Screening young athletes for prevention of sudden cardiac death: Practical recommendations for sports physicians.

Regular intensive exercise in athletes increases the relative risk of sudden cardiac death (SCD) compared with the relatively sedentary population. Most cases of SCD are due to silent cardiovascular diseases, and pre-participation screening of athletes at risk of SCD is thus of major importance. However, medical guidelines and recommendations differ widely between countries. In Italy, the National Health System recommends pre-participation screening for all competitive athletes including personal and family history, a physical examination, and a resting 12-lead electrocardiogram (ECG). In the United States, the American College of Cardiology and the American Heart Association recommend a pre-participation screening program limited to the use of specific questionnaires and a clinical examination. The value of a 12-lead ECG is debated based on issues surrounding cost-efficiency and feasibility. The aim of this review was to focus on (i) the incidence rate of cardiac diseases in relation to SCD; (ii) the value of conducting a questionnaire and a physical examination; (iii) the value of a 12-lead resting ECG; (iv) the importance of other cardiac evaluations in the prevention of SCD; and (v) the best practice for pre-participation screening.

Prevalence of electrocardiographic abnormalities in West-Asian and African male athletes.

OBJECTIVES: To evaluate the electrocardiographic (ECG) characteristics of West-Asian, black and Caucasian male athletes competing in Qatar using the 2010 recommendations for 12-lead ECG interpretation by the European Society of Cardiology (ESC). DESIGN: Cardiovascular screening with resting 12-lead ECG analysis of 1220 national level athletes (800 West-Asian, 300 black and 120 Caucasian) and 135 West-Asian controls was performed. RESULTS: Ten per cent of athletes presented with 'uncommon' ECG findings. Black African descent was an independent predictor of 'uncommon' ECG changes when compared with West-Asian and Caucasian athletes (p<0.001). Black athletes also demonstrated a significantly greater prevalence of lateral T-wave inversions than both West-Asian and Caucasian athletes (6.1% vs 1.6% and 0%, p<0.05). The rate of 'uncommon' ECG changes between West-Asian and Caucasian athletes was comparable (7.9% vs 5.8%, p>0.05). Seven athletes (0.6%) were identified with a disease associated with sudden death; this prevalence was two times higher in black athletes than in West-Asian athletes (1% vs 0.5%), and no cases were reported in Caucasian athletes and West-Asian controls. Eighteen West-Asian and black athletes were identified with repolarisation abnormalities suggestive of a cardiomyopathy, but ultimately, none were diagnosed with a cardiac disease. CONCLUSION: West-Asian and Caucasian athletes demonstrate comparable rates of ECG findings. Black African ethnicity is positively associated with increased frequencies of 'uncommon' ECG traits. Future work should examine the genetic mechanisms behind ECG and myocardial adaptations in athletes of diverse ethnicity, aiding in the clinical differentiation between physiological remodelling and potential cardiomyopathy or ion channel disorders.

Effects of branched-chain amino acids supplementation on physiological and psychological performance during an offshore sailing race.

The aim of the present study was to investigate the effect of protein diets, rich in branched chain amino acids (BCAA) on perceived exertion, mental and physical performance during an offshore sailing race that lasted 32 h. Twelve sailors were randomly allocated into one of two groups [Control (CON) and BCAA: n = 6/group]. The BCAA group consumed a standard diet of 11.2 MJ day(-1) (58% carbohydrate, 30% fat, 12% Protein) along with a high-protein supplement of 1.7 MJ day(-1) (40% carbohydrate, 35% protein, 25% fat) and 1.7 MJ day(-1) composed of 50% valine, 35% leucine, and 15% isoleucine. CON was given a standard diet of 14.5 MJ day(-1) (58% carbohydrate, 30% fat and 12% protein). During the race, heart rate was monitored. Subjects self-evaluated their feeling of fatigue every 3 h, and 12 samples of saliva from each subject were collected to perform cortisol assays. Before and after the race a vertical jump and a handgrip test were performed, and mental performance was evaluated with a standardized battery of tests. A significant increase in the feeling of fatigue was noted on the second day (D2) of race in both groups; the increase was higher in CON (P < 0.05). For both groups, salivary cortisol concentration followed a nycthemeral rhythm, with an alteration during the race as evidenced by high midnight cortisol levels between D1 and D2, and significantly decreased cortisol levels observed on D2 (P < 0.05). There was no change in physical performance at the end of the race in both groups. As a significant decrease (P < 0.05) in short-term memory performance was observed only in the CON group. These data indicate that an offshore sailing race enhances the feeling of fatigue, and decreases short-term memory performance. These detrimental consequences are reduced by a high-protein diet with BCAA.

Heart rate variability, training variation and performance in elite swimmers.

The aim of the present study was to investigate the relationships between heart rate variability (HRV) changes and both training variations and performances in elite swimmers. A secondary purpose was to measure catecholamine urinary excretion in elite swimmers to validate the HRV indices of sympathetic activity during training. Thirteen swimmers (4 females and 9 males) were tested before and after 4 weeks of intense training (IT) and 3 weeks of reduced training (RT). At the end of each period, the swimmers participated in an official competition of their best event. Individual performances were expressed as percentage of the previous season's best performance. Spectral analysis was used to investigate RR interval variability. HRV indices failed to show any significant changes between the study periods (p>0.05). Pre-IT HF was correlated with performance (r=0.45; p=0.05) and HFnu (r=0.59; p<0.05) during RT. On the other hand, once RT was completed, HFnu was correlated positively to performance (r=0.81; p<0.01) and negatively to fatigue (r=- 0.63; p<0.03). Conversely, the indices of sympathetic activity, i.e., LFnu and LF/HF ratio were inversely related to performance (both r=- 0.81; p<0.01); total fatigue score was correlated to the changes in HFnu (r=- 0.63; p<0.03) and in the LF/HF ratio (r=0.58; p<0.05). Changes in the adrenaline/noradrenaline ratio over the follow-up period were related to the changes in the LF/HF ratio (r=0.45; p<0.03). In highly trained swimmers coping well with a training program, including 4 weeks of IT followed by 3 weeks of RT, HRV indices were unaltered. On the other hand, after the 3 weeks of RT, HFnu was positively related to performance and inversely related to the fatigue score. Thus, elevated initial HF levels could be important in the parasympathetic activity increases during taper and, hence, in swimming performance improvement.

24-hr urinary catecholamine excretion, training and performance in elite swimmers.

The aim of the present study was to investigate the effects of training variations on 24-hr urinary noradrenaline (NA) and adrenaline (Ad) levels and the adrenaline/noradrenaline (Ad/NA) ratio to search for a possible relationship between catecholamine excretion, training, and performance in highly trained swimmers. Fourteen swimmers (5 female and 9 male) were tested after 4 weeks of intense training (IT), 3 weeks of reduced training (RT), and 5 weeks of low training (LT). At the end of each period, the swimmers performed their best event at an official competition. Individual performances were expressed as percentage of the previous season's best performance. The changes in NA levels after 4 weeks of IT were negatively related to changes in training volume (r=-0.70, p<0.01) and total training load (r=-0.68, p<0.02). NA levels measured at the end of IT were positively related to changes in performance after three weeks of RT (r=0.77, p<0.01). The percentage changes in performance between RT and LT were related to NA levels at the end of RT (r=0.60; p<0.04). Ad/NA ratios and Ad were related to performance (r=0.58, p<0.01; r=52, p<0.01; respectively). The differences in Ad/NA ratios and Ad between two consecutive competitions were related to the differences in performance (r=0.59, p<0.01; r=0.49, p<0.01; respectively). 24-hr NA and the Ad/NA excretion ratio were related to both training variations and performance. Thus, 24-hr NA levels and Ad/NA ratio may provide useful markers for monitoring training stress in elite swimmers.

Elastic stockings, performance and leg pain recovery in 63-year-old sportsmen.

This study was undertaken to determine whether or not elastic compression stockings (ECS) can be used in elderly sportsmen to increase performance and leg pain recovery between two maximal exercises. For 2 weeks, 12 trained elderly cyclists, 63 (3) years old, performed two 5-min maximal exercises, Plim1 and Plim2, separated by an 80-min recovery period, twice a week with a 2-day rest interval. During the 80-min recovery period, they randomly wore or did not wear grip-top ECS Ganzoni-Sigvaris. ECS exerted a 44 hPa pressure at the ankle. Blood lactate concentrations, hematocrit, and plasma volume were measured after a 60-min rest and every 20 min during recovery. Leg sensations were assessed with a questionnaire. The decrease in maximal power between Plim1 and Plim2 was lower when wearing the ECS during the 80-min recovery period; when expressed as a percentage of Plim1, the difference reached 2.1 (1.4)%, P < 0.01. Between the two exercises, blood lactate concentrations and hematocrit were significantly decreased when wearing ECS. The increase in plasma volume was not significant. The 12 cyclists stated that wearing the ECS had a positive effect on their leg pain. Ten of the cyclists thought that it could have influenced their performance. However, no relationship was found between the gain in performance and the leg pain sensation. It was concluded that wearing ECS during an 80-min recovery period significantly increased subsequent performance. This was associated with a reduction in lactate and hematocrit.

Field and laboratory testing in young elite soccer players.

AIM: To determine if there are correlations between the physical fitness of young soccer players assessed by field and laboratory testing. METHODS: Thirty four male soccer players took part in the study (mean (SD) age 17.5 (1.1) years, height 177.8 (6.7) cm, weight 70.5 (6.4) kg). Maximal oxygen uptake (VO(2)MAX) during treadmill running and vertical jump height on a force platform were measured in the laboratory. Field tests consisted of a soccer specific endurance test (Bangsbo test) and 30 m sprint with 10 m lap times. RESULTS: The Bangsbo test correlated with the lowest velocity associated with VO(2)MAX (vVO(2)MAX; R(2) = 0.55, p<0.001), but not with VO(2)MAX. Sprint times at 30 m and 20 m were related to peak extension velocity and peak extension force measured during vertical jumping, but not to vertical jump height per se. The jumping force and velocity could explain 46% of the 30 m sprint performance (R(2) = 0.46, p<0.001). CONCLUSION: The Bangsbo test and 30 m sprint test correlate with vVO(2)MAX and vertical jump force and velocity respectively. The Bangsbo test does not give a good estimate of VO(2)MAX in young soccer players.

Cortisol, DHEA, performance and training in elite swimmers.

Salivary cortisol (C) and DHEA concentrations were measured in 9 elite swimmers (4 female and 5 male) over a 37-week period, 5 to 12 times per swimmer, before 68 competitions. For female and male swimmers, no significant relationship was found between C, DHEA and performance. For the whole group, C was negatively correlated with week number of training (r = -0.31, p < 0.01). The incorporation of the cumulated distance swum as a second variable in the regression increased r to 0.56 (p < 0.01). The higher the cumulated distance swum, the higher C. No significant relationship was found between DHEA and distance swum. For individual swimmers, 3 of 4 females showed a significant negative relationship between C and cumulated dry-land training. No equivalent relationship was found for DHEA. The 2 males practicing dry-land training showed a significant and negative relationship between DHEA and cumulated dry-land training. No equivalent relationship was found for C. Thus, C and DHEA were not good predictors of swimming performance. C for individual females, and DHEA for individual males were considered useful markers for dry-land training stress.

Coordination in front crawl in elite triathletes and elite swimmers.

The aim of this study was to compare the arm coordination in 19 elite triathletes and 15 elite swimmers at six different velocities between 80 % and 100 % of their maximal velocity (Vmax). The different phases of the stroke (A: entry; B: pull; C: push; D: recovery) were identified by video analysis. An index of coordination (IdC) was calculated. It was the time that separated the beginning of the propulsive phase of one arm from the end of the propulsive phase of the other arm. IdC allows to express the mode of arm coordination: catch-up, IdC < 0; opposition, IdC = 0; superposition, IdC > 0. Between 80 % and 98 % Vmax, elite triathletes showed similar increases in IdC than swimmers (from -8.8 % to 2.6 % vs from -8.6 % to 0.3 %) switching from a catch-up to a superposition coordination. Between 88 % and Vmax, triathletes increased the propulsive phase (B+C) less (p < 0.01) than swimmers (3.4 % vs 8.5 %) and increased the recovery phase (0.8 %) when swimmers reduced it (-1.6 %). Between V5 and Vmax, both triathletes and swimmers had a significant (p < 0.01) difference in IdC change (-1.7 % vs 2.3 %). Moreover, triathletes reduced the propulsive phase when swimmers increased it (-0.6 % vs 3.2 %). The lower velocity of the triathletes was associated to a shorter stroke length when compared to the swimmers (1.70 m vs 2.15 m at Vmax). The stroke rates were not statistically different (55.1 vs 51.2 stroke x min(-1) at Vmax). Thus, monitoring IdC and stroke length is recommended for triathletes mainly at maximal velocity.

Modelling the transfers of training effects on performance in elite triathletes.

This study investigated the effects of 40-weeks training in swimming, cycling and running on performances in swimming, running and triathlon competitions in four elite triathletes. The training stimulus was calculated using the exercise heart rate. The level of performance was measured in running by a submaximal 30 min run, in swimming by a 5 x 400 m all-out test and subjectively in triathlon competitions. A mathematical model using one to three first order transfer functions linked actual and modelled performances by minimizing the residual sum of squares between them. The relationships between training and performances were significant in running (tau(1) = 20; tau(2) = 10; r = 0.74; p < 0.001) and in swimming (tau(1) = 31; r = 0.37; p = 0.03), supporting the principle of specificity of the training loads. Cross-transfer training effects were identified between cycling and running (tau(1 = )42; r = 0.56; p < 0.001), but not with swimming performances. In addition, the training loads completed in running were shown to have a major effect on performances in triathlon competition (tau(1 = )52; tau(2 = )4; r = 0.52; p < 0.001), indicating that running training is an essential part of triathlon performance. Swimming appears to be a highly specific activity, which does not gain nor provide benefits from/to other activities (i. e. cycling and running). The present study shows that cross-transfer training effects occur between cycling training and running performance in elite triathletes. A similar cross-training effect does not seem to occur for swimming performance.

Isokinetic strength and anaerobic power of elite, subelite and amateur French soccer players.

Information about the influence of different practice levels on physical characteristics of a large number of soccer players is lacking. Therefore we assessed muscular strength and anaerobic power of elite, subelite and amateur soccer players to clarify what parameters distinguish the top players from the less successful. We tested 95 soccer players from the French first division (elite), second division (subelite), and amateurs and determined the isokinetic strength of the knee extensor and flexor muscles at angular velocities from -120 degrees x s(-1) to 300 degrees x s(-1). Vertical jump, 10 m sprint, 30 m sprint and maximum ball speed during shooting were also measured. The elite players had higher knee flexor torque than the amateurs at all angular velocities (p < 0.05), except at 300 degrees x s(-1). The hamstring/quadriceps ratios proposed with two different methods were significantly lower in the amateur group than in the elite group (p < 0.05), except at 300 degrees x s(-1). Maximum ball speed during shooting and speed over 30 m sprint were not different between elite, subelite, and amateur players while speed over a 10 m sprint was significantly slower in amateur players and faster in the elite group (p < 0.05). Although performance in soccer is not determined only by measurable variables, professional players differ from amateurs in terms of knee flexor muscle strength and short-distance sprinting speed. Based on these findings we conclude that hamstring strength is extremely important in soccer players for joint stabilization during various tasks, notably in eccentric action. Further, short-sprinting performance may mirror actual game situations at high level and could be an important determinant of match-winning actions.

The effects of drafting on stroking variations during swimming in elite male triathletes.

The aim of this study was to determine the effects of drafting behind another swimmer on the metabolic response and stroke characteristics. Six highly trained male triathletes performed two maximal 400-m swims, one in a drafting (D) and one in a non-drafting condition (ND). Their metabolic response was assessed by measuring the oxygen uptake (VO2) and the blood lactate concentration at the end of each 400 m. Swimming velocity, stroke frequency, stroke length, and stroke index (velocity multiplied by stroke length) were recorded every 50 m. In the D and ND conditions, there was no difference in VO2 [66.7 (1.7) ml x kg(-1) x min(-1) vs 65.6 (1.2) ml x kg(-1) min(-1) respectively], however, the lactate concentrations were lower in D than in ND [9.6 (0.9) mM vs 10.8 (0.9) mM, respectively, P < 0.01]. In D, the performance [1.39 (0.02) m x s(-1) vs 1.34 (0.02) m x s(-1), respectively, P < 0.01] and the stroking parameters (i.e., stroke length and stroke index) increased significantly, while the stroke frequency remain unchanged. In D, a stable pace was maintained, while in ND, velocity decreased significantly throughout the 400 m. In D, the performance gains were related to the 400-m D velocity (r = 0.78, P < 0.05), and to the body fat mass (BFM, r = 0.99, P < 0.01). The stroke index in D was also related to BFM (r = 0.78, P < 0.05). Faster and leaner swimmers achieved greater performance gains and stroke index when drafting. Thus, drafting during swimming increases the performance and contributes to the maintenance of stable stroking parameters such as stroke frequency and stroke length during a 400-m swim.

Effects of drafting behind a two- or a six-beat kick swimmer in elite female triathletes.

The metabolic and drag responses, together with the distance between the draftee and the leader, were studied in six female triathletes swimming behind a lead swimmer who used either a two- or a six-beat kick, at an average velocity of 1.24 m x s(-1) (range 1.20-1.31). Drag was measured by passive towing. Oxygen consumption [49.1 (3.8) versus 50.4 (5.0) ml x min(-1) x kg(-1)], blood lactate [6.7 (2.3) versus 6.8 (1.9) mM], heart rate [172 (13.6) versus 173.5 (12.5) beats x min(-1)), rating of perceived exertion [13.7 (1.2) versus 13.5 (1.0)], stroke rate [38.3 (1.5) versus 39.5 (1.4) cycle x min(-1)], stroke length [1.95 (0.09) versus 1.89 (0.15) m x cycle(-1)] were not statistically different between the two-beat and the six-beat kick situations. The energy cost of swimming per unit of distance [0.65 (0.06) versus 0.67 (0.08) ml O2 x m(-1)] and the passive drag were similar for both kicks. The distance separating the draftee from the lead swimmer was between 14 cm and 85 cm and was inversely correlated with passive drag: r=-0.82, P < 0.05, for the two-beat kick and r=-0.82, P < 0.05, for the six-beat kick. The higher the passive drag, the closer the hand of the draftee to the feet of the lead swimmer. It was of no more benefit to triathletes to draft behind a two-beat kick swimmer than behind a six-beat kick swimmer.

The effects of electromyostimulation training and basketball practice on muscle strength and jumping ability.

The aim of this study was to investigate the influence of a 4-week electromyostimulation training program on the strength of the knee extensors and the vertical jump performance of 10 basketball players. Electromyostimulation sessions were carried out 3 times weekly; each session consisted of 48 contractions. Testing was carried out before and after the electromyostimulation training program (week 4) and once more after 4 weeks of normal basketball training (week 8). At week 4, isokinetic strength increased significantly (p < 0.05) at eccentric and high concentric velocities (between 180 and 360 x s(-1)); this was not the case for low concentric velocities (60 and 120 degrees x s(-1)). Electromyostimulation training increased also isometric strength at the two angles adjacent to the training angle (p < 0.01). Squat jump increased significantly by 14% at week 4 (p < 0.01), whereas counter movement-jump showed no change. At week 8, gains in isokinetic, isometric strength and squat-jump performance were maintained and the counter movement jump performance increased significantly by 17% (p<0.01). Electromyostimulation as part of a short strength-training program enhanced knee extensor strength and squat jump performance of basketball players.

A new index of coordination for the crawl: description and usefulness.

This study analyzes stroke phases and arm and leg coordination during front crawl swimming as a function of swim velocity and performance level. Forty-three swimmers constituted three groups based on performance level. All swam at three different swim velocities, corresponding to the paces appropriate for the 800 m, 100 m, and 50 m. The different stroke phases and the arm and leg coordination were identified by video analysis. Arm coordination was quantified using a new index of coordination (IdC), which expresses the three major modalities opposition, catch-up and superposition. Opposition, where one arm begins the pull phase when the other is finishing the push phase; catch up, which has a lag time (LT) between propulsive phases of the two arms; and superposition, which describes an overlap in the propulsive phases. The IdC is an index which characterizes coordination patterns by measure of LT between propulsive phases of each arm. The most important results showed that duration of the propulsive phases (B + C) increased significantly with increasing velocity: 43.1 +/- 3.3% for V800; 46.5 +/- 3% for V100 and 49 +/- 3% for V50. The arm and leg synchronization was modified in the sense of an increase in six-beat kick. The IdC increased significantly with velocity: IdCV800 = -7.6 +/- 6.4%; IdCV100 = -3.2 +/- 5.1% and IdCV50 = -0.9 +/- 5.6%. IdC increased also significantly with performance level: IdCG3 = -6.07 +/- 5.3%; IdCG2 = -3.9 +/- 4.2% and IdCG1 = -1.76 +/- 5.6% for the mean of the 3 velocity. The two extreme IdC were IdCG3V800 = -9.4 +/- 5.4% and IdCG1V50 = +2.53 +/- 4.4%.

Anaemia and iron deficiency in athletes. Practical recommendations for treatment.

Trained athletes frequently experience low levels of blood haemoglobin (13 to 14 g/100ml in men and 12 g/100ml in women) plus low haematocrit and low ferritin levels. These parameters define the concept of 'sports anaemia'. Low iron levels may be due to mechanical haemolysis, intestinal bleeding, haematuria, sweating, low iron intake or poor intestinal absorption. The resulting decrease in blood gas transport and muscle enzyme activity impairs performance. The concept of sports anaemia can be criticised. Simply measuring the blood levels does not take into account the haemodilution that occurs in athletes because of training. The lack of these measurements makes it difficult to diagnose anaemia or evaluate any treatment. Anaemia is treated by preventing decreased iron stores through a balanced food intake or iron supplements. Self-medications must be discouraged because of intolerance, risk of overdose and many other drug interactions.

Performance and physiological responses to a 5-week synchronized swimming technical training programme in humans.

A synchronized swimming team routine (TR) is composed of figures of varying degrees of difficulty. Swimmers able to perform these figures separately underwent a 5-week technical training programme (TTP) to assemble a TR. Little is known about the physiological responses to this kind of TTP. A group of 13 trained synchronized swimmers [mean age 14 (SD 1) years] were tested before and after a 5-week TTP. The TR lasted 5 min, and 45% of that time was spent underwater. The swimmers' technique scores in the TR improved significantly from 4.5 (SD 1.9) before to 5.8 (SD 2.3) points after the TTP (P < 0.01), but their swimming performances, peak oxygen uptake (VO2peak), blood lactate concentration, and heart rate measured during a 400-m swim were lower after the TTP. The improvement in the technique scores correlated negatively with the change in VO2peak (r = -0.57; P < 0.05). The greater the improvement in the technique score, the greater the decrease in VO2peak. The overall synchronized swimming skill was assessed by the best score the swimmers obtained in four to six competitions over a season. This score was related to the 400-m swimming performance, VO2peak, maximal distance covered in apnoea, and the breath-hold time. The 5-week TTP therefore improved technical performance during the TR without improving physiological, swimming or apnoea performances. However, the physiological profile of each swimmer was linked to the synchronized swimming skill.

Performance and drag during drafting swimming in highly trained triathletes.

PURPOSE: The influence of drafting was studied on the swimming performance, metabolic response, and passive drag of eight triathletes. METHODS: The performance in drafting position was measured directly behind another swimmer during a 400-m swim and compared with the nondrafting position. Metabolic response concerned VO(2), blood lactate, stroke rate, stroke length, and rating of perceived exertion. Drag was measured by passive towing. RESULTS: In drafting position, the triathletes swam on average faster (3.2%) over the 400-m swim than in nondrafting position (4 min, 47.69 +/- 10.35 s vs 4 min, 57.25 +/- 7.24 s; P < 0.01). Blood lactate and stroke rate were significantly lower (9.6 mM vs 10.8 mM; 39.9 cyclexmin(-1) vs 41.3 cyclexmin(-1) P < 0.02) and stroke length higher (2.10 mx cycle(-1) vs 1.97 mxcycle(-1), P < 0.01) than in nondrafting position. VO(2) and rating of perceived exertion were not statistically different. Passive drag was lower in drafting than in nondrafting position (P < 0.01). However, the gain in drag decreased with the towed velocity (from 26% at 1.1 mxs(-1) to 13% at 1.7mxs(-1)). In drafting position, the performance gain was related to the 400-m time (r = 0.80, P < 0.01) and to the skinfold thickness (r = 0.94, P < 0.01), with faster and leaner swimmers having greater gains of performance. CONCLUSIONS: Swimming behind another swimmer in a race is advantageous for triathletes.

Hematological responses to training and taper in competitive swimmers: relationships with performance.

The purpose of this study was to monitor hematological changes during 12 weeks of intense training and 4 weeks of taper in 8 highly trained competitive swimmers, and to assess the relationships between hematological variables and competition performance. Venous blood samples were obtained in the mid-season (wk 10), before taper (wk 22) and after taper (wk 26). Swimmers participated in actual competitions within 1 wk of each blood testing. Comparisons were made between swimmers improving performance with taper by more than 2% (n = 4), efficient (GE) or less than 2% (n = 4), less efficient (GLE). Hemoglobin (Hb), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH) and mean corpuscular hemoglobin concentration (MCHC) increased significantly during training. MCH and MCHC decreased during taper, while serum iron tended to increase (P = 0.07). Improvement in performance during taper was positively correlated with post-taper red cell count (RCC): r = 0.83, P < 0.05. GE swimmers had higher pre- and post-taper RCC, and post-taper Hb and hematocrit. In conclusion, intense training and taper appeared to influence the hematological status and performance capacity of the studied group of swimmers.