Agreement Between the 2- and 3-Step Methods for Identifying Subtle Menstrual Disturbances.

Recent methodological recommendations suggest the use of the "3-step method," consisting of calendar-based counting, urinary ovulation testing, and serum blood sampling, for the identification of subtle menstrual disturbances (SMDs). However, the use of the 3-step method is not always feasible, so a less demanding combination of calendar-based counting and urinary ovulation testing, that is, the 2-step method, may be a viable alternative. PURPOSE: To investigate the agreement between the 2- and 3-step methods for the detection of SMDs. METHODS: Menstrual cycles (MCs, 98) of 59 athletes were assessed using the 2- and 3-step methods. Regular-length MCs (ie, ≥21 and ≤35 d) were classified as either having no SMD (luteal phase length ≥10 d, midluteal progesterone concentration ≥16 nmol·L-1, and being ovulatory) or having an SMD (eg, short luteal phase [<10 d], inadequate luteal phase [midluteal progesterone concentration <16 nmol·L-1], or being anovulatory). Method agreement was assessed using the McNemar test and Cohen kappa (κ). RESULTS: Substantial agreement was observed between methods (κ = .72; 95% CI, .53-.91), but the 2-step method did not detect all MCs with an SMD, resulting in evidence of systematic bias (χ2 = 5.14; P = .023). The 2-step method detected 61.1% of MCs that had an SMD ([51.4, 70.8]), as verified using the 3-step method, and correctly identified 100% of MCs without an SMD. CONCLUSIONS: MCs classified as being disturbed using the 2-step method could be considered valid evidence of SMDs. However, MCs classified without SMDs do not definitively confirm their absence, due to the proven underdetection via the 2-step method.

Menstrual Cycle Phase Has No Influence on Performance-Determining Variables in Endurance-Trained Athletes: The FENDURA Project.

PURPOSE: This study aimed to investigate the effect of the MC and endogenous sex hormone concentrations on performance-determining variables in three distinct MC phases in endurance-trained females. METHODS: Twenty-one eumenorrheic trained/highly trained endurance athletes completed a standardized test battery during the early follicular phase (EFP), ovulatory phase (OP), and midluteal phase (MLP) for either one ( n = 7) or two test cycles ( n = 14). MC phases were determined using calendar-based counting, urinary ovulation testing, and verified with serum hormone analysis. MCs were retrospectively classified as eumenorrheic or disturbed. Disturbed MCs were excluded from analysis. The test battery consisted of 4-6 × 5-min submaximal stages with stepwise speed increases, a 30-s all-out double-poling ski ergometer test, and a maximal incremental treadmill running test. RESULTS: At a group level, there was no effect of MC phase or the serum concentrations of estrogen and progesterone on peak oxygen uptake (V̇O 2peak ), oxygen uptake at 4 mmol·L -1 blood lactate concentration, time to exhaustion, running economy, or mean 30-s power output (MPO 30s ). Serum testosterone concentration was positively associated with MPO 30s ( P = 0.016). Changes in V̇O 2peak from EFP to MLP were inconsistent between individuals and across cycles. CONCLUSIONS: None of the measured performance-determining variables were influenced by MC phase or serum estrogen or progesterone concentrations. Although some individual patterns could be observed, there was no indication that any single MC phase is consistently associated with improved or impaired V̇O 2peak on a group level.

Annual Volume and Distribution of Physical Training in Norwegian Female Cross-Country Skiers and Biathletes: A Comparison Between Sports, Competition Levels, and Age Categories-The FENDURA Project.

PURPOSE: To describe and compare the annual physical training characteristics between Norwegian female cross-country (XC) skiers and biathletes across competition levels and age categories. METHODS: Daily training sessions for 1 year were recorded for 45 XC skiers and 26 biathletes, comprising international/national team (inter[national]) and nonnational/regional team members (nonnational) of both junior and senior age. Endurance, strength, flexibility, speed, and power training sessions were recorded. Data included exercise modality, intensity, and duration. Data were analyzed using linear mixed-effects models. RESULTS: The total annual physical training volume consisted of ∼90% endurance training for both groups, although XC skiers had significantly higher total volumes (∼10%; P = .003; d = 0.78) than biathletes. Senior XC skiers performed more training hours of skiing and/or roller skiing compared with biathletes over the season. However, biathletes compensated for this lower volume by more skating and a higher proportion of endurance training as skiing (81% [17%]) compared with XC skiers (68% [16%]; P < .001; d = 0.94). Overall, (inter)national-level athletes completed a higher annual training volume than non-national-level athletes (740 [90] h vs 649 [95] h; P = .004;d = 0.81). Although juniors reported less endurance volume than seniors, they maintained a relatively stable level of endurance training across the preparatory and competition period, unlike senior athletes. CONCLUSIONS: The higher annual physical training volume by XC skiers compared with biathletes is likely caused by the different demands of the 2 sports; XC skiing necessitates training for 2 skiing styles, while biathlon requires additional shooting practice. However, biathletes compensate with a higher proportion of ski training, particularly in the skating technique.

The Influence of Menstrual-Cycle Phase on Measures of Recovery Status in Endurance Athletes: The Female Endurance Athlete Project.

PURPOSE: To investigate the influence of menstrual-cycle (MC) phase on measures of recovery status, that is, resting heart rate, perceived sleep quality, and physical and mental readiness to train, among female endurance athletes. METHODS: Daily data were recorded during 1 to 4 MCs (ie, duration ≥21 and ≤35 d, ovulatory, luteal phase ≥10 d) of 41 trained-to-elite-level female endurance athletes (mean [SD]: age 27 [8] y, weekly training: 9 [3] h). Resting heart rate was assessed daily using a standardized protocol, while perceived sleep quality and physical and mental readiness to train were assessed using a visual analog scale (1-10). Four MC phases (early follicular phase [EFP], late follicular phase, ovulatory phase, and midluteal phase [MLP]) were determined using the calendar-based counting method and urinary ovulation-prediction test. Data were analyzed using linear mixed-effects models. RESULTS: Resting heart rate was significantly higher in MLP (1.7 beats·min-1, P = .006) compared with EFP without significant differences between the other MC phases. Perceived sleep quality was impaired in MLP compared with late follicular phase (-0.3, P = .035). Physical readiness to train was lower both in ovulatory phase (-0.6, P = .015) and MLP (-0.5, P = .026) compared with EFP. Mental readiness to train did not show any significant differences between MC phases (P > .05). CONCLUSIONS: Although significant, the findings had negligible to small effect sizes, indicating that MC phase is likely not the main determinant of changes in measures of recovery status but, rather, one of the many possible stressors.

Indian Endurance Athletes' Menstrual Cycle: Practices, Knowledge, Communication, Health, and Changes in Perceptions Across the Phases.

PURPOSE: To describe menstrual cycle (MC)-related practices, knowledge, communication, and health in Indian endurance athletes and to investigate the changes in their perception of sleep quality, readiness to train, training quality, fitness, and performance across the MC. METHODS: Data on female Indian athletes (N = 96, age 22 [3] y) competing in 7 endurance sports at (inter)national and state level were collected using an online questionnaire. A Friedman rank sum test was used to assess changes in sleep quality, readiness to train, training quality, fitness, and performance across MC phases (ie, during, immediately after, and just before the bleeding phase). RESULTS: Most of the athletes showed poor MC-related practices and suboptimal knowledge and communication about the MC. Despite no clear signs of serious health conditions, many athletes (63.5%) experienced irregular bleeding phases, particularly during periods with high exercise intensity or high training volume (54.4%). Perceived sleep quality, readiness to train, fitness, performance, and the quality of high-intensity and strength training changed significantly throughout the MC (P < .001), with a higher prevalence of a positive perception immediately after the bleeding phase. The perceived quality of low-intensity training did not change significantly throughout the MC (P = .244). CONCLUSIONS: Knowledge and communication about the MC were found to be poor in Indian endurance athletes, who reported that the MC significantly influenced their sleep quality, readiness to train, training quality, fitness, and performance.

Prevalence and Self-Perceived Experiences With the Use of Hormonal Contraceptives Among Competitive Female Cross-Country Skiers and Biathletes in Norway: The FENDURA Project.

Purpose: To investigate the prevalence of hormonal contraceptive (HC) use by female cross-country (XC) skiers and biathletes competing at a national and/or international level, their reasons for HC use, and to compare negative symptoms related to the HC-/menstrual cycle in HC users and non-HC users. Additionally, to characterize the self-perceived influence of HC use on training and performance. Methods: A total of 113 Norwegian competitive XC skiers and biathletes completed an online questionnaire including both closed and open-ended questions. The questions were designed to assess the type of HC, reasons for use, self-reported negative symptoms related to HC-/menstrual cycle, as well as athletes' experiences regarding how HC use affects training and performance. Results: In total, 68% of all the athletes used HC, with 64 and 36% of them using a progestin-only and combined type HC, respectively. Non-contraceptive reasons for HC use were reported by 51% of the progestin-only HC users vs. 75% of the combined HC users (P = 0.039), with reduction of negative menstrual-related symptoms as the most common reason. Of the athletes reporting regular withdrawal bleedings in connection to HC use, 80% of the progestin-only and 86% of combined HC users experienced negative menstrual-related symptoms, which was comparable to the non-HC group (86%). The majority (81%) of HC users experienced solely positive, or no effect, of HC use on training and performance, with no differences between progestin-only and combined HC users (P = 0.942). Conclusions: In total, 68% of the XC skiers and biathletes used HC, with the highest proportion (64%) using a progestin-only HC. Many athletes used HC to manipulate their menstrual cycle due to perceived negative menstrual-related symptoms that interfered with their training sessions and/or competitions.

Peak Age and Relative Performance Progression in International Cross-Country Skiers.

PURPOSE: To quantify peak age and relative performance progression toward peak age in cross-country skiing according to event type, sex, and athlete performance level. METHODS: International Ski Federation (FIS) points (performance expressed relative to the best athlete) of athletes born between 1981 and 1991, competing in junior world championships or finishing top 30 in world championships or Olympics, were downloaded from the FIS website. Individual performance trends were derived by fitting a quadratic curve to each athletes FIS point and age data. RESULTS: Peak age was 26.2 (2.3) years in distance and 26.0 (1.7) years in sprint events. The sex difference in peak age in sprint events was ∼0.8 years (small, P = .001), while there was no significant sex difference in peak age in distance events (P = .668). Top performers displayed higher peak ages than other athletes in distance (mean difference, ±95% confidence limits = 1.6 y, ±0.6 y, moderate, P < .001) and sprint events (1.0, ±0.6 y, moderate, P < .001). FIS point improvement over the 5 years preceding peak age did not differ between event types (P = .325), while men improved more than women in both events (8.8, ±5.4%, small, P = .002 and 7.5, ±6.4%, small, P = .002). Performance level had a large effect on improvement in FIS points in both events (P < .001). CONCLUSION: This study provides novel insights on peak age and relative performance progression among world-class cross-country skiers and can assist practitioners, sport institutions, and federations with goal setting and evaluating strategies for achieving success.

Physiological and Biomechanical Responses to Cross-Country Skiing in Varying Terrain: Low- vs. High-Intensity.

The purposes of our study were to investigate the physiological and biomechanical responses to low-intensity (LI) and high-intensity (HI) roller ski skating on varying terrain and compare these responses between training intensities. Nine elite male skiers performed treadmill roller skiing consisting of two 21 min sessions (7 × 3 min laps) at LI and HI with the same set inclines and intensity-dependent speeds (LI/HI: distance: 5.8/7.5 km, average speed: 16.7/21.3 km/h). Physiological and biomechanical variables were measured continuously, and each movement cycle and sub-technique employed were detected and classified with a machine learning model. Both the LI and HI sessions induced large terrain-dependent fluctuations (relative to the maximal levels) in heart rate (HR, 17.7 vs. 12.2%-points), oxygen uptake ( V . O 2 , 33.0 vs. 31.7%-points), and muscle oxygen saturation in the triceps brachii (23.9 vs. 33.4%-points) and vastus lateralis (12.6 vs. 24.3%-points). A sub-technique dependency in relative power contribution from poles and skis exhibited a time-dependent shift from Lap 1 to Lap 7 toward gradually more ski power (6.6 vs. 7.8%-points, both p < 0.01). The terrain-dependent fluctuations did not differ between LI and HI for V . O 2 (p = 0.50), whereas HR fluctuated less (p < 0.01) and displayed a time-dependent increase from Lap 2 to Lap 7 (7.8%-points, p > 0.01) during HI. Oxygen saturation shifted 2.4% points more for legs than arms from LI to HI (p > 0.05) and regarding sub-technique, 14.7% points more G3 on behalf of G2 was employed on the steepest uphill during HI (p < 0.05). Within all sub-techniques, cycle length increased two to three times more than cycle rate from LI to HI in the same terrains, while the corresponding poling time decreased more than ski contact time (all p > 0.05). In sum, both LI and HI cross-country (XC) skiing on varying terrain induce large terrain-dependent physiological and biomechanical fluctuations, similar to the patterns found during XC skiing competitions. The primary differences between training intensities were the time-dependent increase in HR, reduced relative oxygen saturation in the legs compared to the arms, and greater use of G3 on steep uphill terrain during HI training, whereas sub-technique selection, cycle rate, and pole vs. ski power distribution were similar across intensities on flat and moderately uphill terrain.

The Dynamics of the Anaerobic Energy Contribution During a Simulated Mass-Start Competition While Roller-Ski Skating on a Treadmill.

The purposes of this study were: 1) to investigate the anaerobic energy contribution during a simulated cross-country (XC) skiing mass-start competition while roller-ski skating on a treadmill; 2) to investigate the relationship between the recovery of the anaerobic energy reserves and performance; and 3) to compare the gross efficiency (GE) method and maximal accumulated oxygen deficit (MAOD) to determine the anaerobic contribution. Twelve male XC skiers performed two testing days while roller skiing on a treadmill. To collect submaximal data necessary for the GE and MAOD method, participants performed a resting metabolism measurement, followed by low-intensity warm up, 12 submaximal 4-min bouts, performed using three different skating sub-techniques (G2 on a 12% incline, G3 on 5% and G4 on 2%) on three submaximal intensities on day 1. On day 2, participants performed a 21-min simulated mass-start competition on varying terrain to determine the anaerobic energy contribution. The speed was fixed, but when participants were unable to keep up, a 30-s rest bout was included. Performance was established by the time to exhaustion (TTE) during a sprint at the end of the 21-min protocol. Skiers were ranked based on the number of rest bouts needed to finish the protocol and TTE. The highest GE of day 1 for each of the different inclines/sub-techniques was used to calculate the aerobic and anaerobic contribution during the simulated mass start using the GE method and two different MAOD approaches. About 85-90% of the required energy during the simulated mass-start competition (excluding downhill segments) came from the aerobic energy system and ~10-15% from the anaerobic energy systems. Moderate to large Spearman correlation coefficients were found between recovery of anaerobic energy reserves and performance rank (r s = 0.58-0.71, p < 0.025). No significant difference in anaerobic work was found between methods/approaches (F (1.2,8.5) = 3.2, p = 0.10), while clear individual differences existed. In conclusion, about 10-15% of the required energy during the periods of active propulsion of a 21-min simulated mass-start competition came from the anaerobic energy systems. Due to the intermittent nature of XC skiing, the recovery of anaerobic energy reserves seems highly important for performance. To assess the anaerobic contribution methods should not be used interchangeably.

Effect of Carbohydrate Content in a Pre-event Meal on Endurance Performance-Determining Factors: A Randomized Controlled Crossover-Trial.

The current study aimed to investigate the effect of the relative CHO content in a pre-event meal on time to exhaustion (TTE), peak oxygen uptake ( V ∙ O 2 peak ), the 2nd lactate threshold (LT2), onset of blood lactate accumulation (OBLA), and work economy (WE) and to compare responses between well-trained and recreationally trained individuals. Eleven well-trained and 10 recreationally trained men performed three trials in a randomized cross-over design, in which they performed exercise tests (1) after a high-CHO pre-event meal (3 g · kg-1), (2) a low-CHO pre-event meal (0.5 g · kg-1), or (3) in a fasted-state. The test protocol consisted of five submaximal 5-min constant-velocity bouts of increasing intensity and a graded exercise test (GXT) to measure TTE. A repeated measure ANOVA with a between-subjects factor (well-trained vs. recreational) was performed. A main effect of pre-event meal was found (p = 0.001), with TTE being 8.0% longer following the high-CHO meal compared to the fasted state (p = 0.009) and 7.2% longer compared to the low-CHO meal (p = 0.010). No significant effect of pre-event meal on V ∙ O 2 peak , LT2, OBLA, or WE (p ≥ 0.087) was found and no significant interaction effect between training status and pre-event CHO intake was found for TTE or any of the performance-determining variables (p ≥ 0.257). In conclusion, high-CHO content in the pre-event meal led to a longer TTE compared to a meal with a low-CHO content or exercising in a fasted state, both in well-trained and recreationally trained participants. However, the underlying physiological reason for the increased TTE is unclear, as no effect of pre-event meal on the main physiological performance-determining variables was found. Thus, pre-event CHO intake should be standardized when the goal is to assess endurance performance but seems to be of less importance when assessing the main performance-determining variables.

Physiological and Biomechanical Determinants of Sprint Ability Following Variable Intensity Exercise When Roller Ski Skating.

The most common race format in cross-country (XC) skiing is the mass-start event, which is under-explored in the scientific literature. To explore factors important for XC skiing mass-starts, the main purpose of this study was to investigate physiological and biomechanical determinants of sprint ability following variable intensity exercise when roller ski skating. Thirteen elite male XC skiers performed a simulated mass-start competition while roller ski skating on a treadmill. The protocol consisted of an initial 21-min bout with a varying track profile, designed as a competition track with preset inclines and speeds, directly followed by an all-out sprint (AOS) with gradually increased speed to rank their performance. The initial part was projected to simulate the "stay-in-the-group" condition during a mass-start, while the AOS was designed to assess the residual physiological capacities required to perform well during the final part of a mass-start race. Cardiorespiratory variables, kinematics and pole forces were measured continuously, and the cycles were automatically detected and classified into skating sub-techniques through a machine learning model. Better performance ranking was associated with higher VO2Max (r = 0.68) and gross efficiency (r = 0.70) measured on separate days, as well as the ability to ski on a lower relative intensity [i.e., %HR Max (r = 0.87), %VO2Max (r = 0.89), and rating of perceived exertion (r = 0.73)] during the initial 21-min of the simulated mass-start (all p-values < 0.05). Accordingly, the ability to increase HR (r = 0.76) and VO2 (r = 0.72), beyond the corresponding values achieved during the initial 21-min, in the AOS correlated positively with performance (both p < 0.05). In addition, greater utilization of the G3 sub-technique in the steepest uphill (r = 0.69, p < 0.05), as well as a trend for longer cycle lengths (CLs) during the AOS (r = 0.52, p = 0.07), were associated with performance. In conclusion, VO2Max and gross efficiency were the most significant performance-determining variables of simulated mass-start performance, enabling lower relative intensity and less accumulation of fatigue before entering the final AOS. Subsequently, better performance ranking was associated with more utilization of the demanding G3 sub-technique in the steepest uphill, and physiological reserves allowing better-performing skiers to utilize a larger portion of their aerobic potential and achieve longer CLs and higher speed during the AOS.

Performance-Determining Variables in Long-Distance Events: Should They Be Determined From a Rested State or After Prolonged Submaximal Exercise?

Performance-determining variables are usually measured from a rested state and not after prolonged exercise, specific to when athletes compete for the win in long-distance events. PURPOSE: (1) To compare cross-country skiing double-poling (DP) performance and the associated physiological and biomechanical performance-determining variables between a rested state and after prolonged exercise and (2) to investigate whether the relationship between the main performance-determining variables and DP performance is different after prolonged submaximal DP than when tested from a rested state. METHODS: Male cross-country skiers (N = 26) performed a blood lactate profile test and an incremental test to exhaustion from a rested state on day 1 (D1; all using DP) and after 90-minute submaximal DP on day 2 (D2). RESULTS: The DP performance decreased following prolonged submaximal DP (D1: peak speed = 15.33-20.75 km·h-1, median = 18.1 km·h-1; D2: peak speed = 13.68-19.77 km·h-1, median = 17.8 km·h-1; z = -3.96, P < .001, effect size r = -.77), which coincided with a reduced submaximal gross efficiency and submaximal and peak cycle length, with no significant change in peak oxygen uptake (P = .26, r = .23). The correlation coefficient between D1 cycle length at 12 km·h-1 and D2 performance is significantly smaller than the correlation coefficient between D2 cycle length at 12 km·h-1 and D2 performance (P = .033), with the same result being found for peak cycle length (P < .001). CONCLUSIONS: The reduced DP performance after prolonged submaximal DP coincided with a reduced submaximal gross efficiency and shorter peak cycle length. The results indicate that performance-determining variables could be determined after prolonged exercise to gain more valid insight into long-distance DP performance.

The Anaerobic Capacity of Cross-Country Skiers: The Effect of Computational Method and Skiing Sub-technique.

Anaerobic capacity is an important performance-determining variable of sprint cross-country skiing. Nevertheless, to date, no study has directly compared the anaerobic capacity, determined using the maximal accumulated oxygen deficit (MAOD) method and gross efficiency (GE) method, while using different skiing sub-techniques. Purpose: To compare the anaerobic capacity assessed using two different MAOD approaches (including and excluding a measured y-intercept) and the GE method during double poling (DP) and diagonal stride (DS) cross-country skiing. Methods: After an initial familiarization trial, 16 well-trained male cross-country skiers performed, in each sub-technique on separate occasions, a submaximal protocol consisting of eight 4-min bouts at intensities between ~47-78% of V . O2peak followed by a 4-min roller-skiing time trial, with the order of sub-technique being randomized. Linear and polynomial speed-metabolic rate relationships were constructed for both sub-techniques, while using a measured y-intercept (8+Y LIN and 8+YPOL) or not (8-YLIN and 8-YPOL), to determine the anaerobic capacity using the MAOD method. The average GE (GEAVG) of all eight submaximal exercise bouts or the GE of the last submaximal exercise bout (GELAST) were used to calculate the anaerobic capacity using the GE method. Repeated measures ANOVA were used to test differences in anaerobic capacity between methods/approaches. Results: A significant interaction was found between computational method and skiing sub-technique (P < 0.001, η2 = 0.51) for the anaerobic capacity estimates. The different methodologies resulted in significantly different anaerobic capacity values in DP (P < 0.001, η2 = 0.74) and in DS (P = 0.016, η2 = 0.27). The 8-YPOL model resulted in the smallest standard error of the estimate (SEE, 0.24 W·kg-1) of the MAOD methods in DP, while the 8-YLIN resulted in a smaller SEE value than the 8+Y LIN model (0.17 vs. 0.33 W·kg-1) in DS. The 8-YLIN and GELAST resulted in the closest agreement in anaerobic capacity values in DS (typical error 2.1 mL O2eq·kg-1). Conclusions: It is discouraged to use the same method to estimate the anaerobic capacity in DP and DS sub-techniques. In DP, a polynomial MAOD method (8-YPOL) seems to be the preferred method, whereas the 8-YLIN, GEAVG, and GELAST can all be used for DS, but not interchangeable, with GELAST being the least time-consuming method.

Changes in Self-Reported Physical Fitness, Performance, and Side Effects Across the Phases of the Menstrual Cycle Among Competitive Endurance Athletes.

PURPOSE: To investigate changes in self-reported physical fitness, performance, and side effects across the menstrual cycle (MC) phases among competitive endurance athletes and to describe their knowledge and communication with coaches about the MC. METHODS: The responses of 140 participants (older than 18 y) competing in biathlon or cross-country skiing at the (inter)national level were analyzed. Data were collected via an online questionnaire addressing participants' competitive level, training volume, MC history, physical fitness, and performance during the MC, MC-related side effects, and knowledge and communication with coaches about the MC and its effects on training and performance. RESULTS: About 50% and 71% of participants reported improved and reduced fitness, respectively, during specific MC phases, while 42% and 49% reported improved and reduced performance, respectively. Most athletes reported their worst fitness (47%) and performance (30%) and the highest number of side effects during bleeding (P < .01; compared with all other phases). The phase following bleeding was considered the best phase for perceived fitness (24%, P < .01) and performance (18%, P < .01). Only 8% of participants reported having sufficient knowledge about the MC in relation to training, and 27% of participants communicated about it with their coach. CONCLUSIONS: A high proportion of athletes perceived distinct changes in fitness, performance, and side effects across the MC phases, with their worst perceived fitness and performance during the bleeding phase. Because most athletes indicate a lack of knowledge about the MC's effect on training and performance and few communicate with coaches on the topic, the authors recommend that more time be devoted to educating athletes and coaches.

The Effect of Sodium Bicarbonate Supplementation on the Decline in Gross Efficiency During a 2000-m Cycling Time Trial

BACKGROUND: Gross efficiency (GE) declines during high-intensity exercise. Increasing extracellular buffer capacity might diminish the decline in GE and thereby improve performance. PURPOSE: To examine if sodium bicarbonate (NaHCO3) supplementation diminishes the decline in GE during a 2000-m cycling time trial. METHODS: Sixteen male cyclists and 16 female cyclists completed 4 testing sessions including a maximal incremental test, a familiarization trial, and two 2000-m GE tests. The 2000-m GE tests were performed after ingestion of either NaHCO3 supplements (0.3 g/kg body mass) or placebo supplements (amylum solani, magnesium stearate, and sunflower oil capsules). The GE tests were conducted using a double-blind, randomized, crossover design. Power output, gas exchange, and time to complete the 2000-m time trials were recorded. Capillary blood samples were analyzed for blood bicarbonate, pH, and lactate concentration. Data were analyzed using magnitude-based inference. RESULTS: The decrement in GE found after the 2000-m time trial was possibly smaller in the male and female groups after NaHCO3 than with placebo ingestion, with the effect in both groups combined being unclear. The effect on performance was likely trivial for males (placebo 164.2 [5.0] s, NaHCO3 164.3 [5.0] s; Δ0.1; ±0.6%), unclear for females (placebo 178.6 [4.8] s, NaHCO3 178.0 [4.3] s; Δ-0.3; ±0.5%), and very likely trivial when effects were combined. Blood bicarbonate, pH, and lactate concentration were substantially elevated from rest to pretest after NaHCO3 ingestion. CONCLUSIONS: NaHCO3 supplementation results in an unclear effect on the decrease in GE during high-intensity exercise and in a very likely trivial effect on performance.

Cycling at Altitude: Lower Absolute Power Output as the Main Cause of Lower Gross Efficiency.

BACKGROUND: Although cyclists often compete at altitude, the effect of altitude on gross efficiency (GE) remains inconclusive. PURPOSE: To investigate the effect of altitude on GE at the same relative exercise intensity and at the same absolute power output (PO) and to determine the effect of altitude on the change in GE during high-intensity exercise. METHODS: Twenty-one trained men performed 3 maximal incremental tests and 5 GE tests at sea level, 1500 m, and 2500 m of acute simulated altitude. The GE tests at altitude were performed once at the same relative exercise intensity and once at the same absolute PO as at sea level. RESULTS: Altitude resulted in an unclear effect at 1500 m (-3.8%; ±3.3% [90% confidence limit]) and most likely negative effect at 2500 m (-6.3%; ±1.7%) on pre-GE, when determined at the same relative exercise intensity. When pre-GE was determined at the same absolute PO, unclear differences in GE were found (-1.5%; ±2.6% at 1500 m; -1.7%; ±2.4% at 2500 m). The effect of altitude on the decrease in GE during high-intensity exercise was unclear when determined at the same relative exercise intensity (-0.4%; ±2.8% at 1500 m; -0.7%; ±1.9% at 2500 m). When GE was determined at the same absolute PO, altitude resulted in a substantially smaller decrease in GE (2.8%; ±2.4% at 1500 m; 5.5%; ±2.9% at 2500 m). CONCLUSION: The lower GE found at altitude when exercise is performed at the same relative exercise intensity is mainly caused by the lower PO at which cyclists exercise.