Positive Impacts of a Four-Week Neuro-Meditation Program on Cognitive Function in Post-Acute Sequelae of COVID-19 Patients: A Randomized Controlled Trial.

Study objective: Long COVID patients can experience high levels of impairment in their cognitive function and mental health. Using a parallel randomized control trial, we evaluated the effectiveness of a neuro-meditation program to reduce cognitive impairment in patients with long COVID. Methods: A total of 34 patients with long COVID were randomized to an intervention group (G-Int; n = 17) or a control group (G-Con; n = 17) and 15 healthy participants were constitutive of a normative group (G-Nor). The intervention consisted of ten 30-min sessions of Rebalance® over a period of five weeks. Each session included sound therapy and coach-guided meditation associated with light stimulations (i.e., chromotherapy). Primary outcomes were performance on five computerized cognitive tasks (choice response time, pattern comparison, Simon, pursuit rotor task, and Corsi block-tapping task), mental and physical fatigue (Chalder fatigue scale), perceived stress (perceived stress scale) and mood (profiles of mood states). Secondary outcomes were anxiety and depressive symptoms (hospital anxiety and depression scale), muscular pain, joint pain, and headaches using visual analog scales (VAS) as well as sleep quality (Spiegel sleep questionnaire). Assessments were conducted at baseline and at 1−2 and 7−8 days of follow-up. Results: Compared to healthy subjects, long COVID patients showed significant differences at baseline on all the self-report questionnaires, and a Rebalance® program improved all the subjective reports, as well as cognitive performances, especially on reaction time-based tasks. In particular, only the G-Int group revealed shortened reaction times in the choice reaction time (RTbaseline = 593 ± 121 ms vs. RTpost2 = 521 ± 86 ms, p < 0.001), Simon (RTbaseline = 539 ± 123 ms vs. RTpost2 = 494 ± 134 ms, p < 0.01), and pattern comparison tasks (RTbaseline = 1244 ± 315 ms vs. RTpost2 = 1079 ± 213 ms, p < 0.001). Conclusions) Initial evidence suggests that neuro-meditation reduces cognitive impairment and improves physical and mental fatigue, muscle and joint pain, symptoms of depression and anxiety, mood disturbances as well as sleep quality. The Rebalance® program hence constitutes a promising non-pharmacological intervention for the treatment of long-term psychological/cognitive outcomes of COVID-19.

Four Weeks of a Neuro-Meditation Program Improves Sleep Quality and Reduces Hypertension in Nursing Staff During the COVID-19 Pandemic: A Parallel Randomized Controlled Trial.

The purpose of this study was to examine the effectiveness of a neuro-meditation program to support nurses during the COVID-19 pandemic. Forty-five (10 men and 35 women) nurses were classified into three groups based on their systolic blood pressure: normotensive (G-nor; n = 16, 43.8 ± 11.0 year), hypertensive (G-hyp; n = 13, 45.2 ± 10.7 year) and control (G-con; n = 16, 44.9 ± 10.6 year). Using a parallel, randomly controlled design across a 4-week period, 10 × 30-min sessions using the Rebalance© Impulse were completed. Sleep was assessed by wrist actigraphy and subjective sleep questionnaires; perceived sleep quality, Ford Insomnia Response to Stress Test questionnaire and the Spiegel Sleep Quality questionnaire (SSQ). Blood pressure, resting heart rate, mean heart rate (HRmean), heart rate variability index (RMSSD), cortisol, and alpha-amylase were also measured. Statistical analysis was completed using factorial ANOVA. Sleep improved in the G-hyp group; SSQ (p < 0.01); perceived sleep quality (p < 0.01); sleep efficiency and fragmentation index (p < 0.05). In the G-nor group, sleep was improved to a lesser extent; perceived sleep quality (p < 0.01). A significant time-group interaction was reported in resting heart rate (p < 0.01), systolic blood pressure (p < 0.01), and diastolic blood pressure (p < 0.05) with these measures being significantly reduced in the G-hyp group. RMSSD increased in the G-nor group (p < 0.01). This initial evidence suggests that neuro-meditation reduces excessive sympathetic activity, promoting enhanced sleep quality and autonomic control during periods of increased work-related stress. Clinical Trial Registration: The study was conducted at Bioesterel, Sophia-Antipolis, France as a clinical trial: Neuro-meditation improves sleep quality, https://www.drks.de/ui_data_web/DrksUI.html?locale=en, DRKS00025731.

Decreased energy availability during training overload is associated with non-functional overreaching and suppressed ovarian function in female runners.

Low energy availability (EA) suppresses many physiological processes, including ovarian function in female athletes. Low EA could also predispose athletes to develop a state of overreaching. This study compared the changes in ad libitum energy intake (EI), exercise energy expenditure (ExEE), and EA among runners completing a training overload (TO) phase. We tested the hypothesis that runners becoming overreached would show decreased EA, suppressed ovarian function and plasma leptin, compared with well-adapted (WA) runners. After 1 menstrual cycle (baseline), 16 eumenorrheic runners performed 4 weeks of TO followed by a 2-week recovery (131 ± 3% and 63 ± 6% of baseline running volume, respectively). Seven-day ExEE, EI, running performance (RUNperf) and plasma leptin concentration were assessed for each phase. Salivary estradiol concentration was measured daily. Urinary luteinizing hormone concentration tests confirmed ovulation. Nine runners adapted positively to TO (WA, ΔRUNperf: +4 ± 2%); 7 were non-functionally overreached (NFOR; ΔRUNperf: -9 ± 2%) as RUNperf remained suppressed after the recovery period. WA increased EI during TO, maintaining their baseline EA despite a large increase in ExEE (ΔEA = +1.9 ± 1.3 kcal·kg fat free mass (FFM)-1·d-1, P = 0.17). By contrast, NFOR showed no change in EI, leading to decreased EA (ΔEA = -5.6 ± 2.1 kcal·kg FFM-1·d-1, P = 0.04). Plasma leptin concentration mid-cycle and luteal salivary estradiol concentration decreased in NFOR only. Contrasting with WA, NFOR failed to maintain baseline EA during TO, resulting in poor performance outcomes and suppressed ovarian function. ClinicalTrials.gov no. NCT02224976. Novelty: Runners adapting positively to training overload (TO) increased ad libitum energy intake, maintaining baseline EA and ovarian function through TO. By contrast, NFOR runners failed to increase energy intake, showing suppressed EA and ovarian function during TO.

Sleep and the athlete: narrative review and 2021 expert consensus recommendations.

Elite athletes are particularly susceptible to sleep inadequacies, characterised by habitual short sleep (<7 hours/night) and poor sleep quality (eg, sleep fragmentation). Athletic performance is reduced by a night or more without sleep, but the influence on performance of partial sleep restriction over 1-3 nights, a more real-world scenario, remains unclear. Studies investigating sleep in athletes often suffer from inadequate experimental control, a lack of females and questions concerning the validity of the chosen sleep assessment tools. Research only scratches the surface on how sleep influences athlete health. Studies in the wider population show that habitually sleeping <7 hours/night increases susceptibility to respiratory infection. Fortunately, much is known about the salient risk factors for sleep inadequacy in athletes, enabling targeted interventions. For example, athlete sleep is influenced by sport-specific factors (relating to training, travel and competition) and non-sport factors (eg, female gender, stress and anxiety). This expert consensus culminates with a sleep toolbox for practitioners (eg, covering sleep education and screening) to mitigate these risk factors and optimise athlete sleep. A one-size-fits-all approach to athlete sleep recommendations (eg, 7-9 hours/night) is unlikely ideal for health and performance. We recommend an individualised approach that should consider the athlete's perceived sleep needs. Research is needed into the benefits of napping and sleep extension (eg, banking sleep).

Validity and Reliability of the Stages Cycling Power Meter.

Granier, C, Hausswirth, C, Dorel, S, and Le Meur, Y. Validity and reliability of the stages cycling power meter. J Strength Cond Res 34(12): 3554-3559, 2020-This study aimed to determine the validity and the reliability of the Stages power meter crank system (Boulder, United States) during several laboratory cycling tasks. Eleven trained subjects completed laboratory cycling trials on an indoor cycle fitted with SRM Professional and Stages systems. The trials consisted of an incremental test at 100 W, 200 W, 300 W, 400 W, and four 7-s sprints. The level of pedaling asymmetry was determined for each cycling intensity during a similar protocol completed on a Lode Excalibur Sport ergometer. The reliability of Stages and SRM power meters was compared by repeating the incremental test during a test-retest protocol on a Cyclus 2 ergometer. Over power ranges of 100-1,250 W, the Stages system produced trivial to small differences compared with the SRM (standardized typical error values of 0.06, 0.24, and 0.08 for the incremental, sprint, and combined trials, respectively). A large correlation was reported between the difference in power output (PO) between the 2 systems and the level of pedaling asymmetry (r = 0.58, p < 0.001). Recalculating PO of the Stages system according to the level of pedaling asymmetry provided only marginal improvements in PO measures. The reliability of the Stages power meter at the submaximal intensities was similar to the SRM Professional model (coefficient of variation: 2.1 and 1.3% for Stages and SRM, respectively). The Stages system is a suitable device for PO measurements, except when a typical error of measurement <3.0% over power ranges of 100-1,250 W is expected.

Two Weeks of High-Intensity Interval Training in Combination With a Non-thermal Diffuse Ultrasound Device Improves Lipid Profile and Reduces Body Fat Percentage in Overweight Women.

This study evaluated the effectiveness of an innovative strategy which combined low-frequency ultra sound (LOFU) with high-intensity interval training (HIIT) to improve physical fitness and promote body fat loss in overweight sedentary women. A placebo controlled, parallel group randomized experimental design was used to investigate the efficacy of a 2-week combined LOFU and HIIT program (3 sessions per week). Participants were allocated into either the Experimental HIIT group (HIITEXP, n = 10) or Placebo HIIT group (HIITPLA, n = 10). Baseline exercise testing (maximal oxygen uptake, lower limb strength and substrate oxidation test), dietary assessment, anthropometric measures and blood sampling were completed in week 1 and repeated in week 4 to determine changes following the program (Post-HIIT). During each training session, the HIITEXP and HIITPLA groups wore a non-thermal diffuse ultrasound belt. However, the belt was only switched on for the HIITEXP group. Delta change scores were calculated for body weight, body fat percentage (Fat%), muscle mass, V . O2 max, hip and waist circumferences, and all lipid variables from Baseline to Post-HIIT. Statistical analysis was completed using a repeated-measures factorial analysis of variance by group (HIITPLA and HIITEXP) and time (Baseline and Post-HIIT). Results showed significant improvements in maximal oxygen uptake (HIITEXP; Baseline 24.7 ± 5.4 mL kg-1 min-1, Post-HIIT 28.1 ± 5.5 mL kg-1 min-1 and HIITPLA; Baseline 28.4 ± 5.9 mL kg-1 min-1, Post-HIIT 31.4 ± 5.5 mL kg-1 min-1) for both groups. Significant decreases in Fat% (HIITEXP; Baseline 32.7 ± 3.2%, Post-HIIT 28.9 ± 3.5% and HIITPLA; Baseline 28.9 ± 3.5%, Post-HIIT 28.9 ± 3.4% kg), waist circumference (HIITEXP; Baseline 95.8 ± 9.6 cm, Post-HIIT 89.3 ± 8.9 cm and HIITPLA; Baseline 104.3 ± 3.5 cm, Post-HIIT 103.6 ± 3.4 cm) and triglycerides (HIITEXP; -29.2%, HIITPLA; -6.7%) were observed in the HIITEXP group only. These results show that HIIT combined with LOFU was an effective intervention to improve body composition, lipid profile, and fitness. This combined strategy allowed overweight, sedentary women to achieve positive health outcomes in as little as 2 weeks.

Neuro-computational Impact of Physical Training Overload on Economic Decision-Making.

Overtraining syndrome is a form of burnout, defined in endurance athletes by unexplained performance drop associated with intense fatigue sensation. Our working hypothesis is that the form of fatigue resulting from physical training overload might share some neural underpinnings with the form of fatigue observed after prolonged intellectual work, which was previously shown to affect the cognitive control brain system. Indeed, cognitive control may be required to prevent any impulsive behavior, including stopping physical effort when it hurts, despite the long-term goal of improving performance through intense training. To test this hypothesis, we induced a mild form of overtraining in a group of endurance athletes, which we compared to a group of normally trained athletes on behavioral tasks performed during fMRI scanning. At the behavioral level, training overload enhanced impulsivity in economic choice, which was captured by a bias favoring immediate over delayed rewards in our computational model. At the neural level, training overload resulted in diminished activation of the lateral prefrontal cortex, a key region of the cognitive control system, during economic choice. Our results therefore provide causal evidence for a functional link between enduring physical exercise and exerting cognitive control. Besides, the concept of cognitive control fatigue bridges the functional consequences of excessive physical training and intellectual work into a single neuro-computational mechanism, which might contribute to other clinical forms of burnout syndromes.

Whole-body cryotherapy does not augment adaptations to high-intensity interval training.

The aim of this study was to investigate the effects of regular post-exercise whole-body cryotherapy (WBC) on physiological and performance adaptations to high-intensity interval training (HIT). In a two-group parallel design, twenty-two well-trained males performed four weeks of cycling HIT, with each session immediately followed by 3 min of WBC (-110 °C) or a passive control (CON). To assess the effects of WBC on the adaptive response to HIT, participants performed the following cycling tests before and after the training period; a graded exercise test (GXT), a time-to-exhaustion test (Tmax), a 20-km time trial (20TT), and a 120-min submaximal test (SM120). Blood samples were taken before and after training to measure changes in basal adrenal hormones (adrenaline, noradrenaline, and cortisol). Sleep patterns were also assessed during training via wrist actigraphy. As compared with CON, the administration of WBC after each training session during four weeks of HIT had no effect on peak oxygen uptake ([Formula: see text]O2peak) and peak aerobic power (Ppeak) achieved during the GXT, Tmax duration and work performed (WTmax), 20TT performance, substrate oxidation during the SM120, basal adrenaline/noradrenaline/cortisol concentrations, or sleep patterns (P > 0.05). These findings suggest that regular post-exercise WBC is not an effective strategy to augment training-induced aerobic adaptations to four weeks of HIT.

Training Periodization Over an Elite Rugby Sevens Season: From Theory to Practice.

PURPOSE: To describe the training periodization in rugby sevens players competing in the World Rugby Sevens Series during a non-Olympic season. METHODS: Workload data were collected over a 33-wk period in 12 male players participating in a full competitive season. Workload was quantified using session rating of perceived exertion and global positioning system-derived data during training and competition. Self-reported well-being was assessed using a questionnaire. Each variable was analyzed weekly and through 5 mesocycles (preseason, in-season 1-4), each of which ended with competition blocks. RESULTS: The perceived load decreased throughout the season for the full squad (-68% [26%] between preseason and final competitive block, large effect) and when unavailable players were removed from the analysis (-38% [42%], moderate). Weekly perceived load was highly variable, with a typical periodization in 4 phases during each mesocycle (regeneration, training overload, taper, and competition). During the preseason, the workload was higher during the overload training phase than during the competitive period (range: +23% to +59%, large to very large, for the distance covered above individual maximal aerobic speed and the number of accelerations). This observation no longer persisted during the season. The well-being score decreased almost certainly from in-season 3 (moderate). CONCLUSIONS: These results highlighted the apparent difficulty in maintaining high-load training periods throughout the season in players engaged on the World Rugby Sevens Series despite ∼4-7 training weeks separating each competitive block. This observation was likely explained by the difficulties inherent to the World Rugby Sevens Series (risk of contact injury, calendar, and multiple long-haul travel episodes) and potentially by limited squad-rotation policies.

Power Output and Pacing During International Cross-Country Mountain Bike Cycling.

PURPOSE: To characterize the physiological profiles of elite cross-country mountain-bike (XCO-MTB) cyclists and to examine their pacing and power-output (PO) distribution during international races. METHODS: Over 2 competitive seasons, 8 male XCO-MTB cyclists (VO2max 79.9 [5.2] mL·min-1·kg-1, maximal aerobic power [MAP] 411 [18] W and 6.3 [0.4] W·kg-1) regularly undertook incremental tests to assess their PO and heart rate (HR) at first and second ventilatory thresholds (VT1 and VT2) and at VO2max. During the same period, their PO, HR, speed, and cadence were recorded over 13 international races (total of 30 recorded files). RESULTS: Mean PO, speed, cadence, and HR during the races were 283 (22) W (4.31 [0.32] W·kg-1, 68% [5%] MAP), 19.7 (2.1) km·h-1, 68 (8) rpm, and 172 (11) beats·min-1 (91% [2%] HRmax), respectively. The average times spent below 10% of MAP, between 10% of MAP and VT1, between VT1 and VT2, between VT2 and MAP, and above MAP were 25% (5%), 21% (4%), 13% (3%), 16% (3%), and 26% (5%), respectively. Both speed and PO decreased from the start loop to lap 1 before stabilizing until the end of the race. CONCLUSIONS: Elite off-road cyclists demonstrated typical values of world-class endurance cyclists with an excellent power-to-mass ratio. This study demonstrated that XCO-MTB races are performed at higher intensities than reported in previous research and are characterized by a fast start followed by an even pace.

Optimizing Heat Acclimation for Endurance Athletes: High- Versus Low-Intensity Training.

PURPOSE: To determine the effect of high- versus low-intensity training in the heat and ensuing taper period in the heat on endurance performance. METHODS: In total, 19 well-trained triathletes undertook 5 days of normal training and a 1-wk taper including either low- (heat acclimation [HA-L], n = 10) or high-intensity (HA-H, n = 9) training sessions in the heat (30°C, 50% relative humidity). A control group (n = 10) reproduced their usual training in thermoneutral conditions. Indoor 20-km cycling time trials (35°C, 50% relative humidity) were performed before (Pre) and after the main heat exposure (Mid) and after the taper (Post). RESULTS: Power output remained stable in the control group from Pre to Mid (effect size: -0.10 [0.26]) and increased from Mid to Post (0.18 [0.22]). The HA-L group demonstrated a progressive increase in performance from Pre to Mid (0.62 [0.33]) and from Mid to Post (0.53 [0.30]), alongside typical physiological signs of HA (reduced core temperature and heart rate and increased body-mass loss). While the HA-H group presented similar adaptations, increased perceived fatigue and decreased performance at Mid (-0.35 [0.26]) were evidenced and reversed at Post (0.50 [0.20]). No difference in power output was reported at Post between the HA-H and control groups. CONCLUSION: HA-H can quickly induce functional overreaching in nonacclimatized endurance athletes. As it was associated with a weak subsequent performance supercompensation, coaches and athletes should pay particular attention to training monitoring during a final preparation in the heat and reduce training intensity when early signs of functional overreaching are identified.

Effects of Postexercise Protein Intake on Muscle Mass and Strength During Resistance Training: Is There an Optimal Ratio Between Fast and Slow Proteins?

While effects of the two classes of proteins found in milk (i.e., soluble proteins, including whey, and casein) on muscle protein synthesis have been well investigated after a single bout of resistance exercise (RE), the combined effects of these two proteins on the muscle responses to resistance training (RT) have not yet been investigated. Therefore, the aim of this study was to examine the effects of protein supplementation varying by the ratio between milk soluble proteins (fast-digested protein) and casein (slow-digested protein) on the muscle to a 9-week RT program. In a double-blind protocol, 31 resistance-trained men, were assigned to 3 groups receiving a drink containing 20g of protein comprising either 100% of fast protein (FP(100), n = 10), 50% of fast and 50% of slow proteins (FP(50), n = 11) or 20% of fast protein and 80% of casein (FP(20), n = 10) at the end of training bouts. Body composition (DXA), and maximal strength in dynamic and isometric were analyzed before and after RT. Moreover, blood plasma aminoacidemia kinetic after RE was measured. The results showed a higher leucine bioavailability after ingestion of FP(100) and FP(50) drinks, when compared with FP(20) (p< .05). However, the RT-induced changes in lean body mass (p < .01), dynamic (p < .01), and isometric muscle strength (p < .05) increased similarly in all experimental groups. To conclude, compared with the FP(20) group, the higher rise in plasma amino acids following the ingestion of FP(100) and FP(50) did not lead to higher muscle long-term adaptations.

Supercompensation Kinetics of Physical Qualities During a Taper in Team-Sport Athletes.

Peaking for major competition is considered critical for maximizing team-sport performance. However, there is little scientific information available to guide coaches in prescribing efficient tapering strategies for team-sport players. PURPOSE: To monitor the changes in physical performance in elite team-sport players during a 3-wk taper after a preseason training camp. METHODS: Ten male international rugby sevens players were tested before (Pre) and after (Post) a 4-wk preseason training camp focusing on high-intensity training and strength training with moderate loads and once each week during a subsequent 3-wk taper. During each testing session, midthigh-pull maximal strength, sprint-acceleration mechanical outputs, and performance, as well as repeated-sprint ability (RSA), were assessed. RESULTS: At Post, no single peak performance was observed for maximal lower-limb force output and sprint performance, while RSA peaked for only 1 athlete. During the taper, 30-m-sprint time decreased almost certainly (-3.1% ± 0.9%, large), while maximal lower-limb strength and RSA, respectively, improved very likely (+7.7% ± 5.3%, small) and almost certainly (+9.0% ± 2.6%, moderate). Of the peak performances, 70%, 80%, and 80% occurred within the first 2 wk of taper for RSA, maximal force output, and sprint performance, respectively. CONCLUSIONS: These results show the sensitivity of physical qualities to tapering in rugby sevens players and suggest that an ~1- to 2-wk tapering time frame appears optimal to maximize the overall physical-performance response.

Cognitive Functioning and Heat Strain: Performance Responses and Protective Strategies.

Despite the predominance of research on physical performance in the heat, many activities require high cognitive functioning for optimal performance (i.e. decision making) and/or health purposes (i.e. injury risk). Prolonged periods of demanding cognitive activity or exercise-induced fatigue will incur altered cognitive functioning. The addition of hot environmental conditions will exacerbate poor cognitive functioning and negatively affect performance outcomes. The present paper attempts to extract consistent themes from the heat-cognition literature to explore cognitive performance as a function of the level of heat stress encountered. More specifically, experimental studies investigating cognitive performance in conditions of hyperthermia, often via the completion of computerised tasks (i.e. cognitive tests), are used to better understand the relationship between endogenous thermal load and cognitive performance. The existence of an inverted U-shaped relationship between hyperthermia development and cognitive performance is suggested, and highlights core temperatures of ~38.5 °C as the potential 'threshold' for hyperthermia-induced negative cognitive performance. From this perspective, interventions to slow or blunt thermal loads and protect both task- and hyperthermia-related changes in task performances (e.g. cooling strategies) could be used to great benefit and potentially preserve cognitive performance during heat strain.

Quantifying Neuromuscular Fatigue Induced by an Intense Training Session in Rugby Sevens.

PURPOSE: To compare the sensitivity of a sprint vs a countermovement-jump (CMJ) test after an intense training session in international rugby sevens players, as well as analyze the effects of fatigue on sprint acceleration. METHODS: Thirteen international rugby sevens players completed two 30-m sprints and a set of 4 repetitions of CMJ before and after a highly demanding rugby sevens training session. RESULTS: Change in CMJ height was unclear (-3.6%; ±90% confidence limits 11.9%. Chances of a true positive/trivial/negative change: 24/10/66%), while a very likely small increase in 30-m sprint time was observed (1.0%; ±0.7%, 96/3/1%). A very likely small decrease in the maximum horizontal theoretical velocity (V0) (-2.4; ±1.8%, 1/4/95%) was observed. A very large correlation (r = -.79 ± .23) between the variations of V0 and 30-m-sprint performance was also observed. Changes in 30-m sprint time were negatively and very largely correlated with the distance covered above the maximal aerobic speed (r = -.71 ± .32). CONCLUSIONS: The CMJ test appears to be less sensitive than the sprint test, which casts doubts on the usefulness of a vertical-jump test in sports such as rugby that mainly involve horizontal motions. The decline in sprint performance relates more to a decrease in velocity than in force capability and is correlated with the distance covered at high intensity.

Assessing Overreaching With Heart-Rate Recovery: What Is the Minimal Exercise Intensity Required?

PURPOSE: Faster heart-rate recovery (HRR) after high to maximal exercise (≥90% of maximal heart rate) has been reported in athletes suspected of functional overreaching (f-OR). This study investigated whether this response would also occur at lower exercise intensity. METHODS: Responses of HRR and rating of perceived exertion (RPE) were compared during an incremental intermittent running protocol to exhaustion in 20 experienced male triathletes (8 control subjects and 13 overload subjects led to f-OR) before and immediately after an overload training period and after a 1-wk taper. RESULTS: Both groups demonstrated an increase in HRR values immediately after the training period, but this change was very likely to almost certainly larger in the f-OR group at all running intensities (large to very large differences, eg, +16 ± 7 vs +3 ± 5 beats/min, in the f-OR and control groups at 11 km/h, respectively). The highest between-groups differences in changes in HRR were reported at 11 km/h (13 ± 4 beats/min) and 12 km/h (10 ± 6 beats/min). A concomitant increase in RPE at all intensities was reported only in the f-OR group (large to extremely large differences, +2.1 ± 1.5 to +0.7 ± 1.5 arbitrary units). CONCLUSION: These findings confirm that faster HRR does not systematically predict better physical performance. However, when interpreted in the context of the athletes' fatigue state and training phase, HRR after submaximal exercise may be more discriminant than HRR measures taken after maximal exercise for monitoring f-OR. These findings may be applied in practice by regularly assessing HRR after submaximal exercise (ie, warm-up) for monitoring endurance athletes' responses to training.

Relationship Between Blood Flow and Performance Recovery: A Randomized, Placebo-Controlled Study.

PURPOSE: To investigate the effect of different limb blood-flow levels on cycling-performance recovery, blood lactate concentration, and heart rate. METHODS: Thirty-three high-intensity intermittent-trained athletes completed two 30-s Wingate anaerobic test sessions, 3 × 30-s (WAnT 1-3) and 1 × 30-s (WAnT 4), on a cycling ergometer. WAnT 1-3 and WAnT 4 were separated by a randomly assigned 24-min recovery intervention selected from among blood-flow restriction, passive rest, placebo stimulation, or neuromuscular electrical-stimulation-induced blood flow. Calf arterial inflow was measured by venous occlusion plethysmography at regular intervals throughout the recovery period. Performance was measured in terms of peak and mean power output during WAnT 1 and WAnT 4. RESULTS: After the recovery interventions, a large (r = .68 [90% CL .42; .83]) and very large (r = .72 (90% CL .49; .86]) positive correlation were observed between the change in calf arterial inflow and the change in mean and peak power output, respectively. Calf arterial inflow was significantly higher during the neuromuscular-electrical-stimulation recovery intervention than with the blood-flow-restriction, passive-rest, and placebo-stimulation interventions (P < .001). This corresponds to the only intervention that allowed performance recovery (P > .05). No recovery effect was linked to heart rate or blood lactate concentration levels. CONCLUSIONS: For the first time, these data support the existence of a positive correlation between an increase in blood flow and performance recovery between bouts of high-intensity exercise. As a practical consideration, this effect can be obtained by using neuromuscular electrical stimulation-induced blood flow since this passive, simple strategy could be easily applied during short-term recovery.

Periodization of Carbohydrate Intake: Short-Term Effect on Performance.

BACKGROUND: "Sleep-low" consists of a sequential periodization of carbohydrate (CHO) availability-low glycogen recovery after "train high" glycogen-depleting interval training, followed by an overnight-fast and light intensity training ("train low") the following day. This strategy leads to an upregulation of several exercise-responsive signaling proteins, but the chronic effect on performance has received less attention. We investigated the effects of short-term exposure to this strategy on endurance performance. METHODS: Following training familiarization, 11 trained cyclists were divided into two groups for a one-week intervention-one group implemented three cycles of periodized CHO intake to achieve the sleep-low strategy over six training sessions (SL, CHO intake: 6 g·kg-1·day-1), whereas the control group consumed an even distribution of CHO over the day (CON). Tests were a 2 h submaximal ride and a 20 km time trial. RESULTS: SL improved their performance (mean: +3.2%; p < 0.05) compared to CON. The improvement was associated with a change in pacing strategy with higher power output during the second part of the test. No change in substrate utilization was observed after the training period for either group. CONCLUSION: Implementing the "sleep-low" strategy for one week improved performance by the same magnitude previously seen in a three-week intervention, without any significant changes in selected markers of metabolism.

The impact of sleeping with reduced glycogen stores on immunity and sleep in triathletes.

PURPOSE: We investigated the effects of a 3-week dietary periodization on immunity and sleep in triathletes. METHODS: 21 triathletes were divided into two groups with different nutritional guidelines during a 3-week endurance training program including nine twice a day sessions with lowered (SL group) or maintained (CON group) glycogen availability during the overnight recovery period. In addition to performance tests, sleep was monitored every night. Systemic and mucosal immune parameters as well as the incidence of URTI were monitored every week of the training/nutrition protocol. Two-ways ANOVA and effect sizes were used to examine differences in dependent variables between groups at each time point. RESULTS: The SL group significantly improved 10 km running performance (-1 min 13 s, P < 0.01, d = 0.38), whereas no improvement was recorded in the CON group (-2 s, NS). No significant changes in white blood cells counts, plasma cortisol and IL-6 were recorded over the protocol in both groups. The vitamin D status decreased in similar proportions between groups, whereas salivary IgA decreased in the SL group only (P < 0.05, d = 0.23). The incidence of URTI was not altered in both groups. All participants in both groups went to bed earlier during the training program (SL -20 min, CON -27 min, P < 0.05, d = 0.28). In the SL group, only sleep efficiency slightly decreased by 1.1 % (P < 0.05, d = 0.25) and the fragmentation index tended to increase at the end of the protocol (P = 0.06). CONCLUSION: Sleeping and training the next morning regularly with reduced glycogen availability has minimal effects on selected markers of immunity, the incidence of URTI and sleeping patterns in trained athletes.

Enhanced Endurance Performance by Periodization of Carbohydrate Intake: "Sleep Low" Strategy.

PURPOSE: We investigated the effect of a chronic dietary periodization strategy on endurance performance in trained athletes. METHODS: Twenty-one triathletes (V˙O2max: 58.7 ± 5.7 mL·min(-1)·kg(-1)) were divided into two groups: a "sleep-low" (SL) (n = 11) and a control (CON) group (n = 10) consumed the same daily carbohydrate (CHO) intake (6 g·kg(-1)·d(-1)) but with different timing over the day to manipulate CHO availability before and after training sessions. The SL strategy consisted of a 3-wk training-diet intervention comprising three blocks of diet-exercise manipulations: 1) "train-high" interval training sessions in the evening with high-CHO availability, 2) overnight CHO restriction ("sleeping-low"), and 3) "train-low" sessions with low endogenous and exogenous CHO availability. The CON group followed the same training program but with high CHO availability throughout training sessions (no CHO restriction overnight, training sessions with exogenous CHO provision). RESULTS: There was a significant improvement in delta efficiency during submaximal cycling for SL versus CON (CON, +1.4% ± 9.3%; SL, +11% ± 15%, P < 0.05). SL also improved supramaximal cycling to exhaustion at 150% of peak aerobic power (CON, +1.63% ± 12.4%; SL, +12.5% ± 19.0%; P = 0.06) and 10-km running performance (CON, -0.10% ± 2.03%; SL, -2.9% ± 2.15%; P < 0.05). Fat mass was decreased in SL (CON, -2.6 ± 7.4; SL, -8.5% ± 7.4% before; P < 0.01), but not lean mass (CON, -0.22 ± 1.0; SL, -0.16% ± 1.7% PRE). CONCLUSION: Short-term periodization of dietary CHO availability around selected training sessions promoted significant improvements in submaximal cycling economy, as well as supramaximal cycling capacity and 10-km running time in trained endurance athletes.