Nutritional Strategies for Optimizing Health, Sports Performance, and Recovery for Female Athletes and Other Physically Active Women: A Systematic Review.

CONTEXT: Despite the progress toward gender equality in events like the Olympic Games and other institutionalized competitions, and the rising number of women engaging in physical exercise programs, scientific studies focused on establishing specific nutritional recommendations for female athletes and other physically active women are scarce. OBJECTIVE: This systematic review aimed to compile the scientific evidence available for addressing the question "What dietary strategies, including dietary and supplementation approaches, can improve sports performance, recovery, and health status in female athletes and other physically active women?" DATA SOURCES: The Pubmed, Web of Science, and Scopus databases were searched. DATA EXTRACTION: The review process involved a comprehensive search strategy using keywords connected by Boolean connectors. Data extracted from the selected studies included information on the number of participants and their characteristics related to sport practice, age, and menstrual function. DATA ANALYSIS: A total of 71 studies were included in this review: 17 focused on the analysis of dietary manipulation, and 54 focused on the effects of dietary supplementation. The total sample size was 1654 participants (32.5% categorized as competitive athletes, 30.7% as highly/moderately trained, and 37.2% as physically active/recreational athletes). The risk of bias was considered moderate, mainly for reasons such as a lack of access to the study protocol, insufficient description of how the hormonal phase during the menstrual cycle was controlled for, inadequate dietary control during the intervention, or a lack of blinding of the researchers. CONCLUSION: Diets with high carbohydrate (CHO) content enhance performance in activities that induce muscle glycogen depletion. In addition, pre-exercise meals with a high glycemic index or rich in CHOs increase CHO metabolism. Ingestion of 5-6 protein meals interspersed throughout the day, with each intake exceeding 25 g of protein favors anabolism of muscle proteins. Dietary supplements taken to enhance performance, such as caffeine, nitric oxide precursors, ß-alanine, and certain sport foods supplements (such as CHOs, proteins, or their combination, and micronutrients in cases of nutritional deficiencies), may positively influence sports performance and/or the health status of female athletes and other physically active women. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration no. CRD480674.

Quantifying technical load and physical activity in professional soccer players during pre-season matches with IMU technology.

This study aimed to record, analyze and quantify professional soccer players' technical (TL) and physical load (PL) in friendly matches to compare their records during the first and second halves and between players with different positions. Eighteen professional soccer players, 24.6 ± 2.7 years, 1.78 ± 0.3 height (m), 74.6 ± 4.5 body mass (kg), 9.8 ± 2.2 body fat (%), and 65.6 ± 2.7 maximal oxygen consumption (VO2max, ml·kg-1·min-1) were monitored during six preseason friendly matches to analyze the activity profile using technical and physical variables through inertial measurement unit (IMU). No significant differences were found between the periods for the TL and PL. Significant differences were found between specific positions: Full Back (FB: n = 4), Central Defender (CD: n = 3), Midfielder (MD: n = 4), Winger (WG: n = 4), and Forward (FW: n = 3), both the TL and PL. We conclude that the PL profile based on his playing position is independent of the development of the PL shown during friendly matches. The monitoring, quantifying, and controlling of the TL added to the PL provides a more holistic vision of soccer players in friendly matches. The relative ease IMU application technology offers an alternative with less time-cost and more significant benefits than other types of technologies applied up to now.

Muscle damage, inflammatory, immune and performance responses to three football games in 1 week in competitive male players.

PURPOSE: We examined effects of a three-game, 1-week microcycle (G1, G2, G3) on recovery of performance and inflammatory responses in professional male footballers. METHODS: Players were randomized into an experimental (EXP; N = 20) and a control group (CON; N = 20). Blood was drawn and repeated sprint ability (RSA), muscle soreness and knee range of motion (KJRM) were determined pre- and post-games and during recovery. RESULTS: High-intensity running during G2 was 7-14% less compared to G1 and G3. RSA declined in EXP by 2-9% 3 days post-game with G2 causing the greatest performance impairment. In EXP, game play increased muscle soreness (~sevenfold) compared to CON with G2 inducing the greatest rise, while KJRM was attenuated post-game in EXP compared to CON (5-7%) and recovered slower post G2 and G3 than G1. CK, CRP, sVCAM-1, sP-Selectin and cortisol peaked 48 h post-games with G2 eliciting the greatest increase. Leukocyte count, testosterone, IL-1ß and IL6 responses, although altered 24 h post each game, were comparable among games. Plasma TBARS and protein carbonyls rose by ~50% post-games with G2 eliciting the greatest increase 48 h of recovery. Reduced to oxidized glutathione ratio declined for 24 h post all games with G2 displaying the slowest recovery. Total antioxidant capacity and glutathione peroxidase activity increased (9-56%) for 48 h in response to game play. CONCLUSION: In summary, post-game performance recovery and inflammatory adaptations in response to a three-game weekly microcycle displayed a different response pattern, with strong indications of a largest physiological stress and fatigue after the middle game that was preceded by only a 3-day recovery.

Repeated Acceleration Ability (RAA): A New Concept with Reference to Top-Level Field and Assistant Soccer Referees.

PURPOSE: To perform an exploratory characterization of repeated sprint sequences (RSS) and repeated acceleration sequences (RAS) in top level soccer referees. METHODS: 7 field and 7 assistant referees were monitored during 2007 America's Soccer Cup with GPS technology. Sprints of >18 km·h(-1) and accelerations of >1.5 m·s(-2) were considered as high intensity activities. RSS and RAS were defined as a minimum of 3 consecutive bouts interspersed with a maximum of 45 s. RESULTS: Field and assistant referees performed substantially more accelerations than sprints. Neither field nor assistant referees recorded any RSS. In contrast, total distance performing RAS amounted to ∼37% and ∼20% of the total distance covered by accelerations during the entire match for field and assistant referees, respectively. Only field referees exhibited fatigue-related reductions in RAS characteristics between halves. CONCLUSION: The results of the present study would appear to support the appropriateness of a repeated acceleration ability (RAA) concept, instead of the repeated sprint ability (RSA) concept, in soccer referees. Further studies should assess RAS in referees and athletes of different team sports for designing better training exercises and physiological testing.

Caffeine-containing energy drink improves physical performance in female soccer players.

There is little information about the effects of caffeine intake on female team-sport performance. The aim of this study was to investigate the effectiveness of a caffeine-containing energy drink to improve physical performance in female soccer players during a simulated game. A double-blind, placebo controlled and randomized experimental design was used in this investigation. In two different sessions, 18 women soccer players ingested 3 mg of caffeine/kg in the form of an energy drink or an identical drink with no caffeine content (placebo). After 60 min, they performed a countermovement jump (CMJ) and a 7 × 30 m sprint test followed by a simulated soccer match (2 × 40 min). Individual running distance and speed were measured using GPS devices. In comparison to the placebo drink, the ingestion of the caffeinated energy drink increased the CMJ height (26.6 ± 4.0 vs 27.4 ± 3.8 cm; P < 0.05) and the average peak running speed during the sprint test (24.2 ± 1.6 vs 24.5 ± 1.7 km/h; P < 0.05). During the simulated match, the energy drink increased the total running distance (6,631 ± 1,618 vs 7,087 ± 1,501 m; P < 0.05), the number of sprints bouts (16 ± 9 vs 21 ± 13; P < 0.05) and the running distance covered at >18 km/h (161 ± 99 vs 216 ± 103 m; P < 0.05). The ingestion of the energy drink did not affect the prevalence of negative side effects after the game. An energy drink with a dose equivalent to 3 mg of caffeine/kg might be an effective ergogenic aid to improve physical performance in female soccer players.

Physiological demands of an intermittent futsal-oriented high-intensity test.

The aim of this study was to provide evidence for specific physiological demands of a futsal time-motion analysis devised progressive and intermittent shuttle-running test (futsal intermittent endurance test [FIET]). Eighteen full-time professional futsal players (age 20.6 +/- 3.1 years, body mass 71.6 +/- 8.5 kg, height 175 +/- 7.9 cm) volunteered to participate in this study. In a random order and on separate days, they performed the FIET and a treadmill test (TM) to assess aerobic fitness. Physiological demands were examined by monitoring exercise heart rates (HRs), O2, and blood-lactate concentration (BLac) during FIET and TM conditions. During the FIET, players covered 1,464 +/- 136 m attaining a mean speed at exhaustion of 16.5 +/- 0.6 km h. The mean FIET duration was of 13.24 +/- 1.13 minutes. Peak O2, HR, and BLac were 95 +/- 6.4, 99 +/- 2, and 108 +/- 25% of treadmill O2max, HRmax, and BLac, respectively. Large correlations were found between speed at ventilatory threshold and maximal speed at O2max with FIET performance (r = 0.60 and 0.61, p < 0.01, respectively). Peak O2 during the FIET was significantly lower than O2max. Although there was no mean difference between peak exercise HR in the TM and FIET conditions, significant intraindividual bias was evident. This study showed that FIET heavily stresses both the aerobic and anaerobic energy systems to a level that is similar to what was reported in futsal game play. Coaches may use the FIET to examine futsal players' ability to cope with intermittent high-intensity exercise. It is suggested that the highest HR found during the FIET should be regarded as peak HR and not as individual HRmax.

Match demands of professional Futsal: a case study.

Despite its popularity and competitive status there have been only few scientific studies that have examined Futsal in professional players. Consequently the aim of this study was to examine the physiological responses and activity pattern to Futsal simulated game-play in professional players. Eight full-time professional outfield Futsal players volunteered for this study: age 22.4 (95% CI 18.8-25.3) years, body mass 75.4 (60-91) kg, height 1.77 (1.59-1.95) m and VO2max 64.8 (53.8-75.8) ml kg(-1) min(-1). Physiological measurements were assessed during highly competitive training games (4x10-min quarters) and consisted of game VO2, game blood-lactate concentration ([la](b)) and game heart rates (HRs). Game activities were assessed using a computerised video-analysis system. During simulated game-play players attained 75% (59-92) and 90% (84-96) of VO2max and HR(max), respectively. Mean game VO2 was 48.6 (40.1-57.1) ml kg(-1) min(-1). Peak game VO2 and HRs were 99% (88-109) and 98% [90-106] of laboratory maximal values, respectively. Players spent 46 and 52% of the playing time at exercise intensities higher than 80 and 90% of VO2max and HR(max), respectively. Mean [la](b) was 5.3 (1.1-10.4) mmol l(-1). Players covered 121 (105-137) m min(-1) and 5% (1-11) and 12% (3.8-19.5) of playing time spent performing sprinting and high-intensity running, respectively. On average players performed a sprint every approximately 79 s during play. These results show that Futsal played at professional level is a high-intensity exercise heavily taxing the aerobic and anaerobic pathways.