Body Composition and Dietary Intake Profiles of Elite Iranian Swimmers and Water Polo Athletes.

BACKGROUND: This study aimed to conduct a detailed and comparative analysis of body composition and dietary habits in elite swimming and water polo athletes. Through the examination of these key parameters, this study seeks to compare the dietary intake of these two distinct aquatic sports disciplines. METHODS: A total of 10 top-level swimmers and 13 water polo athletes participated in anthropometric and body composition assessments, as well as a detailed analysis of nutritional intake. To compare the two groups, an independent samples t-test was used, and variance homogeneity was checked using Levene's test. The effect size of the group differences was evaluated using Hedges' g. RESULTS: Water polo athletes showed significantly greater height (189.4 ± 2.9 vs. 186.5 ± 2.0 cm, p = 0.013), body mass index (24.3 ± 1.4 vs. 22.1 ± 0.5 kg/m2, p < 0.001), fat-free mass (62.9 ± 1.4 vs. 61.1 ± 1.38 kg, p < 0.001), skeletal muscle mass (47.1 ± 1.3 vs. 43.9 ± 1.6 kg, p < 0.001), and overall weight (86.9 ± 6.9 vs. 76.7 ± 2.2 kg, p < 0.001) in comparison to swimmers. Swimmers consumed greater amounts of mean daily energy (60.0 ± 1.0 vs. 39.0 ± 1.0 kcal/kg, p < 0.001), carbohydrate (7.8 ± 0.3 vs. 4.4 ± 0.5 g/kg, p < 0.001), protein (1.7 ± 0.5 vs. 1.4 ± 0.5 g/kg, p < 0.001), and fat (2.4 ± 0.5 vs. 1.7 ± 0.5 g/kg, p < 0.001) compared to water polo athletes. CONCLUSION: Our findings highlight the need for differentiated targeted nutritional interventions to enhance athletic performance in different types of water sports. Compared to water polo athletes, swimmers consumed significantly higher amounts of calories, matching their increased calorie demand from their specific training regime. However, this is an observational study and the differential needs of energy and macronutrients in water sports should be confirmed by studies with energy expenditure measurements.

Measured Submersion Times in Underwater Hockey Are Inconsistent With Its Classification as an Extreme Apneic Sport.

Underwater hockey (UWH) is a sport played at the bottom of a pool without the use of breathing devices such as scuba equipment. It has been classified as an extreme apneic sport based on perceptions of prolonged underwater submersion times during play. This study measured 2000 submersion times during UWH games and compared the average measured submersion times to estimates by UWH players and aquatics directors. The average measured submersion time was 11.0 seconds (SD:3.7) with a range of 4 to 27 seconds, but aquatics directors' estimates were over 100 percent longer (22.7 seconds). While observed active drop times typically lasted for 12.1 seconds (SD: 3.7), observed drop times with no puck lasted on average 9.3 seconds (SD:3.0). When compared to director and player estimates, actual/observed drop times were significantly (p<0.05) lower for overall drop times, active drop times, and drop times without a puck. The average submersion times measured in this study more closely resembled competitive swimming, a breathing-controlled sport, and contradicted lay press reports of routine submersion for one to three minutes, which implies a risk for a hypoxic blackout. The results of this study may mitigate safety concerns about UWH as a high-risk sport for a hypoxic blackout.

Kinematic and kinetic parameters to identify water polo players' eggbeater kick techniques.

This study aimed to clarify the kinematic and kinetic parameters that identify the technical differences in the eggbeater kick. Twelve water polo players performed the eggbeater kick, and its kinematics were recorded by a motion capture system. Pressure distributions around the feet were measured by sixteen pressure sensors attached to the dorsal and plantar surfaces of the feet, from which the resultant fluid force acting on the feet and the vertical component of the force (i.e., propulsive force) were estimated. Repeated-measures analysis of variance (including post hoc test) results showed that the pressure difference, due to negative pressure on the dorsal side of the foot, around the first toe was significantly larger than the other foot segments (difference of up to 7 kN/m2, P < 0.01). Moreover, cluster analysis (including Fisher information) results showed that the kinetic (fluid force and pressure) data had a major influence on clustering; the highest Fisher information was 10.42 for the mean propulsive force. Among the kinematic foot parameters, the influence of the foot angle data on clustering was large, suggesting its importance as a technical parameter of the eggbeater kick in relation to the kinetic data.

Propulsive forces on water polo players' feet from eggbeater kicking estimated by pressure distribution analysis.

The purpose of this study was to characterise the unsteady propulsive force during eggbeater kicking by a fluid force estimation method based on pressure distribution analysis. The eggbeater kick was performed by six male water polo players. The participants' eggbeater kicking motions were recorded by three cameras, and the kinematic foot variables were analysed. The pressure distributions around the foot were measured by four pairs of pressure sensors attached to the dorsal and plantar surfaces of the participants' right foot. The resultant fluid force acting on the foot was estimated from the measured pressure and area of the foot. The calculated propulsive force increased with the pressure difference between the plantar and dorsal sides of the foot, which was mainly related to the decrease in pressure on the dorsal side, and peaked when the foot passed its maximum velocity and began to decelerate. These results cannot be elucidated only by conventional biomechanical theories of swimming propulsion (Newton's laws of motion and the quasi-steady approach) but instead indicate a high possibility that the exerted propulsive force is induced by the effects of unsteady water flow.

Sex Difference in Female and Male Ice Swimmers for Different Strokes and Water Categories Over Short and Middle Distances: A Descriptive Study.

BACKGROUND: Winter swimming developed from a national tradition into a health-improving sport with international competitions. The difference in performance between women and men was thoroughly examined in various sporting disciplines; however, there is little data on winter swimming events. Therefore, this study aims to compare the sex differences in female and male winter swimmers for a distinct stroke over distances of 25 m and 200 m in ice water, freezing water and cold water in the multiple stages of the Winter Swimming World Cup, hosted by the International Winter Swimming Association (IWSA) since 2016. METHODS: All data included in this study were obtained from the official results of the Winter Swimming World Cup, published on the "International Winter Swimming Association" (IWSA) website. The Mann-Whitney U test was used to compare race time between sexes in different swimming strokes and categories of water. In contrast, the Kruskal-Wallis H test was used to compare differences between swimming strokes or water categories for the same sex. RESULTS: For 25 m and 200 m events of the "IWSA World Cup," male athletes were faster than female athletes, regardless of stroke and water temperature category. However, the effect size of the difference between the sexes was greater in 25 m than in 200 m for all strokes and water temperatures. Swimming speed for the same-sex differed between the swimming stroke in relation to the water temperature category. Head-up breaststroke was found to be the slowest stroke (p < 0.05). CONCLUSION: In water temperatures between - 2° and + 9 °C, men were faster than women in all stages of the "IWSA World Cup," regardless of the swimming stroke, but the effect size of the difference between the sexes was greater in shorter than in longer events.

Relative Age Effect in Brazilian water polo: analysis of male and female athletes from U16 to senior categories

Abstract Aim: To investigate the existence of relative age effect (RAE) in Brazilian water polo athletes according to sex and age category. Methods: The birthdate of 574 Brazilian water polo athletes were organized according to the athletes' birthdates into quarters of the year (Q1, Q2, Q3, and Q4), and classified according to sex (male and female) and age category (U16, U18, U20, and senior). To verify the existence of RAE, the Chi-Square tests (χ2) were performed, and the effect sizes (ω) were calculated for each of the tests. We also calculated odds ratio (ORs) and 95% confidence intervals, setting the level of significance to 0.05. As post hoc analysis, multiple comparisons between quarters were performed, with Bonferroni's correction (significance level set to 0.0083 in these cases). Results: The results indicated an uneven distribution of birthdates for male water polo athletes (χ2 = 12.257; p = 0.007; ω = 0.173), with an overrepresentation of athletes born in the first (p < 0.006) and second (p < 0.002) quarters. When sex and age category were considered, male athletes presented uneven distributions in U20 (χ2 = 10.747; p = 0.013; ω = 0.345) and senior (χ2= 12.614; p = 0.006; ω = 0.383) categories. In females, no differences were found. Conclusion: We conclude that there is an uneven distribution of birthdates in male Brazilian water polo athletes, indicating the presence of RAE in this group.

Injuries in underwater rugby: a retrospective cross-sectional epidemiological study.

INTRODUCTION: Underwater rugby (UWR) is a team sport which combines swimming sprints, apnoea diving, a good overview of the three-dimensional underwater space and wrestling for the ball.This was the first epidemiological study of UWR injuries in a large international collective. METHODS: A questionnaire containing 124 questions was distributed to 198 active UWR players and completed under the supervision of medical staff. Demographic data and information about injuries in ten different body regions were collected. RESULTS: Of the 198 respondents, 106 (53.5%) were male and 92 (46.5%) were female. On average, each UWR player suffered a median of 19.5 (IQR 44) injuries. Based on the exposure time, means of 37.7 (SD 90.0) injuries per 1000 playing hours per player and 9.9 (20.1) injuries per year were found. Significant injuries mainly occurred to the head region (45.7%). Bruises and sprains were observed more often than fractures and dislocations. Male athletes had a longer total injury break time (median 4.8 [IQR 10.5] days), than female athletes (4 [8.6] days). Female athletes had more injuries (median 20 [IQR 26.8]) than male athletes (18.5 [63]). The length of the injury-related break time increased with the rise in body mass index. CONCLUSIONS: The risk of severe injury in UWR is low compared to other ball sports like water polo and rugby. UWR is played under water and the impact of tackles is lessened by the water. Further studies should record chronic injuries in UWR and establish measures to prevent injury.

Pacing strategies and relationships between speed and stroke parameters for elite sprint kayakers in single boats.

The study aimed to determine the pacing strategies of elite single-boat sprint kayakers, as well as the relationships between stroke parameters (stroke rate (SR) and stroke length (SL)) and kayak speed throughout the race. High-resolution split speed and stroke parameter data from men's (MK1) and women's (WK1) single-boat A- and B-finals in 2016-2017 international sprint kayak competitions were analysed. Correlation coefficients were calculated between SR-speed and SL-speed during each split for each race group. Athletes followed all-out, positive and seahorse-shaped pacing strategies for the 200 m, 500 m and 1000 m races, respectively. SL-speed had greater correlations during the first half of the MK1 200 m race, whereas SR-speed had greater correlations during the second half. SR-speed correlations were greater than SL-speed correlations throughout the final 150 m of WK1 200 m races. There were large and very large correlations between SR-speed at the end of both the WK1 500 m and MK1 1000 m race distances, respectively, despite following different pacing strategies. Single-boat pacing strategies change due to race distance during major international sprint kayak competitions, whereas the relationships between stroke parameters and speed change depending on athlete sex and the race distance.

Evaluation of Fluid Loss and Customary Fluid Intake among a Selected Group of Young Swimmers: A Preliminary Field Study.

This study aimed to assess fluid loss (FL) and customary fluid intake (FI) during a training session, and the relationship between FL and total body water (TBW) content in a selected group of young swimmers. The study involved 17 (seven females, 10 males) individuals whose anthropometric and body composition analyses and FI during training units were carried out. The total average FI and total actual FL oscillated around 531 mL and -513 mL for the whole study group (469 mL and -284 mL for females, 574 mL and -674 mL for males). The dependent and independent sample t-tests, the Cohen's d effect size and Pearson's correlation coefficient were analysed. Significant differences were observed between pre-workout and post-workout body weights after training without FI in the whole group (66.5 kg vs. 66.0 kg, p < 0.001, d = 0.06), in females (61.2 kg vs. 60.9 kg, p = 0.015, d = 0.04) and males (70.3 kg vs. 69.6 kg, p < 0.001, d = 0.9). For the TBW content and fat-free mass (FFM) before and after training, significant differences were observed only in males (TBW: 43.8 L vs. 43.2 L, p = 0.002, d = 0.14; and 62.4% vs. 61.7%, p < 0.001, d = 0.36; FFM: 59.8 kg vs. 59.1 kg, p = 0.002, d = 0.12). Moreover, the relationship between the actual FL and TBW before training was observed in the whole (mL vs. %: r = -0.64, p = 0.006; mL vs. L: r = -0.84, p < 0.001) and the male group (mL vs. L: r = -0.73, p = 0.017). These results indicated FL in young swimmers during training and the relationship between FL and pre-training TBW content, which suggests that it is important to also pay special attention to effective hydration procedures before and during training in aquatic environments.

Lung capacity and alveolar gas diffusion in aquatic athletes: Implications for performance and health

Background: The diffusion capacity of carbon monoxide (DLCO) provides a measure of gas transfer in the lungs. Endurance training does not increase lung volumes or diffusion in land-based athletes. However swimmers have larger lungs and better diffusion capacity than other matched athletes and controls.PurposeThe aim of this study was to evaluate pulmonary alveoli-capillary diffusion and lung volumes in elite aquatic athletes, specifically swimmers, artistic swimmers and water polo players.MethodsThe participants were 64 international level aquatic athletes including 31 swimmers (11 female and 20 male), 12 artistic swimmers (only female), and 21 water polo players (10 female and 11 male). The single-breath method was used to measure DLCO and pulmonary parameters.ResultsThe main finding of this study is that DLCO is high in aquatic athletes, clearly above their reference values, both in females (33.4±9.4mLmin−1·mmHg−1; 135%) and males (48.0±5.83mLmin−1·mmHg−1; 148%). There was no difference in DLCO between female swimmers, artistic swimmers and water polo players (34.7±8.3 to 33.4±4.0 to 32.1±5.6mLmin−1·mmHg−1), but male swimmers had a higher DLCO compared to water polo players (50.4±5.3 to 43.4±7.0, p=0.014).ConclusionsAquatic athletes have larger lungs and better diffusion capacity than the percentage predicted by age and height. Therefore, swimming-based sports could help to improve pulmonary function in many different segments of the population. (AU)

Heart rate recovery responses after acute training load changes in top-class water polo players.

The purpose of the study was to investigate the effects of acute training load changes of elite water polo players on heart rate recovery (HRR) responses after a standardized swimming test. Nine water polo players were tested after a two-day light-load and two-day heavy-load training. Preliminarily, critical swimming speed was calculated. Testing comprised of an intermittent 4 × 100-m swimming separated by 10 s of rest with an intensity corresponding to 85% of their maximum speed previously attained during a 100-m swim test followed immediately by assessment of HRR. Internal training load (ITL) was measured using the rating of perceived exertion and the duration of training sessions. The swimming speed corresponded to 1.43 ± 0.06 m·s-1 and 1.45 ± 0.06 m·s-1 after light-load and heavy-load training, respectively (p = 0.06, d = 0.74). ITL was increased in high-load compared to light-load training (p < 0.001, d = 11.54). The difference in HR at end of exercise (HR-end) and after 60 s rest and the difference in mean HR during last min of exercise and HR after 60 s rest were higher in light-load training (p < 0.05, d = 0.85-1.15). The absolute change in ITL was correlated with the respective change in the percentage change of HR-end at 10 s of recovery (%HRR10s) (r = 0.72, p = 0.03). Significant correlation was observed between the percentage change of ITL with the %HRR10s (r = 0.67, p = 0.05). We conclude that HRR tracks acute changes in training load. The lower HRR following high-load training likely indicates a blunted parasympathetic re-activation.

Relação entre parâmetros cinemáticos e de desempenho motor de crianças na natação / Relation between kinematic parameters and motor performance of children in swimming

O objetivo deste estudo foi comparar e correlacionar parâmetros cinemáticos e de desempenho motor no nado crawl em crianças em diferentes níveis de aprendizagem.24 crianças n adado ras (1 8 do sexo masculino e seis do sexo feminino), com idade entre oito e dez anos participantes de um p ro jeto de extensão em natação escolar foram divididas entre três grupos iniciante, intermediário e av ançado que foram selecionadas de acordo com a avaliação do teste de desempenho motor (TDMNC). Foram avaliadas em uma repetição de 10m em máxima intensidade e a avaliação do TDMNC e dos parâmetros cinemáticos do nado crawl foram realizadas em conjunto. Os dados foram obtidos com uma câmera de vídeo (60 Hz - acoplada a um tripé na lateral da piscina, acima da linha da água) e um cronômetro. Foram registrados: TDMNC, frequência média de ciclos (FC), distância média percorrida por ciclo (DC), velocidade m édia de nado (VN), índice de nado (IN) e tempo para percorrer os 10m (T10). Comparações das variáveis entre os grupos foram realizadas e correlações entre as variáveis cinemáticas e o desem p enho n o TDMNC foram testadas com α de 5%. Os achados deste estudo indicam que as crianças do grupo de nível avançado apresentaram maiores valores de FC, DC, VN e IN quando comparadas às de nível iniciante e intermediário. Ainda, foram identificadas que o TDMNC e os parâmetro s cin em áti cos p o ssuem alt a correlação. O teste TDMNC parece ser viável para a aplicabilidade prática do profissional nas esco las e clubes de natação na avaliação da aprendizagem em crianças...(AU)

The objective of this study was to compare and correlate kinematic and motor performance parameters in the front crawl in children at different levels of learning. 24 swimming children (18 m ales and six females), aged between eight and ten years old, participating in an extension p roject in school swimming were divided into three beginner, intermediate and advanced groups who were selected according to evaluation of the motor performance test (MPTFC). They were evaluated in a 10m repetition at maximum intensity and the evaluation of the MPTFC and the kinematic parameters of the front crawl were performed together. Data were obtained with a video camera (60 Hz - coupled to a tripod on the side of the pool, above the water line) and a stopwatch. The following were recorded: MPTFC, strok e rate (SR), stroke length (SL), mean swimming speed (SS), swimming index (SI) and time to cover 10m (T10). Comparisons of variables between groups were made and correlations between kinematic v ariables and performance in MPTFC were tested with α of 5%. The findings of this study indicate that children in the advanced level group had higher values of SR, SL, SS and SI when compared to those at th e begin ning and intermediate levels. Also, it was dentified that the MPTFC and the kinematic parameters have high correlation. The MPTFC test seems to be feasible for the professional's practical applicability in schools and swimming clubs in the assessment of learning in children...(AU)

Injuries in Male and Female Elite Aquatic Sports Athletes: An 8-Year Prospective, Epidemiological Study.

This study aimed to determine the injury patterns associated with training activities in elite South Korean aquatic sports athletes training for the Olympic Games. From 2012 to 2019, we prospectively collected data on elite aquatic sports athletes at the Korea National Training Center. The athletes were assessed by four sports medicine doctors, and data were stratified according to sex, aquatic style, injury body location, and injury severity. Chi-square tests were used to compare groups. Injury rates was expressed as rate ratios with 95% confidence intervals. Annually, the center hosts an average of 42 elite aquatic athletes spread over four aquatic styles. We recorded 797 injuries in total (annual average: 2.37 injuries/athlete), during training sessions, 57.1% of which were mild injuries. For all athletes, most injuries occurred in the upper limb (35.9%), followed by the lower limb (31.0%), the trunk (24.5%), and the head and neck (8.7%). Aquatic style significantly influenced injury body location and severity for both male and female athletes (injury body location: p < 0.001 and p < 0.010, respectively; injury severity: p = 0.027 and p < 0.001, respectively). In general, male and female athletes experienced a comparable risk of injury (rate ratio: 1.15; 95% confidence intervals: 0.53-2.46). Among the male and female South Korean elite aquatic athletes training for the Olympic Games, most injuries were mild and occurred in the upper limb, and aquatic style influenced injury body location and severity.

Training for success: Do simulated aerial landings replicate successful aerial landings performed in the ocean?

PURPOSE: Physical preparation of competitive surfers includes substantial dry-land training. It is currently unknown, however, how closely these exercises replicate surfing maneuvers performed in the ocean. This study compared the technique features displayed by surfers when landing simulated aerial maneuvers on land to critical features previously established as necessary for surfers to successfully land aerials in the ocean during competition. METHODS: Fourteen competitive surfers (age 20.6 ± 5.7 years, height 178.1 ± 9.50 cm, mass 70.6 ± 10.8 kg) were recruited to perform two variations of a simulated aerial task, a Frontside Air (FA) and Frontside Air Reverse (FAR). Joint ranges of motion (ROM), center of pressure, and apparent gaze data were collected during the landing event. Paired t tests or Wilcoxon signed-rank tests were used to identify any significant differences in the outcome variables between the two aerial tasks. RESULTS: Participants displayed 100% and 60% of the critical features associated with successfully landing a FA and FAR, respectively. In both the simulated FA and FAR, participants landed in 1.0-3.7° of dorsiflexion, moving through significantly less ankle joint ROM in the lead limb during the FAR (P < .01). Participants also displayed significantly less knee and hip ROM (P = .002-.048) while landing the FAR compared to the FA. CONCLUSION: The simulated FA and FAR tasks are appropriate training tools for surfers to replicate most of the critical features that a surfer should display to successfully land aerial maneuvers in the ocean. These tasks therefore enable surfers to practice these complex movements in a controlled environment.

Dos desafios aquáticos ao estabelecimento de recordes: aproximação e distanciamento entre práticas esportivas e os rios da cidade de São Paulo (1899-1949)

RESUMO São Paulo foi fundada entre os rios Pinheiros e Tietê, fundamentais ao crescimento da cidade e berço de inúmeros esportes aquáticos. Entre fins do século XIX e início do XX, os rios testemunham a passagem do sentimento de temor da natureza pelo prazer aliado aos desafios corporais, culminando na prática esportiva. Temos como objetivo entender como a mudança nas atividades oferecidas pelos clubes foi responsável por, em determinado momento, afastar os esportes dos rios. Símbolos de uma natureza que não se submete às mãos humanas, os rios foram substituídos por espaços em que as práticas poderiam ser melhor regulamentadas e controladas. O recorte temporal vai de 1899, ano de instalação do primeiro clube, até o fim da década de 1940, com a realização das últimas competições.

ABSTRACT São Paulo was created in the junction of rivers Pinheiros and Tietê, fundamentals for the development of the city and cradle of a lot of sportif practices. Between the end of the 19th century and the beginning of the 20th, the rivers witness the passage of the fear's feeling of nature for the pleasure, culminating in the sport practice. Our aim is to analyze how the change in the activities offered by the clubs was responsible for take away the sports of the rivers. Symbols of a nature that do not submit to human hands, rivers have been replaced by spaces in which practices could be better regulated and controlled. Our period begins in 1899, year when the first club were installed, and goes until the 40's, when were realized the last competitions.

RESUMEN São Paulo fue fundada entre los ríos Pinheiros y Tietê, fundamentales para el crecimiento de la ciudad y cuna de innumerables deportes. Entre finales del siglo XIX y el principio del siglo XX, los ríos testimoniaron el paso del sentimiento de temor de la naturaleza por el placer aliado a los desafíos corporales, culminando em la práctica deportiva. Nuestro objetivo es entender como el cambio en las actividades ofrecidas por los clubes fue responsable de alejar los deportes de los ríos. Símbolos de una naturaleza que no se somete a las manos humanas, los ríos fueron sustituidos por espacios en que las prácticas podrían ser mejor reguladas. El recorte va desde 1899, año de instalación del primer club, hasta el final de la década de 1940, con la realización de las últimas competiciones.

Bone mineral density and bone mineral content among female elite athletes.

INTRODUCTION: Exercise is a protective factor for the appearance of osteoporosis, but not all physical activities have the same effect on bones. Low-impact sports, like swimming, may a have a negative or no effect. The aim of the present study is to evaluate bone mineral density (BMD, g/cm2) and bone mineral content (BMC, kg) among female high performance athletes from aquatic and non-aquatic sports and to assess possible differences with sedentary controls. METHODS: Participants are elite female athletes over 18 years, from the Spanish Olympic teams, with at least 12-15 h of weekly training on aquatic sports: swimming (n = 19), synchronized swimming (n = 24) and water polo (n = 14), and elite female athletes from non-aquatic sports: professional football players of Futbol Club Barcelona team (n = 92), Spanish national volleyball (n = 26) and field hockey teams (n = 29) as well as sedentary controls (n = 126). Bone mineral density scans was performed using dual-energy X-ray absorptiometry for whole body, segmental analysis, proximal femur and lumbar spine. RESULTS: Non-aquatic female athletes have total and segments BMC and BMD values higher than those of aquatic athletes, that in turn show similar BMD values compared to controls. BMD in lumbar spine and proximal femur was higher in non-aquatic sports compared to aquatic sports athletes and both were higher than controls. CONCLUSION: BMD is not negatively compromised by the practice of aquatic sports at a highly competitive level. However, non-aquatic female athletes show a higher BMD. Time training out of the water improves BMD. Our findings suggest that swimming and synchronized swimming should be combined with weight-bearing, impact or strength activities, as they do not seem to be osteogenic sports.

Analysis of water polo injuries during 8904 player matches at FINA World Championships and Olympic games to make the sport safer.

OBJECTIVE: To analyse injuries of water polo players reported during four Summer Olympic Games (2004, 2008, 2012, 2016) and four Federation Internationale de Natation World Championships (2009, 2013, 2015, 2017). METHODS: Injuries during training and matches were reported daily by the team physicians and the local medical staff at the sports venues using an established surveillance system. RESULTS: A total of 381 injuries were reported, equivalent to 14.1 injuries per 100 players (95% CI ±1.42). The most frequent diagnoses were laceration (12.7%) and contusion (10.9%) of head, followed by (sub-)luxation/sprain of hand (9.5%) and contusion of trunk (6.5%) or hand (6.2%). More than half of the injuries (57.0%) occurred due to contact with another player. A quarter of the injuries (25.4%) were expected to result in absence from training or match; 10 (2.9%) resulted in an estimated time-loss of 3 or more weeks. About three-quarters of injuries (75.6%) occurred during matches, 86 during training. The incidence of match injuries was on average 56.2 injuries per 1000 match hours (95% CI ±6.74). The incidence of time-loss match injuries (14.7; 95% CI ±3.44) was significantly higher in men than in women. CONCLUSIONS: A critical review of water polo in-competition rules and the implementation of a Fair Play programme may help to mitigate the high incidence of contact injuries incurred during matches. A water polo-specific concussion education programme including recognition, treatment and return to play is recommended. Finally, a prospective injury surveillance programme would help to better define water polo injuries outside of the competition period.

Scientific rationale for changing lower water temperature limits for triathlon racing to 12°C with wetsuits and 16°C without wetsuits.

OBJECTIVES: To provide a scientific rationale for lower water temperature and wetsuit rules for elite and subelite triathletes. METHODS: 11 lean, competitive triathletes completed a 20 min flume swim, technical transition including bike control and psychomotor testing and a cycle across five different wetsuit and water temperature conditions: with wetsuit: 10°C, 12°C and 14°C; without wetsuit (skins): 14°C and 16°C. Deep body (rectal) temperature (Tre), psychomotor performance and the ability to complete a technical bike course after the swim were measured, as well as swimming and cycling performance. RESULTS: In skins conditions, only 4 out of 11 athletes could complete the condition in 14°C water, with two becoming hypothermic (Tre<35°C) after a 20 min swim. All 11 athletes completed the condition in 16°C. Tre fell further following 14°C (mean 1.12°C) than 16°C (mean 0.59°C) skins swim (p=0.01). In wetsuit conditions, cold shock prevented most athletes (4 out of 7) from completing the swim in 10°C. In 12°C and 14°C almost all athletes completed the condition (17 out of 18). There was no difference in temperature or performance variables between conditions following wetsuit swims at 12°C and 14°C. CONCLUSION: The minimum recommended water temperature for racing is 12°C in wetsuits and 16°C without wetsuits. International Triathlon Union rules for racing were changed accordingly (January 2017).