, high prevalence of vitamin D deficiency and decline in iron status may limit physiological adaptations and improvement in physical work capacity to a suboptimal level. Furthermore, as vitamin D influences a variety of functions important for health, deficiency in conscripts should be considered a major concern that needs treatment. An acknowledged limitation of the study is the lack of a control group of conscripts possessing normal vitamin D status and stable serum ferritin levels throughout the study period. Nevertheless, the research design employed enabled to determine two factors that potentially limit physiological adaptability of conscripts to military training loads in ecologically authentic environment.


Subject(s)
Anabolic Agents/analysis , Military Personnel/statistics & numerical data , Prevalence , Vitamin D Deficiency/complications , Adolescent , Anabolic Agents/blood , Analysis of Variance , Body Mass Index , Education/trends , Erythrocyte Count , Estonia , Hematocrit , Hemoglobins/analysis , Humans , Hydrocortisone/analysis , Hydrocortisone/blood , Iron/analysis , Iron/blood , Longitudinal Studies , Male , Physical Fitness , Testosterone/analysis , Testosterone/blood , Young Adult
19.
Int J Sports Physiol Perform ; 12(4): 422-430, 2017 Apr.
Article in English | MEDLINE | ID: mdl-27631418

ABSTRACT

Maximal oxygen uptake (V̇O2max), fractional utilization of V̇O2max during running, and running economy (RE) are crucial factors for running success for all endurance athletes. Although evidence is limited, investigations of these key factors indicate that East Africans' superiority in distance running is largely due to a unique combination of these factors. East African runners appear to have a very high level of RE most likely associated, at least partly, with anthropometric characteristics rather than with any specific metabolic property of the working muscle. That is, evidence suggest that anthropometrics and body composition might have important parameters as determinants of superior performance of East African distance runners. Regrettably, this role is often overlooked and mentioned as a descriptive parameter rather than an explanatory parameter in many research studies. This brief review article provides an overview of the evidence to support the critical role anthropometrics and body composition has on the distance running success of East African athletes. The structural form and shape of these athletes also has a downside, because having very low BMI or body fat increases the risk for relative energy deficiency in sport (RED-S) conditions in both male and female runners, which can have serious health consequences.


Subject(s)
Anthropometry , Body Composition , Running/physiology , Africa, Eastern , Athletes , Body Mass Index , Female , Humans , Male , Oxygen Consumption , Physical Endurance
20.
PLoS One ; 11(3): e0152323, 2016.
Article in English | MEDLINE | ID: mdl-27015099

ABSTRACT

INTRODUCTION: The aim was to compare the average and the days method in exploring the compliance of children with physical activity guidelines and describe their physical activity patterns in different school day segments. METHODS: Physical activity was objectively measured in 472 children aged 6-13 for one school week. Children were compliant when fulfilling PA recommendations 1) on average over all measured days (average method) or 2) on at least four measured days (days method). To explore the difference in moderate to vigorous physical activity (MVPA) minutes between compliant and non-complaint children (using both the average and days method) in various day segments, linear mixed models was used. RESULTS: Compliance with physical activity guidelines was significantly higher with the average compared to the days method (51.7% and 23.7%, respectively). In segmented-day analysis, compliant children accrued more MVPA minutes in all day segments, especially during after-school. Gender differences appeared only during the in-school segments, where girls spent less time in MVPA (average method: -4.39 min, 95% CI = -5.36,-3.42, days method: -4.45 min, 95%CI = -5.46,-3.44). Older children accrued more MVPA minutes during physical education classes, but less during breaks, compared to younger children. CONCLUSIONS: The used methods yielded remarkably different prevalence estimates for compliance to physical activity recommendations. To ensure comparability between studies, interventions and reports, there is a need for internationally agreed operationalization and assessment methods of physical activity guidelines. As non-compliant children had lower MVPA during all day segments, greater efforts should be made to provide physical activity opportunities both during and after school.


Subject(s)
Data Interpretation, Statistical , Exercise , Motor Activity , Physical Education and Training , Accelerometry , Adolescent , Child , Estonia , Female , Guidelines as Topic , Health Promotion/methods , Humans , Linear Models , Male , Pediatric Obesity/prevention & control , Schools
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