Article

Muscle fiber typology is associated with the incidence of overreaching in response to overload training

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Abstract

The aim of this study was to identify markers of training stress and characteristics of middle-distance runners related to the incidence of overreaching following overload training. Twenty-four highly-trained runners (n=16 male; VO 2peak =73.3(4.3) mL·kg·min ⁻¹ ; n=8 female, VO 2peak =63.2(3.4) mL·kg·min ⁻¹ ) completed 3 weeks of normal training (NormTr), 3 weeks of high-volume training (HVTr; a 10, 20 and 30% increase in training volume each successive week from NormTr), and a 1-week taper (TapTr; 55% exponential reduction in training volume from HVTr week 3). Before, and immediately after each training period, an incremental treadmill-running test was performed, while resting metabolic rate (RMR), subjective fatigue responses and various resting blood biomarkers were assessed. Muscle fiber typology of the gastrocnemius was estimated by quantification of muscle carnosine using proton magnetic resonance spectroscopy and expressed as a z-score relative to a non-athlete control group. Twelve runners were classified as functionally overreached (FOR) following HVTr (decreased running TTE), whereas the other twelve were classified as acutely fatigued (AF; no decrease in running TTE). The FOR group did not demonstrate systematic alterations in RMR, resting blood biomarkers or submaximal exercise responses compared to the AF group. Gastrocnemius carnosine z-score was significantly higher in FOR (-0.44 ± 0.57) compared to AF (-1.25 ± 0.49, p = 0.004, d = 1.53) and was also associated with changes in running TTE from pre- to post-HVTr (r=-0.55, p=0.005) and pre-HVTr to post-TapTr (r=-0.64, p=0.008). Muscle fiber typology is related to the incidence of overreaching and performance super-compensation following increased training volume and a taper.

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... To overcome this limitation, a reliable and valid noninvasive approach for estimating muscle typology has been developed, using proton magnetic resonance spectroscopy ( 1 H-MRS) to measure muscle carnosine concentration. 15,16 Although the 1 H-MRS-derived method is an indirect technique estimating muscle typology, this method has been shown to be reliable 17,18 and compares favorably with the direct muscle biopsy-derived method of determining muscle typology. 15,16 Using this technique, differences in estimated muscle typology between world-class cyclists of various disciplines were identified by some members of the research team. ...
... 1,15 H-MRS measurements were performed on a 3-T whole-body MRI scanner (Philips Medical Systems Best) as previously described. 17,19 The carnosine concentration of each muscle was converted to a sex-specific Z score relative to an age-and sex-matched control population of active, healthy nonathletes consisting of 33 women and 40 men. The mean of the carnosine Z scores of the gastrocnemius and the soleus was then calculated (ie, carnosine aggregate Z score; ie, CAZ score), and this CAZ score was used for all analyses. ...
... The mean of the carnosine Z scores of the gastrocnemius and the soleus was then calculated (ie, carnosine aggregate Z score; ie, CAZ score), and this CAZ score was used for all analyses. We chose to estimate muscle fiber typology of the soleus and gastrocnemius medialis through the measurement of muscle carnosine because (1) we can measure carnosine reliably in these, 17 (2) the energy production contributions to the total positive work during cycling is meaningful from the ankle plantar flexors, [30][31][32][33] and (3) a strong positive association has been reported between 1 H-MRS-derived carnosine (ie, CAZ score) and the muscle biopsy-derived proportion of type II fibers. 15,16 ...
Article
Purpose : Identifying the determinants of performance is fundamental to talent identification and individualizing training prescription. Consequently, the aim of this study was to determine whether estimated muscle typology is associated with the key mechanical characteristics of track sprint cycling. Methods : Sixteen world-class and elite track cyclists (n = 7 female) completed a laboratory session wherein torque–cadence and power–cadence profiles were constructed to determine maximal power output (P max ), optimal cadence ( F opt ), and maximal cadence ( F max ), and fatigue rate per pedal stroke was determined during a 15-second maximal sprint at F opt . Muscle typology was estimated by measuring carnosine content via proton magnetic resonance spectroscopy in the gastrocnemius and soleus. Results : Using partial correlation analysis to account for sex, greater muscle carnosine content (ie, greater estimated proportion of type II fibers) was associated with a greater P max ( r = .68, P = .007), F max ( r = .77, P = .0014), F opt ( r = .61, P = .0196), and absolute fatigue rate (W·stroke ⁻¹ ; r = −.55, P = .0418) but not relative fatigue rate (%peak power·stroke ⁻¹ ; r = −.33, P = .246). Conclusions : The findings from this study substantiate the mechanical differences in muscle-fiber types derived from single muscle-fiber studies and highlight the importance of estimated muscle typology for sprint cycling performance.
... Following the screening of article abstracts, 144 were eligible for examination via a full-text review. Fourteen were eligible for inclusion in the qualitative analysis [18][19][20][21][22][23][24][25][31][32][33][34][35][36], reported in Table 1. Three articles were eligible for the meta-analysis examining the impact of overreaching on objective sleep quality [31,35,36] and eight were eligible for the meta-analysis examining the impact of overreaching on subjective sleep quality [18-22, 24, 25, 32-34]. ...
... Thirteen of the included studies (93%) utilised some form of subjective measurement. Subjective sleep quality was inferred from: the RESTQ-Sport (k = 4, 29%) [21,22,24,33], a 7-point sleep quality log (k = 3, 21%) [20,31,35], the Multicomponent Training Distress Scale (k = 2, 14%) [23,24], the Karolinska Sleep Diary (k = 1, 7%) [32], a 10-point sleep quality log (k = 1, 7%) [34], a diary of sleep patterns (k = 1, 7%) [19], a 25-item overtraining questionnaire (k = 1, 7%) [18], and a subjective complaints form (k = 1, 7%) [25]. [35] implemented crossover designs. ...
... Regarding the RCTs within this review [31][32][33], none of them provided information regarding the randomisation of the allocation sequence or concealment of this process. Confounding bias was also a problem in the non-RCTs as none of the studies used an appropriate design or analysis method to account for time-varying confounders [18][19][20][21][22][23][24][25][34][35][36]. Therefore, without a control group, whether changes are intervention-or time-related cannot be discerned. ...
Article
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Background Overreaching is often linked to a deterioration in sleep quality, yet a comprehensive review is lacking. The aim of this systemic review and meta-analysis was to synthesise the literature and quantify the effect of overreaching from endurance-based training on sleep quality. Method The review was conducted following the PRISMA guidelines. The final search was conducted in May 2023 using four electronic databases (Web of Science Core Collection, MEDLINE, Cochrane Central Database, SPORTDiscus). Studies were included for a qualitative review, while random-effects meta-analyses were conducted for objective and subjective sleep. Results and discussion The search returned 805 articles. Fourteen studies were included in the systematic review; Three and eight articles were eligible for the meta-analyses (objective and subjective, respectively). On average, the overreaching protocols were sixteen days in length (6 to 28 days) and included exercise modalities such as cycling (number of studies [k] = 5), rowing (k = 4), triathlon (k = 3), running (k = 2), and swimming (k = 1). Actigraphy was the only form of objective sleep measurement used across all studies (k = 3), while various instruments were used to capture subjective sleep quality (k = 13). When comparing objective sleep quality following the overreaching intervention to baseline (or a control), there was a significant reduction in sleep efficiency (mean difference = -2.0%; 95% CI -3.2, -0.8%; Glass’ Δ = -0.83; p < 0.01). In contrast, when comparing subjective sleep quality following the overreaching intervention to baseline (or a control), there was no effect on subjective sleep quality (Glass’ Δ = -0.27; 95% CI -0.79, 0.25; p = 0.08). Importantly, none of the included studies were judged to have a low risk of bias. While acknowledging the need for more high-quality studies, it appears that overreaching from endurance-based training can deteriorate objective sleep without influencing the perception of sleep quality. Protocol registration This protocol was registered in The International Prospective Register of Systematic Reviews (PROSPERO) on 21st November 2022, with the registration number CRD42022373204.
... In addition to the potentially different hypertrophy capacity of type I and type II fibres, it is known that type II fibres are less fatigue-resistant compared to type I fibres (Burke & Edgerton, 1975;Li et al., 2002;Szentesi et al., 2001). Also, FT individuals are found to fatigue more, to need longer recovery time and to be more prone to over-reaching compared to ST individuals (Bellinger et al., 2020;Lievens et al., 2020). The American College of Sports Medicine guidelines recommend a training frequency of two or three times per week for resistance training novices (Ratamess et al., 2009). ...
... Based on the fibre and muscle typology characteristics, an additional weekly training (3×/week), which is accompanied by a higher weekly training volume and less recovery time, might be beneficial for ST individuals but less for FT individuals. More specifically, it could be hypothesized that if training volume is too high and training sessions succeed too quickly, FT individuals might build up fatigue over the training sessions which may impair their performance in the next training sessions and subsequently decrease their muscular adaptations (Bellinger et al., 2020). Therefore, further research is needed to better define the optimal training frequency and to optimize muscle hypertrophy and strength adaptations in individuals with divergent muscle typologies. ...
... The physical and mental well-being of the participants was examined before the start of every training session of the chronic study via a visual analogue scale (1-10), with value 1 representing the most negative outcome. The questionnaire consisted of scales for muscle soreness in general or per limb, fatigue in general or per limb, readiness to train, sleep quality, physical well-being and mood (Bellinger et al., 2020). ...
Article
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Considerable inter‐individual heterogeneity exists in the muscular adaptations to resistance training. It has been proposed that fast‐twitch fibres are more sensitive to hypertrophic stimuli and thus that variation in muscle fibre type composition is a contributing factor to the magnitude of training response. This study investigated if the inter‐individual variability in resistance training adaptations is determined by muscle typology and if the most appropriate weekly training frequency depends on muscle typology. In strength‐training novices, 11 slow (ST) and 10 fast typology (FT) individuals were selected by measuring muscle carnosine with proton magnetic resonance spectroscopy. Participants trained both upper arm and leg muscles to failure at 60% of one‐repetition maximum (1RM) for 10 weeks, whereby one arm and leg trained 3×/week and the contralateral arm and leg 2×/week. Muscle volume (MRI‐based 3D segmentation), maximal dynamic strength (1RM) and fibre type‐specific cross‐sectional area (vastus lateralis biopsies) were evaluated. The training response for total muscle volume (+3 to +14%), fibre size (−19 to +22%) and strength (+17 to +47%) showed considerable inter‐individual variability, but these could not be attributed to differences in muscle typology. However, ST individuals performed a significantly higher training volume to gain these similar adaptations than FT individuals. The limb that trained 3×/week had generally more pronounced hypertrophy than the limb that trained 2×/week, and there was no interaction with muscle typology. In conclusion, muscle typology cannot explain the high variability in resistance training adaptations when training is performed to failure at 60% of 1RM. image Key points This study investigated the influence of muscle typology (muscle fibre type composition) on the variability in resistance training adaptations and on its role in the individualization of resistance training frequency. We demonstrate that an individual's muscle typology cannot explain the inter‐individual variability in resistance training‐induced increases in muscle volume, maximal dynamic strength and fibre cross‐sectional area when repetitions are performed to failure. Importantly, slow typology individuals performed a significantly higher training volume to obtain similar adaptations compared to fast typology individuals. Muscle typology does not determine the most appropriate resistance training frequency. However, regardless of muscle typology, an additional weekly training (3×/week vs. 2×/week) increases muscle hypertrophy but not maximal dynamic strength. These findings expand on our understanding of the underlying mechanisms for the large inter‐individual variability in resistance training adaptations.
... Figure 1 shows the studies identified and selected by the search strategy, resulting in 56 studies being included in this review [11,14,. Six studies included two separate groups of athletes who fell into separate study groups [11,14,70,78,92,99] and the results of two studies were compiled into one after confirmation from authors that these studies involved the same athletes undergoing the same training block [67,68]. Figure 2 highlights the participant and training characteristics of the resulting four study groups. ...
... Fourteen studies included athletes who demonstrated underperformance at the end of the training block, with an even split between athlete groups that did [11,14,78,80,93,94,99] or did not show ≥ 2 markers of LEA [49,66,70,82,90,92,100] (see Fig. 2). There were no differences in athlete group by age (p = 0.7) or training block duration (p = 0.3) but underperforming athletes without markers of LEA had a higher VO 2 max than underperforming athletes with ≥ 2 markers of LEA (p = 0.01). ...
... Finally, changes in exercise performance are always subject to technical error, motivation, and day-to-day variability. Of the 14 studies that showed decreased performance following the training block, five provided evidence that diet was standardized prior to the exercise performance test [11,70,78,82,90] and nine did not [14,49,66,80,90,93,94,99,100]. As such, there is always a possibility that reductions in exercise performance were due to differences in substrate availability or other confounding factors (i.e. ...
Article
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Background: Overreaching is the transient reduction in performance that occurs following training overload and is driven by an imbalance between stress and recovery. Low energy availability (LEA) may drive underperformance by compounding training stress; however, this has yet to be investigated systematically. Objective: The aim of this study was to quantify changes in markers of LEA in athletes who demonstrated underperformance, and exercise performance in athletes with markers of LEA. Methods: Studies using a ≥ 2-week training block with maintained or increased training loads that measured exercise performance and markers of LEA were identified using a systematic search following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Changes from pre- to post-training were analyzed for (1) markers of LEA in underperforming athletes and (2) performance in athletes with ≥ 2 markers of LEA. Results: From 56 identified studies, 14 separate groups of athletes demonstrated underperformance, with 50% also displaying ≥ 2 markers of LEA post-training. Eleven groups demonstrated ≥ 2 markers of LEA independent of underperformance and 37 had no performance reduction or ≥ 2 markers of LEA. In underperforming athletes, fat mass (d = - 0.29, 95% confidence interval [CI] - 0.54 to - 0.04; p = 0.02), resting metabolic rate (d = - 0.63, 95% CI - 1.22 to - 0.05; p = 0.03), and leptin (d = - 0.72, 95% CI - 1.08 to - 0.35; p < 0.0001) were decreased, whereas body mass (d = - 0.04, 95% CI - 0.21 to 0.14; p = 0.70), cortisol (d = - 0.06, 95% CI - 0.35 to 0.23; p = 0.68), insulin (d = - 0.12, 95% CI - 0.43 to 0.19; p = 0.46), and testosterone (d = - 0.31, 95% CI - 0.69 to 0.08; p = 0.12) were unaltered. In athletes with ≥ 2 LEA markers, performance was unaffected (d = 0.09, 95% CI - 0.30 to 0.49; p = 0.6), and the high heterogeneity in performance outcomes (I2 = 84.86%) could not be explained by the performance tests used or the length of the training block. Conclusion: Underperforming athletes may present with markers of LEA, but overreaching is also observed in the absence of LEA. The lack of a specific effect and high variability of outcomes with LEA on performance suggests that LEA is not obligatory for underperformance.
... In elite runners and cyclists, high carnosine levels (estimated fast typology) have been related to sprint disciplines and low carnosine levels (estimated slow typology) to endurance disciplines, demonstrating its relevance for talent identification Lievens et al., 2021). Moreover, in two recent papers it has been shown that carnosine levels are predictive for acute fatigue and recovery responses after a high-intensity cycling exercise and for overreaching after an overload training period in running (Bellinger et al., 2020). Collectively, these valuable applications highlight the need for an accurate, reliable and well-validated method to measure human muscle carnosine concentration in vivo, and 1 H-MRS techniques offer a prime non-invasive approach. ...
... Providing spectra are analyzed correctly, most muscles can be scanned reliably, which is demonstrated by the relatively low coefficient of variation (<10%) in carnosine concentration estimated from the C2 peak during test-retest in the triceps surae, deltoideus and triceps brachii (3.5-4.3% in the soleus; 4.3 to 7.6% in the gastrocnemius; 6.6% in the deltoideus and 9.2% in the triceps brachii) (Bellinger et al., 2020;Bex et al., 2014;. Mean ± SD. ...
... However, using tissue water as an internal reference standard for carnosine quantification relies on certain assumptions: (Bellinger et al., 2020; and establish that interindividual variability is no larger than methodological variation. In order to assess the stability of the water content, a test-retest study was performed in these individuals over a period of 78 ± 25 days. ...
Thesis
The human skeletal muscle consists of two major cell types, slow-twitch fibers (also called type I fibers) and fast-twitch fibers (or type II fibers). These fibers have distinct characteristics, as fast-twitch fibers are able to generate a large amount of power at high shortening velocities, while slow-twitch fibers have a better energy efficiency, a higher resistance to fatigue and a more robust structural integrity. On average, most humans will dispose of a 50% slow-twitch and a 50% fast-twitch distribution. However a big heterogeneity exists, what results in people with predominantly slow or fast muscle fibers. The typology of a person is mostly genetically determined and is present across most muscles of the body. Taken together, the fact that muscle fibers have distinct characteristics and that muscle typologies range over the whole continuum from predominantly slow to fast in human, will have important implications for sports performance. Nevertheless, these typologies are currently not used in the daily coaching practice. This is probably due to the invasiveness of the current ‘gold’ standard to measure the muscle typology: a muscle biopsy, which is a labor intensive method and harbors a low generalizability. In 2011, our group introduced a non-invasive way to estimate the muscle fiber type composition through the measurement of carnosine – a metabolite which is abundantly available in fast-twitch fibers – using proton magnetic resonance spectroscopy (1H-MRS). The non-invasiveness of this technique enables the use in both the sports practice and science, and renews the interest of the muscle typology in sports. In the first study, the 1H-MRS method to determine the muscle typology was further optimized with the ultimate goal to make it applicable on various scanner systems of multiple vendors. 1H-MRS was found to be a reliable method to quantify carnosine in the muscle. Furthermore, best practices were proposed to prevent often encountered methodological problems and step by step guidelines were developed to allow broader utilization of this technique. Secondly, we investigated if pre-puberty carnosine measurements could give insights in the post-puberty carnosine concentrations, which would allow application of this technique in early specialization sports (study 2). Carnosine was shown to be a trackable metabolite through the disruptive puberty period (R2=0.249-0.670), which confirms the potential of the current technique to scan both future talents and elite athletes. Next to the methodological optimization, the relevance of the muscle typology for talent identification was examined. Before the start of the thesis, the construct validity of our method was already confirmed in athletics, in which clear differences were determined in the muscle typology of either sprint or endurance disciplines. Despite the fact that a comparable distribution of the muscle typologies could be expected in other cyclic sports such as cycling and swimming, this was not yet investigated in elite athletes. Therefore, study 3 established the muscle typologies of 80 world-class cyclists. Clear differences were found in the muscle typology between cycling events. Keirin, bicycle motocross racing (BMX), sprint and 500 m to 1 km time trial cyclists can be considered as fast typology athletes. Time trial, points race, scratch, and omnium consist of intermediate typology athletes, while most individual pursuit, single-stage, cyclo-cross, mountain bike, and multistage cyclists have a slow typology. Nevertheless, this distribution was not present in 73 elite swimmers (study 4), as no clear differences in the muscle typology were detected between short and long distance swimming events in the different strokes. However, there was some evidence to suggest that truly world-class sprint swimmers had a faster muscle fiber type composition when compared to elite swimmers competing at the international level. Moreover, breaststroke swimmers were identified to have a faster muscle typology in comparison to the either freestyle, backstroke or butterfly swimmers. Elite soccer players (n=118) were found to have an on average intermediate typology, which matches with the intermittent nature of this sport (study 6). In contrary to our hypothesis, no differences in the muscle typology were detected between different positions (keeper, defender, midfielder and striker). A big heterogeneity was established over all positions, indicating that the muscle typology is not of major importance for talent identification in soccer. To determine the influence of the muscle typology on individualized training and recovery cycles, we investigated if fatigue and recovery were different when both slow and fast typology subjects were exposed to the same high-intensity training (study 5). Fatigue during three Wingate tests, determined by the power drop, was 20% higher in fast typology athletes. Even though the same work was done during these Wingate tests, also the recovery from these Wingate tests was found to be 15 times slower in fast typology athletes (20 min in slow typology vs. longer than 5 h in fast typology). If a training plan would be composed with a minimum of recovery in between the training sessions, recovery might be insufficient for fast typology athletes, possibly rendering them with a higher risk for muscle strains. In study 6, we studied if the muscle typology is a risk factor for muscle strains in elite soccer players. We discovered that fast typology soccer players had a 5.3 times higher chance to get a hamstring injury, when compared to slow typology soccer players during a prospective longitudinal follow-up study over three seasons. Next to a higher accumulation of fatigue, a higher vulnerability in fast typology players could be expected due to the lower structural integrity in fast fibers. Bringing together, the muscle typology is an important characteristic, which could be non-invasively monitored using 1H-MRS. This technique could help athletes to make a scientific based decision on their ideal discipline during talent orientation. Moreover, it could help coaches tailoring training to enlarge the athletes’ muscle potential and to prevent fatigue accumulation. This endeavor might partly prevent fast typology athletes to be at a higher risk for strain injuries. Consequently, we believe that measuring the muscle fiber typology of athletes should be considered as a valuable procedure to help athletes to fully develop their potential based on the smart use of muscle profiling.
... Recently, Lievens et al. [73] used a non-invasive muscle scanner (as a proxy of muscle fiber type [69]) to show that speed-dominant recreational athletes had a greater drop in knee extension peak power and took longer to return to peak power from baseline (up to 5 h post-fatiguing Wingate exercises) compared with the endurance-dominant athletes whose knee extension power returned to baseline after 20 min. In a longer-term overreaching study using the same non-invasive technique, Bellinger et al. [74] found that endurance-dominant athletes were able to better cope with higher training volumes, achieving superior performance adaptations compared with speed-dominant athletes who displayed delayed recovery and were at higher risk of overreaching. Together, these studies reveal differences in both short-and long-term training effects on athletes across locomotor profiles. ...
... What we suggest is that the locomotor profile may help to better guide a coach in choosing an appropriate training model for their athlete. As shown in Fig. 4, endurance profiles (Table 2) may be best suited to continuous, higher volume-based programs (including long HIIT), with greater tolerance to overload training (e.g., capacity for double day sessions) with a sprinkle of intensity [21,22,74]. Conversely, giving a speed athlete profile such a program leads to risk of maladaptation or overreaching [74]. ...
... As shown in Fig. 4, endurance profiles (Table 2) may be best suited to continuous, higher volume-based programs (including long HIIT), with greater tolerance to overload training (e.g., capacity for double day sessions) with a sprinkle of intensity [21,22,74]. Conversely, giving a speed athlete profile such a program leads to risk of maladaptation or overreaching [74]. ...
Article
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Many individual and team sport events require extended periods of exercise above the speed or power associated with maximal oxygen uptake (i.e., maximal aerobic speed/power, MAS/MAP). In the absence of valid and reliable measures of anaerobic metabolism, the anaerobic speed/power reserve (ASR/APR) concept, defined as the difference between an athlete’s MAS/MAP and their maximal sprinting speed (MSS)/peak power (MPP), advances our understanding of athlete tolerance to high speed/power efforts in this range. When exercising at speeds above MAS/MAP, what likely matters most, irrespective of athlete profile or locomotor mode, is the proportion of the ASR/APR used, rather than the more commonly used reference to percent MAS/MAP. The locomotor construct of ASR/APR offers numerous underexplored opportunities. In particular, how differences in underlying athlete profiles (e.g., fiber typology) impact the training response for different ‘speed’, ‘endurance’ or ‘hybrid’ profiles is now emerging. Such an individualized approach to athlete training may be necessary to avoid ‘maladaptive’ or ‘non-responses’. As a starting point for coaches and practitioners, we recommend upfront locomotor profiling to guide training content at both the macro (understanding athlete profile variability and training model selection, e.g., annual periodization) and micro levels (weekly daily planning of individual workouts, e.g., short vs long intervals vs repeated sprint training and recovery time between workouts). More specifically, we argue that high-intensity interval training formats should be tailored to the locomotor profile accordingly. New focus and appreciation for the ASR/APR is required to individualize training appropriately so as to maximize athlete preparation for elite competition.
... Two papers reported actual EA data [19,22], while another four studies [78][79][80][81] reported EEE (along with EI and FFM; thus EA could be directly calculated) and two papers reported total daily EE [82,83]. In four studies [84][85][86][87], we were able to estimate EEE using a metabolic equivalent of task (MET) approach [88] or for running data, utilizing the conversion factor 1 kcal/kg BM/km of running [89]. In addition to the two studies reporting EA data [19,22], there were enough data to enable EA and/or CHO availability estimations in 9 of 21 studies [20, 78-81, 83-85, 87], but not in the remainder [21,82,[90][91][92][93][94][95][96][97], so we examined the relative (increase/decrease/ no change) differences and overall associated direction in EA and/or CHO availability. ...
... It is important to note that not all situations of training increases/overload result in decreased EA or CHO availability accompanied by RED-S related symptoms. Accordingly, three training-overload/OTS studies reporting impaired performance outcomes [82,87,107] and symptoms of OTS/REDS [82,107] failed to support our hypothesis that increased EEE results in LEA and associated RED-S symptoms. Lehmann et al. [107] had 17 middle-and long-distance runners complete a 3-week overload protocol characterized by either increased training volume (ITV) or increased training intensity (ITI). ...
... Both these studies failed to demonstrate clear differences in symptom outcomes between the study groups. Finally, a recent investigation has shown evidence for the role of muscle fiber typology (type I vs II fibers) in the development of FOR, without any indications of LEA [87]. In this 3-week investigation, the researchers showed that athletes with a higher gastrocnemius carnosine z-score (suggesting a higher proportion of type II fibers) were more likely to develop symptoms of FOR which were unrelated to indices of EA such as RMR, changes in body mass or composition, or blood hormone concentrations. ...
Article
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The symptom similarities between training-overload (with or without an Overtraining Syndrome (OTS) diagnosis) and Relative Energy Deficiency in Sport (RED-S) are significant, with both initiating from a hypothalamic–pituitary origin, that can be influenced by low carbohydrate (CHO) and energy availability (EA). In this narrative review we wish to showcase that many of the negative outcomes of training-overload (with, or without an OTS diagnosis) may be primarily due to misdiagnosed under-fueling, or RED-S, via low EA and/or low CHO availability. Accordingly, we undertook an analysis of training-overload/OTS type studies that have also collected and analyzed for energy intake (EI), CHO, exercise energy expenditure (EEE) and/or EA. Eighteen of the 21 studies (86%) that met our criteria showed indications of an EA decrease or difference between two cohorts within a given study (n = 14 studies) or CHO availability decrease (n = 4 studies) during the training-overload/OTS period, resulting in both training-overload/OTS and RED-S symptom outcomes compared to control conditions. Furthermore, we demonstrate significantly similar symptom overlaps across much of the OTS (n = 57 studies) and RED-S/Female Athlete Triad (n = 88 studies) literature. It is important to note that the prevention of under-recovery is multi-factorial, but many aspects are based around EA and CHO availability. Herein we have demonstrated that OTS and RED-S have many shared pathways, symptoms, and diagnostic complexities. Substantial attention is required to increase the knowledge and awareness of RED-S, and to enhance the diagnostic accuracy of both OTS and RED-S, to allow clinicians to more accurately exclude LEA/RED-S from OTS diagnoses.
... In elite runners and cyclists, high carnosine levels (estimated fast typology) have been related to sprint disciplines and low carnosine levels (estimated slow typology) to endurance disciplines, demonstrating its relevance for talent identification (21)(22)(23). Moreover, in two recent papers it has been shown that carnosine levels are predictive for acute fatigue and recovery responses after a high-intensity cycling exercise (24) and for overreaching after an overload training period in running (25). Collectively, these valuable applications highlight the need for an accurate, reliable, and well-validated method to measure human muscle carnosine concentration in vivo, and 1 H-MRS techniques offer a prime noninvasive approach. ...
... We consider the C2 carnosine peak a better biomarker for the absolute quantification of carnosine content in muscle, because of both the longer T 2 relaxation time (which reduces signal loss during spectral acquisition) and the fact that it exhibits less residual dipolar coupling than the C4 peak (32). Providing spectra are analyzed correctly, most muscles can be scanned reliably, which is demonstrated by the relatively low coefficient of variation (<10%) in carnosine concentration estimated from the C2 peak during test-retest in the triceps surae, deltoideus, and triceps brachii (3.5-4.3% in the soleus, 4.3-7.6% in the gastrocnemius, 6.6% in the deltoideus, and 9.2% in the triceps brachii) (12,25,34). ...
... Unpublished data, investigating the variation in water content of 20 healthy individuals by 1 H-MRS in both the soleus and gastrocnemius, demonstrated a between-subject coefficient of variation of 6.22% and 12.1%, respectively. Both of these values are consistent with the methodological variability estimated for carnosine (25,34) and establish that interindividual variability is no larger than methodological variation. To assess the stability of the water content, a testretest study was performed in these individuals over a period of 78 ± 25 days. ...
Article
Non-invasive techniques to quantify metabolites in skeletal muscle provide unique insight into human physiology and enable the translation of research into practice. Proton magnetic resonance spectroscopy ( ¹ H-MRS) permits the assessment of several abundant muscle metabolites in vivo, including carnosine, a dipeptide composed of the amino acids histidine and beta-alanine. Muscle carnosine loading - accomplished by chronic oral beta-alanine supplementation - improves muscle function, exercise capacity and has pathophysiological relevance in multiple diseases. Moreover, the marked difference in carnosine content between fast-twitch and slow-twitch muscle fibers has rendered carnosine an attractive candidate to estimate human muscle fiber type composition. However, the quantification of carnosine using ¹ H-MRS requires technical expertise in order to obtain accurate and reproducible data. In this review, we describe the technical and physiological factors that impact the detection, analysis and quantification of carnosine in muscle using ¹ H-MRS. We discuss potential sources of error during the acquisition and pre-processing of the ¹ H-MRS spectra, and present best practices to enable the accurate, reliable and reproducible application of this technique.
... Using the latter technique, new links between the MFTC and race tactical decisions, recovery optimization, and muscle injuries were discovered, emphasizing its importance in sports performance. [20][21][22][23][24][25] Nevertheless, it is unclear whether coaches and sport science/ sport medicine (SSSM) staff see merit in knowing MFTC of their athletes. Moreover, little is currently known about how experts try to measure/estimate MFTC of their athletes. ...
... It has been shown that athletes with a slower MFTC handle a higher training volume better than subjects with a faster MFTC. 23 Moreover, according to the Henneman's size principle, intensity is important to recruit fast-twitch fibers, which is essential for these fibers to adapt. 37 Therefore, individuals with a different MFTC might require individualized training, in which individuals with a fast MFTC need more short efforts at critical speed and repeated sprint, while individuals with a slow MFTC are in need of longer slow continuous efforts, as well as some longer efforts at critical speed. ...
Article
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Purpose : To gather information on practices and perceptions of high-performance experts regarding their athletes’ muscle fiber-type composition (MFTC) and its estimation. Methods : A questionnaire on the noninvasive versus invasive estimation of MFTC was completed by 446 experts including coaches and sport-science/sports-medicine staff. Moreover, the perceived importance of MFTC for training and performance optimization was assessed. Differences between sport types (individual and team sports) were analyzed using chi-square tests. Results : Forty percent of the experts implemented MFTC assessment in pursuit of performance optimization, while 50% did not know their athletes’ MFTC but expressed a desire to implement it if they would be able to assess MFTC. Ten percent did not perceive value in MFTC assessment. Only 18% of experts believed that their athletes would undergo a muscle biopsy, leading to the adoption of alternative noninvasive techniques. Experts primarily relied on their experience to estimate MFTC (65%), with experts working in individual sports using their experience more frequently than those working in team sports (68% vs 51%; P = .009). Jump tests emerged as the second-most commonly employed method for estimating MFTC (56%). When only considering experts who are currently using MFTC, 87% use MFTC to individualize training volume and 84% to individualize training intensity. Conclusions : Experts value MFTC assessment primarily to individualize training but mainly rely on noninvasive methods to estimate MFTC. Some of these methods lack scientific validity, suggesting a continuing need for education and further research in this area.
... This methodology has now been used by the present research group to determine the MFT of numerous athletes across multiple sports. 18,19 Therefore, the purpose of this study was to examine the association between MFT and running performance of professional AF athletes during match play. It was hypothesized that: (1) there would be a large between-athlete variation in MFT and (2) AF athletes with a greater proportion of type II fibers would achieve higher peak running speeds and longer sprinting distances despite displaying a greater decrease in running intensity as duration increases. ...
... Muscle carnosine content was measured by 1 H-MRS in the gastrocnemius medialis and soleus muscle of each athletes' right limb to estimate MFT. 17 1 H-MRS measurements were performed on a 3-T whole-body Q4 MRI scanner (Philips Medical Systems) as previously described. 18 The carnosine concentration of each muscle was converted to an aggregate z score (ie, CAZ-score) relative to an agematched control population of active, healthy nonathletes, consisting of 40 men. ...
Article
Purpose: To examine the association between muscle fiber typology and match running performance in professional Australian football (AF) athletes. Methods: An observational time-motion analysis was performed on 23 professional AF athletes during 224 games throughout the 2020 competitive season. Athletes were categorized by position as hybrid, small, or tall. Athlete running performance was measured using Global Navigation Satellite System devices. Mean total match running performance and maximal mean intensity values were calculated for moving mean durations between 1 and 10 minutes for speed (in meters per minute), high-speed-running distance (HSR, >4.17 m·s-1), and acceleration (in meters per second squared), while intercept and slopes were calculated using power law. Carnosine content was quantified by proton magnetic resonance spectroscopy in the gastrocnemius and soleus and expressed as a carnosine aggregate z score (CAZ score) to estimate muscle fiber typology. Mixed linear models were used to determine the association between CAZ score and running performance. Results: The mean (range) CAZ score was -0.60 (-1.89 to 1.25), indicating that most athletes possessed a greater estimated proportion of type I muscle fibers. A greater estimated proportion of type I fibers (ie, lower CAZ score) was associated with a larger accumulation of HSR (>4.17 m·s-1) and an increased ability to maintain HSR as the peak period duration increased. Conclusion: AF athletes with a greater estimated proportion of type I muscle fibers were associated with a greater capacity to accumulate distance running at high speeds, as well as a greater capacity to maintain higher output of HSR running during peak periods as duration increases.
... All trials were conducted on separate days across a 5-wk period. Carnosine content was quantified by proton magnetic resonance spectroscopy in the gastrocnemius medialis muscle and soleus and was expressed as a carnosine aggregate Z (CAZ) score to estimate muscle typology (13)(14)(15). ...
... Carnosine quantification via 1 H-MRS. Muscle carnosine content was measured by 1 H-MRS in the gastrocnemius medialis and soleus muscle of each participant's right limb to estimate muscle typology (15). 1 H-MRS measurements were performed on a 3-T whole body MRI scanner (Philips Medical Systems Best, The Netherlands) as previously described (13,14). The carnosine concentration of each muscle was converted to a gender-specific Z score relative to an age-matched control population of active, healthy nonathletes, consisting of 40 men (i.e., control-men Z score). ...
Article
Purpose: We aimed to identify the underpinning physiological and speed/mechanical determinants of different types of 800-m running time trials (i.e., with a positive or negative pacing strategy) and key components within each 800-m time trial (i.e., first and final 200-m). Methods: Twenty trained male 800-m runners (800-m personal best time (min:s): 1:55.10 ± 0:04.44) completed a maximal 800-m time trial (800MAX) and one pacing trial, whereby runners were paced for the first lap and speed was reduced by 7.5% (800PACE) relative to 800MAX, while the last lap was completed in the fastest time possible. Anaerobic speed reserve, running economy, the velocity corresponding with VO2peak (VVO2peak), maximal sprint speed (MAXSS), maximal accumulated oxygen deficit and sprint force-velocity-power profiles were derived from laboratory and field testing. Carnosine content was quantified by proton magnetic resonance spectroscopy in the gastrocnemius and soleus and expressed as a carnosine aggregate Z-score (CAZ-score) to estimate muscle typology. Data were analysed using multiple stepwise regression analysis. Results: MAXSS and vVO2peak largely explained the variation in 800MAX time (r2 = 0.570; P = 0.020), while MAXSS was the best explanatory variable for the first 200-m time in 800MAX (adjusted r2 = 0.661, P < 0.001). Runners with a higher CAZ-score (i.e., higher estimated percentage of type II fibres) reduced their last lap time to a greater extent in 800PACE relative to 800MAX (adjusted r2 = 0.413, P < 0.001), while better maintenance of mechanical effectiveness during sprinting, a higher CAZ-score and vVO2peak was associated with a faster final 200-m time during 800PACE (adjusted r2 = 0.761, P = 0.001). Conclusion: These findings highlight that diversity in the physiological and speed/mechanical characteristics of male middle-distance runners may be associated with their suitability for different 800-m racing strategies in order to have the best chance of winning.
... This observation contrasts previous work that has shown myofibrillar Ca 2+ sensitivity is increased in both type I (slow) and II (fast) single muscle fibres after high-intensity exercise (Gejl et al. 2016), and reduced only in type II fibres after 4 h of cycling (Hvid et al. 2013). In addition, our single fibre data partly disagrees with a recent study that demonstrated that those with a whole-muscle fast phenotype (measured indirectly based on MRI-derived carnosine content) were more susceptible to impaired running performance after a period of high-volume training (Bellinger et al. 2020). The above discrepancies could be due to methodological differences in fibre population identification (e.g., fibre phenotype vs. MHC isoform) or phenotype classification (i.e., single muscle fibres vs. MRI-derived carnosine content in whole-muscle), but it is also possible that our intensified training program was effective in systematically stressing muscle fibres regardless of their phenotype. ...
Article
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Intense exercise training with insufficient recovery time is associated with reductions in neuromuscular performance. However, it is unclear how single muscle fibre mechanical function and myofibrillar Ca²⁺ sensitivity contribute to these impairments. We investigated the effects of overload training on joint-level neuromuscular performance and cellular-level mechanical function. Fourteen athletes (4 female and 10 male) underwent a 3-week intensified training protocol consisting of up to 150% of their regular training hours with three additional high-intensity training sessions per week. Neuromuscular performance of the knee extensors was assessed via maximal voluntary contraction (MVC) force, electrically evoked twitch contractions, and a force-frequency relationship. Muscle biopsies were taken from the vastus lateralis to assess single fibre mechanical function. Neither MVC force nor twitch parameters were altered following training (all p > 0.05), but a rightward shift in the force–frequency curve was observed with average reduction in force of 6%–27% across frequencies 5–20 Hz (all p < 0.05). In single fibres, maximal force output was not reduced following training, but there was a rightward shift in the force–pCa curve driven by a 6% reduction in Ca²⁺ sensitivity (p < 0.05). These data indicate intensified training leads to impaired Ca²⁺ sensitivity at the single fibre level, which in part explains impaired neuromuscular function at the joint level during lower frequencies of activation. This is an important consideration for athletes, as performance is often assessed at maximal levels of activation, and these underlying impairments in force generation may be less obvious.
... These findings somewhat support the theory proposed by Sandford et al. (34) regarding appropriate training prescription for athletes with different locomotor profiles. Those with a low ASR (i.e., endurance dominant) likely possess a higher proportion of type I muscle fibres (and higher mitochondrial density) (40) and may respond more favorably to endurancebased sessions such as long intervals HIIT (3,24). Players with a higher ASR likely have a higher proportion of fast twitch muscle fibers (i.e., type IIA and IIX), predisposing these players to be more responsive/tolerant of sprint-based training (23,34,40) which potentially explains the moderate relationship between ASR and HR during RST. ...
Article
Aspin, GL, Graham, M, Franklin, J, Hicks, KM, and Taylor, JM. The relationship between the anaerobic speed reserve and acute responses to high-intensity interval training in female soccer players. J Strength Cond Res XX(X): 000–000, 2024—The anaerobic speed reserve (ASR) is a popular method of profiling soccer players, often used to individualize training prescription. This study explored the reliability of ASR profiling, and the relationship between the ASR and acute physiological responses to high-intensity interval training (HIIT). Acute physiological responses to different HIIT types were also compared. Thirteen subelite female soccer players aged 20.2 ± 4.6 years completed 6 exercise sessions. In sessions 1–2, players completed a 40-m sprint to assess maximal sprint speed (MSS) and 1600-m time-trial to estimate maximal aerobic speed (MAS), which were used to calculate ASR and assess test–retest reliability. In sessions 3–6, players completed 4 HIIT sessions (repeated-sprint training, sprint interval training, long intervals, and short intervals HIIT). Intensities for long and short intervals HIIT were individualized according to MAS. Ratings of perceived exertion (RPE), heart rate (HR), and postsession blood lactates were recorded throughout. Relationships between the ASR and acute responses to HIIT, and between HIIT session comparisons in outcome measures were assessed. Anaerobic speed reserve (coefficient of variation ± 95% confidence limits; 3.1 ± 1.5%), MAS (1.8 ± 1.3%), and MSS (0.8 ± 0.6%) indicated acceptable reliability. Moderate correlations between ASR and RPE ( r = 0.33), postsession blood lactate ( r = 0.34), and HR ( r = 0.37) were observed during long intervals HIIT. A strong correlation was observed between ASR and RPE during SIT ( r = 0.50). Sprint interval training elicited higher RPE's and postsession blood lactate's than other HIIT sessions. Anaerobic speed reserve has good reliability and may influence acute physiological responses to HIIT in female soccer players.
... 38 Other recent research reported that endurance runners with a greater estimated proportion of type I fibers were able to better tolerate a 3-week increase in training volume compared with those athletes with fewer type I fibers. 39 Given the notion that acute and chronic fatigue induced by training may lead to a higher risk of injury, it is reasonable to hypothesize that the prolonged recovery and persistent fatigue in those athletes with a higher proportion of type II fibers 29 may increase their risk of soft tissue injury. These findings highlight the need to individualize training and recovery cycles in team-sport athletes and knowledge of MFT may assist in guiding this individualization. ...
Article
Purpose: The aim of this systematic review was to (1) determine the muscle fiber-type composition (or muscle fiber typology [MFT]) of team-sport athletes and (2) examine associations between MFT and the physical characteristics and performance tasks in team-sport athletes. Methods: Searches were conducted across numerous databases-PubMed, SPORTDiscus, MEDLINE, and Google Scholar-using consistent search terms. Studies were included if they examined the MFT of team-sport athletes. Included studies underwent critical appraisal using the McMasters University critical appraisal tool for quantitative research. Results: A total of 10 studies were included in the present review, wherein the MFT of athletes was measured from 5 different team sports (soccer, rugby union, rugby league, handball, and volleyball). There was large variability in the MFT of team-sport athletes both within (up to 27.5%) and between sports (24.0% relative difference). Male football players with a higher proportion of type II fibers had faster 10- and 30-m sprint times, achieved a greater total distance sprinting (distance at >6.67 m·s-1), and a greater peak 1-minute sprint distance. Conclusions: MFT varies considerably between athletes both within and between different team sports. The results from some studies suggest that variation in MFT is associated with high-intensity running performance in a football match, as well as 10- and 30-m sprint times. Further experimental studies should focus on how determination of the MFT of team-sport athletes could be utilized to influence talent identification, team selection, and the individualization of training.
... interval length based on SRR. Their suggestion relies on findings that suggest speed-dominant athletes with fast-twitch muscle typology are at greater risk for overtraining (Bellinger et al., 2020). Unfortunately, to date there are no specific recommendations concerning the modulation of ASR and SRR based on training intervention studies. ...
Thesis
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Purpose: Aim of this thesis was the identification and critical review of traditional and novel physiological and performance parameters for different threshold concepts and 1-, 2-, 3-km time-trial (TT) running. Methods: Physiological tests and TTs were carried out in a group of sprinters (n = 6), middle- and long-distance (n = 16) and ultra-runners (n = 3). Relationship between TT performance and physiological (V̇O2max, RE, %V̇O2max, MFO, V̇Lamax, dLa100) as well as performance parameters (vV̇O2max, vMLSS, CV, Fatmax, D’, ASR, SRR) was assessed, Additionally, correlations between all investigated parameters and agreement between velocity at different threshold concepts (vOBLA, vMLSS and CV) was analyzed. Results: V̇O2max and CV presented the strongest positive relationship with 2- (r = 0.81, r = 0.84) and 3-km (r = 0.89, r = 0.98) TT performance among physiological and performance parameters respectively. V̇Lamax, La100, D’, ASR and SRR were positively correlated with sprint performance (r = 0.73, r = 0.54, r = 0.69, r = 0.56, r = 0.43) and negatively with 2- (r = -0.41, r = -0.46, r = -0.37, r = -0.71, r = -0.81) an 3-km (r = -0.50, r = -0.53, r = -0.62, r = -0.85, r = -0.91) TT performance and vMLSS r = -0.48, r = -0.51, r = -0.62, r = -0.79, r = -0.86). Correlations coefficients for 1-km TT were lower compared to 2- and 3-km. Strong agreement was found between threshold concepts (vMLSS – vOBLA: R2 = 0.94; vMLSS – CV: R2 = 0.83) and mean differences amounted to -0.08 and -0.49 m·s-1. Conclusion: Parameters linked to aerobic metabolism displayed the strongest relationship with TTs. While anaerobic variables correlated positively with sprint performance the relationships became increasingly negative with increasing distance of TT. It can be hypothesized that influence of anaerobic metabolism is in balance for maximal running efforts around three minutes. Efforts slower than this balance point might tend to benefit from anaerobic metabolism while longer efforts might be affected in a detrimental way. Prediction of TT and threshold velocity was more accurate through performance than physiological parameters. Based on these findings, novel parameters can complement traditional test variables in running. Deliberate and differential selection of test parameters is advised for performance prediction or physiological training prescription in running and depending on race distance.
... Some individuals will present meaningful improvements in performance, whereas others will present an adverse response [40,41]. Such variation is largely controlled by genetic and epigenetic factors [42][43][44][45] and modulated by genotype [46,47], muscle fibre typology [48,49], age, and biological maturation [50]. Additional factors such as the level of competition/training status [51] and the individual's "stress capacity" [52,53] will also affect performance outcomes. ...
Article
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Short-term periods of increased resistance exercise training are often used by athletes to enhance performance, and can induce functional overreaching (FOR), resulting in improved physical capabilities. Non-functional overreaching (NFOR) or overtraining syndrome (OTS), occur when training demand is applied for prolonged periods without sufficient recovery. Overtraining (OT) describes the imbalance between training demand and recovery, resulting in diminished performance. While research into the effects of resistance exercise OT has gathered attention from sports scientists in recent years, the current research landscape is heterogeneous, disparate, and underrepresented in the literature. To date, no studies have determined a reliable physiological or psychological marker to assist in the early detection of NFOR or OTS following periods of resistance exercise OT. The purpose of this work is to highlight the conceptual and methodological limitations within some of the current literature, and to propose directions for future research to enhance current understanding.
... For example, a reduced proportion of oxidative slow-twitch type I fibers is associated with lower insulin sensitivity in the diabetic muscle [31][32][33][34] and muscle atrophy, e.g., agerelated sarcopenia is progressing in a fiber type-specific manner [35]. Recently, it has also been shown that skeletal muscle response and recovery from exercise training is dependent on fiber type composition and is thus an important factor to consider in the development of individualized training advice [36][37][38]. However, many of the abovementioned associations with fiber type distribution are based on low-powered studies. ...
Article
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Background Skeletal muscle fiber type distribution has implications for human health, muscle function, and performance. This knowledge has been gathered using labor-intensive and costly methodology that limited these studies. Here, we present a method based on muscle tissue RNA sequencing data (totRNAseq) to estimate the distribution of skeletal muscle fiber types from frozen human samples, allowing for a larger number of individuals to be tested. Methods By using single-nuclei RNA sequencing (snRNAseq) data as a reference, cluster expression signatures were produced by averaging gene expression of cluster gene markers and then applying these to totRNAseq data and inferring muscle fiber nuclei type via linear matrix decomposition. This estimate was then compared with fiber type distribution measured by ATPase staining or myosin heavy chain protein isoform distribution of 62 muscle samples in two independent cohorts ( n = 39 and 22). Results The correlation between the sequencing-based method and the other two were r ATPas = 0.44 [0.13–0.67], [95% CI], and r myosin = 0.83 [0.61–0.93], with p = 5.70 × 10 –3 and 2.00 × 10 –6 , respectively. The deconvolution inference of fiber type composition was accurate even for very low totRNAseq sequencing depths, i.e., down to an average of ~ 10,000 paired-end reads. Conclusions This new method ( https://github.com/OlaHanssonLab/PredictFiberType ) consequently allows for measurement of fiber type distribution of a larger number of samples using totRNAseq in a cost and labor-efficient way. It is now feasible to study the association between fiber type distribution and e.g. health outcomes in large well-powered studies.
... 11 1 H-MRS measurements were performed on a 3-T whole-body MRI scanner (Philips Medical Systems Best) as previously described. 13,16 The carnosine concentration of each muscle was converted to a sex-specific Z score relative to an age-and sex-matched control population of active, healthy nonathletes, consisting of 40 men and 33 women. The mean of the carnosine Z-scores of the gastrocnemius and the soleus was then calculated (ie, carnosine aggregate Z score; CAZ-score), and this CAZ-score was used for all analyses. ...
Article
Purpose: To examine whether the muscle typology of elite and world-class swimmers could discriminate between their best distance event, swimming stroke style, or performance level. Methodology: The muscle carnosine content of 43 male (860 [76] FINA [Fédération Internationale de Natation] points) and 30 female (881 [63] FINA points) swimmers was measured in the soleus and gastrocnemius by proton magnetic resonance spectroscopy and expressed as a carnosine aggregate Z score (CAZ score) to estimate muscle typology. A higher CAZ score is associated with a higher estimated proportion of type II fibers. Swimmers were categorized by their best stroke, distance category (sprinters, 50-100 m; middle distance, 200-400 m; or long distance, 800 m-open water), and performance level (world-class, world top 10, or elite and world top 100 swimmers outside of the world top 10). Results: There was no significant difference in the CAZ score of sprint- (-0.08 [0.55]), middle- (-0.17 [0.70]), or long-distance swimmers (-0.30 [0.75], P = .693). World-class sprint swimmers (all strokes included) had a significantly higher CAZ score (0.37 [0.70]) when compared to elite sprint swimmers (-0.25 [0.61], P = .024, d = 0.94). Breaststroke swimmers (0.69 [0.73]) had a significantly higher CAZ score compared to freestyle (-0.24 [0.54], P < .001, d = 1.46), backstroke (-0.16 [0.47], P = .006, d = 1.42), and butterfly swimmers (-0.39 [0.53], P < .001, d = 1.70). Furthermore, within the cohort of breaststroke swimmers, there was a significant positive correlation between FINA points and CAZ score (r = .728, P = .011); however, this association was not evident in other strokes. Conclusion: While there was no clear association between muscle typology and event distance specialization, world-class sprint swimmers possess a greater estimated proportion of type II fibers compared to elite sprint swimmers, as well as breaststroke swimmers compared to freestyle, backstroke, and butterfly swimmers.
... Previous research has indicated that there is not only variability in the physiological response to different approaches to POR training (e.g., high-volume vs. high-intensity) (Fry and Kraemer, 1997;Bell et al., 2020;Grandou et al., 2020b), but that differences might also occur in a group of individual athletes undertaking the same training protocol. These differences are likely to be modulated by multiple factors including genotype (Clarkson et al., 2005), sex differences (Hunter, 2016) muscle fiber typology (Bellinger et al., 2020;Lievens et al., 2020), age, and biological maturation (Moran et al., 2017). Additional factors such as level of competition/status (elite vs. non-elite) (Kreher and Schwartz, 2012) and the athlete's "stress capacity" (i.e., the ability to tolerate the combined effects of training and non-training stressors) (Kenttä and Hassmén, 1998;Stults-Kolehmainen and Bartholomew, 2012) are also likely to play a role in the response to POR. ...
Article
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Functional overreaching (FOR) occurs when athletes experience improved athletic capabilities in the days and weeks following short-term periods of increased training demand. However, prolonged high training demand with insufficient recovery may also lead to non-functional overreaching (NFOR) or the overtraining syndrome (OTS). The aim of this research was to explore strength coaches' perceptions and experiences of planned overreaching (POR); short-term periods of increased training demand designed to improve athletic performance. Fourteen high-performance strength coaches (weightlifting; n = 5, powerlifting; n = 4, sprinting; n = 2, throws; n = 2, jumps; n = 1) participated in semistructured interviews. Reflexive thematic analysis identified 3 themes: creating enough challenge, training prescription, and questioning the risk to reward. POR was implemented for a 7 to 14 day training cycle and facilitated through increased daily/weekly training volume and/or training intensity. Participants implemented POR in the weeks (~5–8 weeks) preceding competition to allow sufficient time for performance restoration and improvement to occur. Short-term decreased performance capacity, both during and in the days to weeks following training, was an anticipated by-product of POR, and at times used as a benchmark to confirm that training demand was sufficiently challenging. Some participants chose not to implement POR due to a lack of knowledge, confidence, and/or perceived increased risk of athlete training maladaptation. Additionally, this research highlights the potential dichotomy between POR protocols used by strength coaches to enhance athletic performance and those used for the purpose of inducing training maladaptation for diagnostic identification.
... For example, a reduced proportion of oxidative slowtwitch Type I bers is associated with lower insulin sensitivity in diabetic muscle [29][30][31][32] and muscle atrophy, e.g., age-related sarcopenia is progressing in a ber type-speci c manner 33 . Recently, it has also been shown that skeletal muscle response and recovery from exercise training is dependent on ber type composition and is thus an important factor to consider in the development of individualized training advice [34][35][36] . ...
Preprint
Full-text available
BACKGROUND: Skeletal muscle fiber type distribution has implications for human health, muscle function and performance. This knowledge has been gathered using labor-intensive and costly methodology that limited these studies. Here we present a method based on muscle tissue RNA sequencing data (totRNAseq) to estimate the distribution of skeletal muscle fiber types from frozen human samples, allowing for a larger number of individuals to be tested. METHODS: By using single-nuclei RNA sequencing (snRNAseq) data as a reference, cluster expression signatures were produced by averaging gene expression of cluster gene markers and then applying these to totRNAseq data and inferring muscle fiber nuclei type via linear matrix decomposition. This estimate was then compared with fiber type distribution measured by ATPase staining or myosin heavy chain protein isoform distribution of 62 muscle samples in two independent cohorts (n = 39 and 22). RESULTS: The correlation between the sequencing-based method and the other two were rATPas = 0.65 [0.46 – 0.84], [95% CI] and rmyosin = 0.80 [0.71 – 0.89], with p = 7.96 x 10⁻⁶ and 8.06 x 10⁻⁶ respectively. The deconvolution inference of fiber type composition was accurate even for very low totRNAseq sequencing depths, i.e., down to an average of ~5.000 paired-end reads. CONCLUSIONS: This new method (https://github.com/OlaHanssonLab/PredictFiberType) consequently allows for measurement of fiber type distribution of a larger number of samples using totRNAseq in a cost and labor-efficient way. For the first time, it is now feasible to study the association between fiber type distribution and e.g. health outcomes in large well-powered studies.
... The training of each participant was monitored for a 10-week period (including the three weeks preceding NormTr), which has been described elsewhere [16,17]. NormTr consisted of coach-prescribed training. ...
Article
The aim of this study was to determine the influence of training volume alterations on diversity and composition of the gut microbiome in a free-living cohort of middle-distance runners. Fourteen highly-trained middle-distance runners (n=8 men; V˙O2peak = 70.1 ± 4.3 ml·kg·min⁻¹; n=6 women, V˙O2peak: 59.0 ± 3.2 ml·kg·min⁻¹) completed three weeks of normal training (NormTr), three weeks of high-volume training (HVolTr; a 10, 20 and 30% increase in training volume during each successive week from NormTr), and a one-week taper (TaperTr; 55% exponential reduction in training volume from HVolTr week three). Faecal samples were collected before and immediately after each training phase to quantify alpha-diversity and composition of the gut microbiome. A three-day diet record was collected during each training phase and a maximal incremental running test was completed after each training phase. Results showed no significant changes in nutritional intake, alpha-diversity, or global microbial composition following HVolTr or TaperTr compared to NormTr (p’s>0.05). Following HVolTr, there was a significant decrease in Pasterellaceae (p=0.03), Lachnoclostridium (p=0.02), Haemophilus (p=0.03), S. parasagunis (p=0.02), and H. parainfluenzae (p=0.03), while R. callidus (p=0.03) significantly increased. These changes did not return to NormTr levels following TaperTr. This study shows that the alpha-diversity and global composition of the gut microbiome were unaffected by changes in training volume. However, an increase in training volume led to several changes at the lower taxonomy levels that did not return to pre-HVolTr levels following a taper period.
... The majority of training intervention studies demonstrate that considerable variability in adaptation to a given exercise stimulus is the norm [e.g., [115][116][117]. The principle of individualization refers to the notion that training prescription must be adapted and optimized according to individual predispositions (performance level, training status/age, sex, recovery/injury status and physiological and structural/mechanical profiles) to maximize the effect and avoid non-responder outcomes [13,52,58,98,118]. Total training load is typically higher in well-trained adult runners of higher performance standard compared to their younger, less trained and lower-performing counterparts [19-21, 56, 58]. ...
Article
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Despite an increasing amount of research devoted to middle-distance training (herein the 800 and 1500 m events), information regarding the training methodologies of world-class runners is limited. Therefore, the objective of this review was to integrate scientific and best practice literature and outline a novel framework for understanding the training and development of elite middle-distance performance. Herein, we describe how well-known training principles and fundamental training characteristics are applied by world-leading middle-distance coaches and athletes to meet the physiological and neuromus-cular demands of 800 and 1500 m. Large diversities in physiological profiles and training emerge among middle-distance runners, justifying a categorization into types across a continuum (400-800 m types, 800 m specialists, 800-1500 m types, 1500 m specialists and 1500-5000 m types). Larger running volumes (120-170 vs. 50-120 km·week −1 during the preparation period) and higher aerobic/anaerobic training distribution (90/10 vs. 60/40% of the annual running sessions below vs. at or above anaerobic threshold) distinguish 1500-and 800-m runners. Lactate tolerance and lactate production training are regularly included interval sessions by middle-distance runners, particularly among 800-m athletes. In addition, 800-m runners perform more strength, power and plyometric training than 1500-m runners. Although the literature is biased towards men and "long-distance thinking," this review provides a point of departure for scientists and practitioners to further explore and quantify the training and development of elite 800-and 1500-m running performance and serves as a position statement for outlining current state-of-the-art middle-distance training recommendations.
... Previous studies have shown that even within groups of welltrained, similarly aged, and experienced athletes, the type of training response observed during TO can vary widely, with approximately half of the study participants showing a positive adaptation (improved performance), and the remainder showing some degree of overreaching (Uusitalo et al. 1998;Aubry et al. 2014). The type of fatigue developed is likely influenced by several factors, including the quantity and quality of nutrition and sleep, academic and work demands, interpersonal conflicts (Meeusen et al. 2013), and muscle fiber typology (Bellinger et al. 2020). While many factors may be difficult or impossible to modify, consuming an appropriate diet may arguably be one of the most controllable aspects of an athlete's recovery, and failing to consume enough energy to meet the large metabolic demands of TO is likely an important contributor to impaired performance (J€ urimäe et al. 2011;Meeusen et al. 2013). ...
Article
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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.
... where Cm is the carnosine concentration; C S is the carnosine signal; H 2 O S is the water signal; C T1r , C T2r , H 2 O T1r , and H 2 O T2r are the relaxation correction factors for carnosine (earlier described by Baguet et al. [26]) and water (earlier described by MacMillan et al. [31]); H 2 O muscle is the concentration of water in muscle, which was deducted from the molar concentration of water (55,000 mM) and the approximate water content of skeletal muscle tissue (0.7 L·kg −1 wet weight of tissue); and H 2 O proton is the number of protons in water. The CV for test-retest interday carnosine measurements in our laboratory was 4.3% (n = 15 participants) (32). In the present study, the carnosine concentration was converted to a z-score based on the normal distribution of our reference population. ...
Article
Purpose: To identify the relationships between lower limb muscle characteristics and the mechanical variables derived from the vertical (jumping) and horizontal (sprinting) force-velocity-power (FVP) profiles. Methods: Nineteen sub-elite male rugby league players performed a series of squat jumps and linear 30 m sprints to derive the vertical and horizontal FVP profiles, respectively. The theoretical maximal force (F0), velocity (V0) and power (Pmax) were derived from both the vertical (i.e., vF0, vV0 and vPmax) and horizontal (i.e., hF0, hV0 and hPmax) FVP profiles. Vastus lateralis (VL), biceps femoris (BF) long head and gastrocnemius medialis (GM) and lateralis muscle fascicle length, pennation angle and thickness were measured using B-mode ultrasonography. Magnetic resonance (MR) imaging was used to calculate volumes of major lower limb muscles, while proton MR spectroscopy was used to quantify the carnosine content of the GM to estimate muscle fiber typology. Results: Variation in vPmax was best explained by GM muscle fiber typology (i.e., greater estimated proportion of type II fibers) and VL volume (adjusted r2=0.440; P=0.006), while adductor and vastus medialis volume and GM muscle fiber typology explained the most variation in hPmax (adjusted r2=0.634, P=0.032). Rectus femoris and VL volume explained variation in vF0 (r2=0.430; P=0.008), while adductor and vastus medialis volume explained variation in hF0 (r2=0.432; P=0.007). Variation in vV0 and hV0 were best explained by GM muscle fiber typology (adjusted r2=0.580, P<0.001) and GM muscle fiber typology and BF short head volume (adjusted r2 = 0.590, P<0.001), respectively. Conclusion: Muscle fiber typology and muscle volume are strong determinants of maximal muscle power in jumping and sprinting by influencing the velocity- and force-orientated mechanical variables.
... Previous studies have shown that even within groups of well-trained, similarly aged, and experienced athletes, the type of training response observed during TO can vary widely, with approximately half of the study participants showing a positive adaptation (improved performance), and the remainder showing some degree of overreaching (Uusitalo et al. 1998;Aubry et al. 2014). The type of fatigue developed is likely influenced by several factors, including the quantity and quality of nutrition and sleep, academic and work demands, interpersonal conflicts (Meeusen et al. 2013), and muscle fiber typology (Bellinger et al. 2020). ...
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Intense exercise training with insufficient recovery is associated with reductions in neuromuscular performance. However, it is unclear how single muscle fibre mechanical function and myofibrillar Ca ²⁺ sensitivity contribute to these impairments. We investigated the effects of overload training on joint-level neuromuscular performance and cellular-level mechanical function. Fourteen athletes (4 female, 10 male) underwent a 3-week intensified training protocol consisting of ∼140% of their regular training hours with three additional high-intensity training sessions per week. Neuromuscular performance of the knee extensors was assessed via maximum voluntary contraction (MVC) force, electrically evoked twitch contractions, and a force-frequency relationship. Muscle biopsies were taken from the vastus lateralis to assess single fibre mechanical function. Neither MVC force nor twitch parameters were altered following intensified training (all p> 0.05), but a rightward shift in the force-frequency curve was observed with a 6-27% reduction in force at low-frequencies (5-20Hz, all p< 0.05). In single fibres, maximal force output was not reduced following intensified training, but there was a rightward shift in the force-pCa curve driven by a 6% reduction in Ca ²⁺ sensitivity as indicated by a lower pCa 50 value (i.e., higher [Ca ²⁺ ]) across fibre types (Pre=6.477±0.157, Post=6.088±0.480, p<0.05 ). These data indicate intensified training leads to impaired Ca ²⁺ sensitivity at the single fibre level, which in part explains impaired neuromuscular function at the joint level during lower frequencies of activation. This is an important consideration for athletes, as performance is often assessed at maximal levels of activation, and these underlying impairments in force generation may be less obvious. New & Noteworthy Intense exercise training with insufficient recovery leads to impaired muscle contractile performance. These impairments often manifest at lower frequencies of muscle stimulation, termed prolonged low-frequency force depression. Impaired myofibrillar calcium sensitivity has been suggested as a potential mechanism of prolonged low-frequency force depression. Our work shows that impaired calcium sensitivity of single muscle fibres coincided with joint level prolonged low-frequency force depression after intense exercise training with insufficient recovery.
Article
Objectives We examined if muscle fibre typology (MFT) was associated with the magnitude of change in performance following alterations in swimming training volume in highly-trained swimmers. Design Single group intervention. Methods Ten swimmers (n = 2 female) completed four consecutive training phases: i) 2-wk normal training (NT); ii) 1-wk decrease (DEC1; 30 % decrease in volume) iii) 3-wk higher-volume training (HVT; i.e., 25 % increase from NT), and iv) 1-wk decrease (DEC2; 30 % decrease in volume). Swimmers performed a 200-m freestyle time trial (200-m TT), assessments of lower and upper-body power and a 10- and 30-s maximal tethered swimming test in the 2 days directly following each training phase. MFT of the gastrocnemius and soleus was estimated by quantification of muscle carnosine concentration using proton magnetic resonance spectroscopy in the week post-DEC2 and expressed as a carnosine aggregated z-score (CAZ-score). Results Some, but not all, performance-related and physical tests were affected by alterations to training volume. The relative increase in the 200-m TT time (i.e., slower time) from DEC1 (2:13.3 ± 00:07.3 m:ss.0) to HVT (2:16.0 ± 00:08.4) was associated with CAZ-score (r = 0.697, p = 0.025). 200-m TT performance was restored following DEC2 but there was no performance supercompensation. Conclusion The results of this study suggest that swimmers with a greater estimated proportion of type I fibres were better able to tolerate a short-term period of increased training volume. Nonetheless, a progressive decrease in training volume over 7 d was not sufficient to promote performance supercompensation in highly-trained swimmers.
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Purpose: Long-term development of endurance performance requires a proper balance between strain and recovery. While responses and adaptations to training are highly individual, this study examined whether individually-adjusted endurance training based on recovery and training status would lead to greater adaptations compared to a predefined program. Methods: Recreational runners were divided into predefined (PD, n = 14) or individualized (IND, n = 16) training groups. In IND, the training load was decreased, maintained or increased twice a week based on nocturnal heart rate variability, perceived recovery, and heart rate-running speed index. Both groups performed three-week preparatory, six-week volume and six-week interval periods. Incremental treadmill tests and 10 km running tests were performed before the preparatory period (T0) and after the preparatory (T1), volume (T2), and interval (T3) periods. The magnitude of training adaptations was defined based on the coefficient of variation between T0 and T1 tests (high >2 x, low <0.5 x). Results: Both groups improved (p < 0.01) their maximal treadmill speed (vMax) and 10 km time from T1 to T3. The change in the 10 km time was greater in IND compared to PD (-6.2 ± 2.8 % vs. -2.9 ± 2.4 %, p = 0.002). In addition, IND had more high responders (50 vs. 29 %) and fewer low responders (0 vs. 21 %) compared to PD in the change of vMax and 10 km performance (81 vs. 23% and 13 vs. 23 %) respectively. Conclusions: PD and IND induced positive training adaptations, but the individualized training seemed more beneficial in endurance performance. Moreover, IND increased the likelihood of high response and decreased the occurrence of low-response to endurance training.
Article
Research problem: In the narrative review in the introductory chapter of this study, it was shown that there are no scientific methods or tools for researching the Functional Overreaching (FOR) state limit, which determines the occurrence of the phenomenon of Non-functional Overreaching (NFOR) and the overtraining syndrome - OTS. Research objective: In principle, this research was conducted to provide evidence of the possibility of developing, implementing and controlling such a programme for preparation to participate in the Olympic Games of champions among athletes in race walking, which will guarantee that the applied training load does not cause a state of non-functional overload. Material and methods: Six walkers took part in the research, presenting the level of the international and national master class at 20 and 50 km. They were all medallists of the Polish championship. Three of them have already participated in the Olympic Games, one was a medallist at the European and World Championships. In selected periods of the developed annual training plan, measurements in variability of walking speed at the level of the anaerobic threshold (starting speed) were carried out using the pitch test. The observation of the sports training process was supplemented with a multifaceted observation of the effects of overreaching training (ORT), which included the following measurements: 1. somatic features and anthropometric indices; 2. haematological parameters of the blood and non-enzymatic antioxidant factor, glutathione (GSH), vitamin D3, and blood serum concentrations: pro-inflammatory cytokines -IL1β and IL-6, markers of oxidative stress, TAC, alpha- and gamma-TOC, proteins: Aponectin and Zonulin; 3. electromyographic (EMG) recording in the field and laboratory conditions and the work of the lower-limb muscles during the gait test with a gradual increase in its speed. Systematic monitoring of the nutritional status of walkers throughout the training cycle was performed and, on this basis, the following were established: a) principles of a rational diet and individual nutritional recommendations; b) dietary recommendations during the period of training and biological regeneration; c) individual strategies of dietary supplementation aimed at supporting immunity. Research results: Results of research have been presented in each segment of the study. Using the system-functional discourse method, they are discussed, interpreted and justified to assess the induction of beneficial skeletal muscle adaptation, ranging from increased endurance due to mitochondrial biogenesis and angiogenesis, to increased strength due to myocyte hypertrophy. Frequently encountered forms of application were: narration, description and argumentation. Conclusions: 1) The developed model of sports training for race walkers, as well as the proposed system of control and monitoring adaptation processes to physical effort can be considered as a reference point for development, for top sports class competitors, safe preparation for the target event (not exceeding the functional load limit); 2) The qualification of one of its participants for the Olympic team and the winning of medals at the Polish Championships by the remaining competitors should be considered a measurable effect of the performed observation.
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There are variable responses to short-term periods of increased training load in endurance athletes, whereby some athletes improve without deleterious effects on performance, while others show diminished exercise performance for a period of days to months. The time course of the decrement in performance and subsequent restoration, or super compensation, has been used to distinguish between the different stages of the fitness–fatigue adaptive continuum termed functional overreaching (FOR), non-functional overreaching (NFOR) or overtraining syndrome. The short-term transient training-induced decrements in performance elicited by increases in training load (i.e. FOR) are thought be a sufficient and necessary component of a training program and are often deliberately induced in training to promote meaningful physiological adaptations and performance super-compensation. Despite the supposition that deliberately inducing FOR in athletes may be necessary to achieve performance super-compensation, FOR has been associated with various negative cardiovascular, hormonal and metabolic consequences. Furthermore, recent studies have demonstrated dampened training and performance adaptations in FOR athletes compared to non-overreached athletes who completed the same training program or the same relative increase in training load. However, this is not always the case and a number of studies have also demonstrated substantial performance super-compensation in athletes who were classified as being FOR. It is possible that there are a number of contextual factors that may influence the metabolic consequences associated with FOR and classifying this training-induced state of fatigue based purely on a decrement in performance may be an oversimplification. Here, the most recent research on FOR in endurance athletes will be critically evaluated to determine (1) if there is sufficient evidence to indicate that inducing a state of FOR is necessary and required to induce a performance super-compensation; (2) the metabolic consequences that are associated with FOR; (3) strategies that may prevent the negative consequences of overreaching.
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Human fast-twitch muscle fibers generate high power in a short amount of time but are easily fatigued, while slow-twitch fibers are more fatigue resistant. The transfer of this knowledge to coaching, is hampered by the invasive nature of the current evaluation of the muscle typology by biopsies. Therefore, a non-invasive method was developed to estimate muscle typology through proton magnetic resonance spectroscopy in the gastrocnemius. The aim of this study was to investigate if male subjects with an a priori determined fast typology (FT) are characterized with a more pronounced Wingate exercise-induced fatigue and delayed recovery compared to the ones with a slow typology (ST). Ten subjects with an estimated higher percentage of fast fibers and 10 subjects with an estimated higher percentage of slow fibers underwent the test protocol, consisting of three 30 sec all-out Wingate tests. Recovery of knee extension torque was evaluated by maximal voluntary contraction combined with electrical stimulation up to 5 h after the Wingate tests. Although both groups delivered the same mean power across all Wingates, the power drop was higher in the FT group (-61%) compared to the ST group (-41%). The torque at maximal voluntary contraction had fully recovered in the ST group after 20 min, while the FT group had not yet recovered 5 h into recovery. This non-invasive estimation of muscle typology can predict the extent of fatigue and time to recover following repeated all-out exercise and may have applications as a tool to individualize training and recovery cycles.
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Key points Overload training is required for sustained performance gain in athletes (functional overreaching). However, excess overload may result in a catabolic state which causes performance decrements for weeks (non‐functional overreaching) up to months (overtraining). Blood ketone bodies can attenuate training‐ or fasting‐induced catabolic events. Therefore, we investigated whether increasing blood ketone levels by oral ketone ester (KE) intake can protect against endurance training‐induced overreaching. We show for the first time that KE intake following exercise markedly blunts the development of physiological symptoms indicating overreaching, and at the same time significantly enhances endurance exercise performance. We provide preliminary data to indicate that growth differentiation factor 15 (GDF15) may be a relevant hormonal marker to diagnose the development of overtraining. Collectively, our data indicate that ketone ester intake is a potent nutritional strategy to prevent the development of non‐functional overreaching and to stimulate endurance exercise performance. Abstract It is well known that elevated blood ketones attenuate net muscle protein breakdown, as well as negate catabolic events, during energy deficit. Therefore, we hypothesized that oral ketones can blunt endurance training‐induced overreaching. Fit male subjects participated in two daily training sessions (3 weeks, 6 days/week) while receiving either a ketone ester (KE, n = 9) or a control drink (CON, n = 9) following each session. Sustainable training load in week 3 as well as power output in the final 30 min of a 2‐h standardized endurance session were 15% higher in KE than in CON (both P < 0.05). KE inhibited the training‐induced increase in nocturnal adrenaline (P < 0.01) and noradrenaline (P < 0.01) excretion, as well as blunted the decrease in resting (CON: −6 ± 2 bpm; KE: +2 ± 3 bpm, P < 0.05), submaximal (CON: −15 ± 3 bpm; KE: −7 ± 2 bpm, P < 0.05) and maximal (CON: −17 ± 2 bpm; KE: −10 ± 2 bpm, P < 0.01) heart rate. Energy balance during the training period spontaneously turned negative in CON (−2135 kJ/day), but not in KE (+198 kJ/day). The training consistently increased growth differentiation factor 15 (GDF15), but ∼2‐fold more in CON than in KE (P < 0.05). In addition, delta GDF15 correlated with the training‐induced drop in maximal heart rate (r = 0.60, P < 0.001) and decrease in osteocalcin (r = 0.61, P < 0.01). Other measurements such as blood ACTH, cortisol, IL‐6, leptin, ghrelin and lymphocyte count, and muscle glycogen content did not differentiate KE from CON. In conclusion, KE during strenuous endurance training attenuates the development of overreaching. We also identify GDF15 as a possible marker of overtraining.
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The aim of this study is to investigate whether the change in (sub)maximal heart rate after intensified training is associated with the change in performance. Thirty subjects were recruited who performed cardiopulmonary exercise tests to exhaustion 2 weeks before (pre), 1 week after (post) and 5 weeks after (follow-up) an 8-day non-competitive amateur cycling event (TFL). The exercise volume during the TFL was 7.7 fold the volume during the preparation period. Heart rate and cardiopulmonary parameters were obtained at standardised absolute submaximal workloads (low, medium and high intensity) and at peak level each test. Subjects were classified as functionally overreached (FOR) or acute fatigued (AF) based on the change in performance. No differences between FOR and AF were observed for heart rate (P = .51). On total group level (AF + FOR), post-TFL heart rate decreased significantly at low (−4.4 beats·min⁻¹, 95% CI [−8.7, −0.1]) and medium (−5.5 beats·min⁻¹ [−8.5, −2.4]), but not at high intensity. Peak heart rate decreased −3.4 beats·min⁻¹ [−6.1, −0.7]. O2pulse was on average 0.49 ml O2·beat⁻¹ [0.09, 0.89] higher at all intensities after intensified training. No changes in ⩒O2 (P = .44) or the ventilatory threshold (P = .21) were observed. Pearson’s correlation coefficients revealed negative associations between heart rate and O2pulse at low (r = −.56, P < .01) and medium intensity (r = −.54, P < .01), but not with ⩒O2 or any other submaximal parameter. (Sub)maximal heart rate decreased after the TFL. However, this decrease is unrelated to the change in performance. Therefore, heart rate seems inadequate to prescribe and monitor intensified training.
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Background Intensified training is important for inducing adaptations to improve athletic performance, but detrimental performance effects can occur if prescribed inappropriately. Monitoring biomarker responses to training may inform changes in training load to optimize performance. Objective This systematic review and meta-analysis aimed to identify biomarkers associated with altered exercise performance following intensified training. Methods Embase, MEDLINE, CINAHL, Scopus and SPORTDiscus were searched up until September 2017. Included articles were peer reviewed and reported on biomarkers collected at rest in well-trained male athletes before and after periods of intensified training. Results The full text of 161 articles was reviewed, with 59 included (708 participants) and 42 (550 participants) meta-analysed. In total, 118 biomarkers were evaluated, with most being cellular communication and immunity markers (n = 54). Studies most frequently measured cortisol (n = 34), creatine kinase (n = 25) and testosterone (n = 20). Many studies reported decreased immune cell counts following intensified training, irrespective of performance. Moreover, reduced performance was associated with a decrease in neutrophils (d = − 0.57; 95% confidence interval (CI) − 1.07 to − 0.07) and glutamine (d = − 0.37; 95% CI − 0.43 to − 0.31) and an increase in urea concentration (d = 0.80; 95% CI 0.30 to 1.30). In contrast, increased performance was associated with an increased testosterone:cortisol ratio (d = 0.89; 95% CI 0.54 to 1.24). All remaining biomarkers showed no consistent patterns of change with performance. Conclusions Many biomarkers were altered with intensified training but not in a manner related to changes in exercise performance. Neutrophils, glutamine, urea and the testosterone:cortisol ratio exhibited some evidence of directional changes that corresponded with performance changes therefore indicating potential to track performance. Additional investigations of the potential for these markers to track altered performance are warranted.
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As one of the most physically demanding sports in the Olympic Games, cross-country skiing poses considerable challenges with respect to both force generation and endurance during the combined upper- and lower-body effort of varying intensity and duration. The isoforms of myosin in skeletal muscle have long been considered not only to define the contractile properties, but also to determine metabolic capacities. The current investigation was designed to explore the relationship between these isoforms and metabolic profiles in the arms (triceps brachii) and legs (vastus lateralis) as well as the range of training responses in the muscle fibers of elite cross-country skiers with equally and exceptionally well-trained upper and lower bodies. The proportion of myosin heavy chain (MHC)-1 was higher in the leg (58 ± 2% [34–69%]) than arm (40 ± 3% [24–57%]), although the mitochondrial volume percentages [8.6 ± 1.6 (leg) and 9.0 ± 2.0 (arm)], and average number of capillaries per fiber [5.8 ± 0.8 (leg) and 6.3 ± 0.3 (arm)] were the same. In these comparable highly trained leg and arm muscles, the maximal citrate synthase (CS) activity was the same. Still, 3-hydroxy-acyl-CoA-dehydrogenase (HAD) capacity was 52% higher (P < 0.05) in the leg compared to arm muscles, suggesting a relatively higher capacity for lipid oxidation in leg muscle, which cannot be explained by the different fiber type distributions. For both limbs combined, HAD activity was correlated with the content of MHC-1 (r2 = 0.32, P = 0.011), whereas CS activity was not. Thus, in these highly trained cross-country skiers capillarization of and mitochondrial volume in type 2 fiber can be at least as high as in type 1 fibers, indicating a divergence between fiber type pattern and aerobic metabolic capacity. The considerable variability in oxidative metabolism with similar MHC profiles provides a new perspective on exercise training. Furthermore, the clear differences between equally well-trained arm and leg muscles regarding HAD activity cannot be explained by training status or MHC distribution, thereby indicating an intrinsic metabolic difference between the upper and lower body. Moreover, trained type 1 and type 2A muscle fibers exhibited similar aerobic capacity regardless of whether they were located in an arm or leg muscle.
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Introduction To achieve optimal athletic performance and competition readiness, it is crucial to balance the highest appropriate training stimulus with sufficient recovery. Excessive and/or progressive increases in training load are integral to improving athletic performance (Halson, 2014). However, increased training loads and/or inadequate recovery can result in maladaptation to training, and if continued, can lead to the development of overreaching/overtraining (Meeusen et al., 2013; Cadegiani and Kater, 2017). In terms of recovery, sleep is an essential component of an athlete’s recuperation due to its physiological and psychological restorative effects (Dinges et al., 1997; Pejovic et al., 2013). Sleep quantity and quality declines following augmented increases (+30%) in training load (Hausswirth et al., 2014), and poor sleep is a common complaint among overreached and/or overtrained athletes (Wall et al., 2003). Regardless of whether reduced sleep is a cause or effect of overreaching and/or overtraining, it is possible that measures of sleep could serve as an indicator of the presence of overreaching and/or overtraining. This opinion article will examine the current research underpinning the relationship between insufficient sleep and the development of overreaching/overtraining, describe the implications for practitioners (e.g., sport and exercise scientists, coaches), and identify areas for future research.
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Background Recent research has demonstrated decreases in resting metabolic rate (RMR), body composition and performance following a period of intensified training in elite athletes, however the underlying mechanisms of change remain unclear. Therefore, the aim of the present study was to investigate how an intensified training period, designed to elicit overreaching, affects RMR, body composition, and performance in trained endurance athletes, and to elucidate underlying mechanisms. Method Thirteen (n = 13) trained male cyclists completed a six-week training program consisting of a “Baseline” week (100% of regular training load), a “Build” week (~120% of Baseline load), two “Loading” weeks (~140, 150% of Baseline load, respectively) and two “Recovery” weeks (~80% of Baseline load). Training comprised of a combination of laboratory based interval sessions and on-road cycling. RMR, body composition, energy intake, appetite, heart rate variability (HRV), cycling performance, biochemical markers and mood responses were assessed at multiple time points throughout the six-week period. Data were analysed using a linear mixed modeling approach. Results The intensified training period elicited significant decreases in RMR (F(5,123.36) = 12.0947, p = <0.001), body mass (F(2,19.242) = 4.3362, p = 0.03), fat mass (F(2,20.35) = 56.2494, p = <0.001) and HRV (F(2,22.608) = 6.5212, p = 0.005); all of which improved following a period of recovery. A state of overreaching was induced, as identified by a reduction in anaerobic performance (F(5,121.87) = 8.2622, p = <0.001), aerobic performance (F(5,118.26) = 2.766, p = 0.02) and increase in total mood disturbance (F(5, 110.61) = 8.1159, p = <0.001). Conclusion Intensified training periods elicit greater energy demands in trained cyclists, which, if not sufficiently compensated with increased dietary intake, appears to provoke a cascade of metabolic, hormonal and neural responses in an attempt to restore homeostasis and conserve energy. The proactive monitoring of energy intake, power output, mood state, body mass and HRV during intensified training periods may alleviate fatigue and attenuate the observed decrease in RMR, providing more optimal conditions for a positive training adaptation.
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Dietary assessment methods that are recognized as appropriate for the general population are usually applied in a similar manner to athletes, despite the knowledge that sport-specific factors can complicate assessment and impact accuracy in unique ways. As dietary assessment methods are used extensively within the field of sports nutrition, there is concern the validity of methodologies have not undergone more rigorous evaluation in this unique population sub-group. The purpose of this systematic review was to compare two or more methods of dietary assessment, including dietary intake measured against biomarkers or reference measures of energy expenditure, in athletes. Six electronic databases were searched for English-language, full-text articles published from January 1980 until June 2016. The search strategy combined the following keywords: diet, nutrition assessment, athlete, and validity; where the following outcomes are reported but not limited to: energy intake, macro and/or micronutrient intake, food intake, nutritional adequacy, diet quality, or nutritional status. Meta-analysis was performed on studies with sufficient methodological similarity, with between-group standardized mean differences (or effect size) and 95% confidence intervals (CI) being calculated. Of the 1624 studies identified, 18 were eligible for inclusion. Studies comparing self-reported energy intake (EI) to energy expenditure assessed via doubly labelled water were grouped for comparison (n = 11) and demonstrated mean EI was under-estimated by 19% (−2793 ± 1134 kJ/day). Meta-analysis revealed a large pooled effect size of −1.006 (95% CI: −1.3 to −0.7; p < 0.001). The remaining studies (n = 7) compared a new dietary tool or instrument to a reference method(s) (e.g., food record, 24-h dietary recall, biomarker) as part of a validation study. This systematic review revealed there are limited robust studies evaluating dietary assessment methods in athletes. Existing literature demonstrates the substantial variability between methods, with under- and misreporting of intake being frequently observed. There is a clear need for careful validation of dietary assessment methods, including emerging technical innovations, among athlete populations.
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Background Elite rowers complete a high volume of training across a number of modalities to prepare for competition, including periods of intensified load, which may lead to fatigue and short-term performance decrements. As yet, the influence of substantial fatigue on resting metabolic rate (RMR) and exercise regulation (pacing), and their subsequent utility as monitoring parameters, has not been explicitly investigated in elite endurance athletes. Method Ten National-level rowers completed a four-week period of intensified training. RMR, body composition and energy intake were assessed PRE and POST the four-week period using indirect calorimetry, Dual-Energy X-Ray Densitometry (DXA), and three-day food diary, respectively. On-water rowing performance and pacing strategy was evaluated from 5 km time trials. Wellness was assessed weekly using the Multicomponent Training Distress Scale (MTDS). Results Significant decreases in absolute (mean ± SD of difference, p-value: -466 ± 488 kJ.day⁻¹, p = 0.01) and relative RMR (-8.0 ± 8.1 kJ.kg.FFM⁻¹, p = 0.01) were observed. Significant reductions in body mass (-1.6 ± 1.3 kg, p = 0.003) and fat mass (-2.2 ± 1.2 kg, p = 0.0001) were detected, while energy intake was unchanged. On-water 5 km rowing performance worsened (p < 0.05) and an altered pacing strategy was evident. Fatigue and total mood disturbance significantly increased across the cycle (p < 0.05), and trends were observed for reduced vigour and increased sleep disturbance (p < 0.1). Conclusion Four weeks of heavy training decreased RMR and body composition variables in elite rowers and induced substantial fatigue, likely related to an imbalance between energy intake and output. This study demonstrates that highly experienced athletes do not necessarily select the correct energy intake during periods of intensified training, and this can be assessed by reductions in RMR and body composition. The shortfall in energy availability likely affected recovery from training and altered 5 km time trial pacing strategy, resulting in reduced performance.
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Purpose: Correlations between fatigue-induced changes in performance and maximal rate of HR increase (rHRI) may be affected by differing assessment workloads. This study evaluated the effect of assessing rHRI at different workloads on performance tracking, and compared this with HR variability (HRV) and HR recovery (HRR). Methods: Performance [5-min cycling time trial (5TT)], rHRI (at multiple workloads), HRV and HRR were assessed in 12 male cyclists following 1 week of light training (LT), 2 weeks of heavy training (HT) and a 10-day taper (T). Results: 5TT very likely decreased after HT (effect size ± 90% confidence interval = -0.75 ± 0.41), and almost certainly increased after T (1.15 ± 0.48). rHRI at 200 W likely increased at HT (0.70 ± 0.60), and then likely decreased at T (-0.50 ± 0.70). rHRI at 120 and 160 W was unchanged. Pre-exercise HR during rHRI assessments at 120 W and 160 W likely decreased after HT (≤-0.39 ± 0.14), and correlations between these changes and rHRI were large to very large (r = -0.67 ± 0.31 and r = -0.78 ± 0.23). When controlling for pre-exercise HR, rHRI at 120 W very likely slowed after HT (-0.72 ± 0.44), and was moderately correlated with 5TT (r = 0.35 ± 0.32). RMSSD likely increased at HT (0.75 ± 0.49) and likely decreased at T (-0.49 ± 0.49). HRR following 5TT likely increased at HT (0.84 ± 0.31) and then likely decreased at T (-0.81 ± 0.35). Conclusions: When controlling for pre-exercise HR, rHRI assessment at 120 W most sensitively tracked performance. Increased RMSSD following HT indicated heightened parasympathetic modulation in fatigued athletes. HRR was only sensitive to changes in training status when assessed after maximal exercise, which may limit its practical applicability.
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Purpose: The aim of this study was to investigate whether monitoring of easily measurable stressors and symptoms can be used to early distinguish between acute fatigue (AF) and functional overreaching (FOR). Methods: The study included 30 subjects (11 female/ 19 male, age: 40.8±10.8 y, VO2max: 51.8±6.3 ml/kg/min) who participated in an 8-day cycling event over 1,300 km with 18,500 climbing meters. Performance was measured before and after the event using a maximal incremental test. Subjects with decreased performance after the event were classified as FOR, others as AF. Mental and physical wellbeing, internal training load, resting heart rate, temperature and mood were measured daily during the event. Difference between AF and FOR were analysed using mixed model ANOVAs. Logistic regression was used to determine the best predictors of FOR after three and six days of cycling. Results: Fifteen subjects were classified as FOR and 14 as AF (one excluded). Although total group changes were observed during the event, no differences between AF/FOR were found for individual monitoring parameters. The combination of questionnaire based changes in fatigue and readiness to train after three days cycling correctly predicted 78% of the subjects as AF or FOR (sensitivity=79%, specificity=77%). Conclusion: Monitoring changes in fatigue and readiness to train, using simple visual analogue scales, can be used to identify subjects likely to become FOR after only 3 days of cycling. Hence, we encourage athlete support staff to not only monitor fatigue, but also the subjective integrated mental and physical readiness to perform.
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Purpose: Faster heart rate recovery (HRR) following high-to-maximal exercise (≥90% HRmax) 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 and results: HRR and rate of perceived exertion (RPE) responses were compared during an incremental intermittent running protocol to exhaustion in twenty experienced male triathletes (8 control and 13 overload subjects led to f-OR) before (Pre), immediately after an overload training period (Mid) and following a 1-week taper (Post). Both groups demonstrated an increase in HRR values at Mid, but this change was very likely to almost certainly larger in the f-OR group at all running intensities (large to very large differences, e.g. +16 ±7 bpm vs. +3 ±5 bpm, in the f-OR and control groups at 11 km·h-1, respectively). The highest between-group differences in changes in HRR were reported at 11 km·h-1 (13 ±4 bpm) and 12 km·h-1 (10 ±6 bpm). 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 AU). 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 following submaximal exercise may be more discriminant than HRR measures taken following maximal exercise for monitoring f-OR. These findings may be applied in practice by regularly assessing HRR following submaximal exercise (i.e., warm-up) for monitoring endurance athletes responses to training.
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Purpose: Stride-to-stride fluctuations in running stride interval display long-range correlations that breakdown in the presence of fatigue accumulated during an exhaustive run. The purpose of our study was to investigate whether long-range correlations in running stride interval were reduced by fatigue accumulated during prolonged exposure to a high training load (functional overreaching) and were associated with decrements in performance caused by functional overreaching. Methods: Ten trained male runners completed 7-days of light training (LT7), 14-days of heavy training (HT14) designed to induce a state of functional overreaching and 10-days of light training (LT10) in a fixed order. Running stride intervals and 5 km time trial (5TT) performance were assessed after each training phase. The strength of long-range correlations in running stride interval was assessed at three speeds (8, 10.5 and 13 km·h-1) using detrended fluctuation analysis. Results: Relative to performance post-LT7, time to complete the 5TT was increased post-HT14 (+18 seconds; P<0.05) and decreased post LT10 (-20 seconds; P=0.03) but stride interval long-range correlations remained unchanged at HT14 and LT10 (P>0.50). Changes in stride interval long-range correlations measured at a 10.5 km·h-1 running speed were negatively associated with changes in 5TT performance (r -0.46; P=0.03). Conclusions: Runners who were most affected by the prolonged exposure to high training load (as evidenced by greater reductions in 5TT performance) experienced the greatest reductions in stride interval long-range correlations. Measurement of stride interval long-range correlations may be useful for monitoring the effect of high training loads on athlete performance.
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Purpose: The aim of the study was to investigate whether heart rate recovery (HRR) may represent an effective marker of functional overreaching (f-OR) in endurance athletes. Methods and results: Thirty-one experienced male triathletes were tested (10 control and 21 overload subjects) before (Pre), and immediately after an overload training period (Mid) and after a 2-week taper (Post). Physiological responses were assessed during an incremental cycling protocol to exhaustion, including heart rate, catecholamine release and blood lactate concentration. Ten participants from the overload group developed signs of f-OR at Mid (i.e. -2.1 ± 0.8% change in performance associated with concomitant high perceived fatigue). Additionally, only the f-OR group demonstrated a 99% chance of increase in HRR during the overload period (+8 ± 5 bpm, large effect size). Concomitantly, this group also revealed a >80% chance of decreasing blood lactate (-11 ± 14%, large), plasma norepinephrine (-12 ± 37%, small) and plasma epinephrine peak concentrations (-51 ± 22%, moderate). These blood measures returned to baseline levels at Post. HRR change was negatively correlated to changes in performance, peak HR and peak blood metabolites concentrations. Conclusion: These findings suggest that i) a faster HRR is not systematically associated with improved physical performance, ii) changes in HRR should be interpreted in the context of the specific training phase, the athletes perceived level of fatigue and the performance response; and, iii) the faster HRR associated with f-OR may be induced by a decreased central command and by a lower chemoreflex activity.
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[Purpose] The present study aimed to determine changes in muscle activity while moving on a treadmill at various speeds. [Subjects] The activities of the left vastus lateralis, vastus medialis, hip adductors, lateral head of gastrocnemius, medial head gastrocnemius, soleus, and tibialis anterior of 10 healthy male university students were analyzed. [Methods] University students walked, jogged, and ran for 10 minutes each in random order, and then myogenic potentials were measured 10 minutes later for 30 seconds. The flexion angle of the lower limb upon initial contact, mid stance, and toe off were measured. [Results] The average walking, jogging, and running speeds were 3.6 ± 0.4, 6.7 ± 0.6, and 10.4 ± 1.3 km/h, respectively. The average electromyographic activities of the vastus medial, tibialis anterior, medial head of gastrocnemius, and lateral head of gastrocnemius significantly differed. All muscles were more active during jogging and running than walking. Only the soleus was more active during running than walking, and the activities of the hip adductors and vastus lateralis did not significantly differ. [Conclusion] Velocity is faster and the angles of the lower limbs and ground reaction force (GRF) are larger during running than walking. The vastus medialis and soleus worked more easily according to the angle of the knee joint, whereas the tibialis anterior worked more easily at faster velocities and the medial and lateral heads of the gastrocnemius worked more easily with an increased GRF.
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Many athletes, coaches, and support staff are taking an increasingly scientific approach to both designing and monitoring training programs. Appropriate load monitoring can aid in determining whether an athlete is adapting to a training program and in minimizing the risk of developing non-functional overreaching, illness, and/or injury. In order to gain an understanding of the training load and its effect on the athlete, a number of potential markers are available for use. However, very few of these markers have strong scientific evidence supporting their use, and there is yet to be a single, definitive marker described in the literature. Research has investigated a number of external load quantifying and monitoring tools, such as power output measuring devices, time-motion analysis, as well as internal load unit measures, including perception of effort, heart rate, blood lactate, and training impulse. Dissociation between external and internal load units may reveal the state of fatigue of an athlete. Other monitoring tools used by high-performance programs include heart rate recovery, neuromuscular function, biochemical/hormonal/immunological assessments, questionnaires and diaries, psychomotor speed, and sleep quality and quantity. The monitoring approach taken with athletes may depend on whether the athlete is engaging in individual or team sport activity; however, the importance of individualization of load monitoring cannot be over emphasized. Detecting meaningful changes with scientific and statistical approaches can provide confidence and certainty when implementing change. Appropriate monitoring of training load can provide important information to athletes and coaches; however, monitoring systems should be intuitive, provide efficient data analysis and interpretation, and enable efficient reporting of simple, yet scientifically valid, feedback.
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Abstract The aim of the study was to explore pre-competition training practices of elite endurance runners. Training details from elite British middle distance (MD; 800 m and 1500 m), long distance (LD; 3000 m steeplechase to 10,000 m) and marathon (MAR) runners were collected by survey for 7 days in a regular training (RT) phase and throughout a pre-competition taper. Taper duration was [median (interquartile range)] 6 (3) days in MD, 6 (1) days in LD and 14 (8) days in MAR runners. Continuous running volume was reduced to 70 (16)%, 71 (24)% and 53 (12)% of regular levels in MD, LD and MAR runners, respectively (P < 0.05). Interval running volume was reduced compared to regular training (MD; 53 (45)%, LD; 67 (23)%, MAR; 64 (34)%, P < 0.05). During tapering, the peak interval training intensity was above race speed in LD and MAR runners (112 (27)% and 114 (3)%, respectively, P < 0.05), but not different in MD (100 (2)%). Higher weekly continuous running volume and frequency in RT were associated with greater corresponding reductions during the taper (R = -0.70 and R = -0.63, respectively, both P < 0.05). Running intensity during RT was positively associated with taper running intensity (continuous intensity; R = 0.97 and interval intensity; R = 0.81, both P < 0.05). Algorithms were generated to predict and potentially prescribe taper content based on the RT of elite runners. In conclusion, training undertaken prior to the taper in elite endurance runners is predictive of the tapering strategy implemented before competition.
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Successful training must involve overload but also must avoid the combination of excessive overload plus inadequate recovery. Athletes can experience short term performance decrement, without severe psychological, or lasting other negative symptoms. This Functional Overreaching (FOR) will eventually lead to an improvement in performance after recovery. When athletes do not sufficiently respect the balance between training and recovery, Non-Functional Overreaching (NFOR) can occur. The distinction between NFOR and the Overtraining Syndrome (OTS) is very difficult and will depend on the clinical outcome and exclusion diagnosis. The athlete will often show the same clinical, hormonal and other signs and symptoms. A keyword in the recognition of OTS might be ‘prolonged maladaptation' not only of the athlete, but also of several biological, neurochemical, and hormonal regulation mechanisms. It is generally thought that symptoms of OTS, such as fatigue, performance decline, and mood disturbances, are more severe than those of NFOR. However, there is no scientific evidence to either confirm or refute this suggestion. One approach to understanding the aetiology of OTS involves the exclusion of organic diseases or infections and factors such as dietary caloric restriction (negative energy balance) and insufficient carbohydrate and/or protein intake, iron deficiency, magnesium deficiency, allergies, etc. together with identification of initiating events or triggers. In this paper we provide the recent status of possible markers for the detection of OTS. Currently several markers (hormones, performance tests, psychological tests, biochemical and immune markers) are used, but none of them meets all criteria to make its use generally accepted. We propose a “check list” that might help the physicians and sport scientists to decide on the diagnosis of OTS and to exclude other possible causes of underperformance.
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Background: Functional overreaching (F-OR) induced by heavy load endurance training programs has been associated with reduced heart rate values both at rest and during exercise. Because this phenomenon may reflect an impairment of cardiac response, this research was conducted to test this hypothesis. Methods and Results: Thirty-five experienced male triathletes were tested (11 control and 24 overload subjects) before overloading (Pre), immediately after overloading (Mid) and after a 2-week taper period (Post). Physiological responses were assessed during an incremental cycling protocol to volitional exhaustion, including catecholamine release, oxygen uptake (VO2), arteriovenous O2 difference, cardiac output (Q), systolic (SBP) and diastolic blood pressure (DBP). Twelve subjects of the overload group developed signs of F-OR at Mid (decreased performance with concomitant high perceived fatigue), while 12 others did not (acute fatigue group, AF). VO2max was reduced only in F-OR subjects at Mid. Lower Q and SBP values with greater arteriovenous O2 difference were reported in F-OR subjects at all exercising intensities, while no significant change was observed in the control and AF groups. A concomitant decrease in epinephrine excretion was reported only in the F-OR group. All values returned to baseline at Post. Conclusion: Following an overload endurance training program leading to F-OR, the cardiac response to exhaustive exercise is transiently impaired, possibly due to reduced epinephrine excretion. This finding is likely to explain the complex process of underperformance syndrome experienced by F-OR endurance athletes during heavy load programs.
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Successful training must involve overload, but also must avoid the combination of excessive overload plus inadequate recovery. Athletes can experience short-term performance decrement, without severe psychological, or lasting other negative symptoms. This Functional Overreaching (FOR) will eventually lead to an improvement in performance after recovery. When athletes do not sufficiently respect the balance between training and recovery, Non-Functional Overreaching (NFOR) can occur. The distinction between NFOR and the Overtraining Syndrome (OTS) is very difficult and will depend on the clinical outcome and exclusion diagnosis. The athlete will often show the same clinical, hormonal and other signs and symptoms. A keyword in the recognition of OTS might be ‘prolonged maladaptation’ not only of the athlete, but also of several biological, neurochemical, and hormonal regulation mechanisms. It is generally thought that symptoms of OTS, such as fatigue, performance decline and mood disturbances, are more severe than those of NFOR. However, there is no scientific evidence to either confirmor refute this suggestion. One approach to understanding the aetiology of OTS involves the exclusion of organic diseases or infections and factors such as dietary caloric restriction (negative energy balance) and insufficient carbohydrate and/or protein intake, iron deficiency, magnesium deficiency, allergies, etc., together with identification of initiating events or triggers. In this paper, we provide the recent status of possible markers for the detection of OTS. Currently several markers (hormones, performance tests, psychological tests, biochemical and immune markers) are used, but none of them meets all criteria to make its use generally accepted.
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The female athlete triad (Triad), links low energy availability (EA), with menstrual dysfunction (MD), and impaired bone health. The aims of this study were to examine associations between EA/MD and energy metabolism and the prevalence of Triad-associated conditions in endurance athletes. Forty women [26.2 ± 5.5 years, body mass index (BMI) 20.6 ± 2.0 kg/m(2) , body fat 20.0 ± 3.0%], exercising 11.4 ± 4.5 h/week, were recruited from national teams and competitive clubs. Protocol included gynecological examination; assessment of bone health; indirect respiratory calorimetry; diet and exercise measured 7 days to assess EA; eating disorder (ED) examination; blood analysis. Subjects with low/reduced EA (< 45 kcal/kg FFM/day), had lower resting metabolic rate (RMR) compared with those with optimal EA [28.4 ± 2.0 kcal/kg fat-free mass (FFM)/day vs 30.5 ± 2.2 kcal/kg FFM/day, P < 0.01], as did subjects with MD compared with eumenorrheic subjects (28.6 ± 2.4 kcal/kg FFM/day vs 30.2 ± 1.8 kcal/kg FFM/day, P < 0.05). 63% had low/reduced EA, 25% ED, 60% MD, 45% impaired bone health, and 23% had all three Triad conditions. 53% had low RMR, 25% hypercholesterolemia, and 38% hypoglycemia. Conclusively, athletes with low/reduced EA and/or MD had lowered RMR. Triad-associated conditions were common in this group of athletes, despite a normal BMI range. The high prevalence of ED, MD, and impaired bone health emphasizes the importance of prevention, early detection, and treatment of energy deficiency.
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We analyzed HR variability (HRV) to detect alterations in autonomic function that may be associated with functional overreaching (F-OR) in endurance athletes. Twenty-one trained male triathletes were randomly assigned to either intensified training (n = 13) or normal training (n = 8) groups during 5 wk. HRV measures were taken daily during a 1-wk moderate training (baseline), a 3-wk overload training, and a 1-wk taper. All the subjects of the intensified training group demonstrated a decrease in maximal incremental running test performance at the end of the overload period (-9.0% ± 2.1% of baseline value) followed by a performance supercompensation after the taper and were therefore diagnosed as F-OR. According to a qualitative statistical analysis method, a likely to very likely negative effect of F-OR on HR was observed at rest in supine and standing positions, using isolated seventh-day values and weekly average values, respectively. When considering the values obtained once per week, no clear effect of F-OR on HRV parameters was found. In contrast, the weekly mean of each HRV parameter showed a larger change in indices of parasympathetic tone in the F-OR group than the control group in supine position (with a 96%/4%/0% chance to demonstrate a positive/trivial/negative effect on Ln RMSSD after the overload period; 77%/22%/1% on LnHF) and standing position [98%/1%/1% on Ln RMSSD; 99%/0%/1% on LnHF; 95%/1%/4% on Ln(LF + HF)]. During the taper, theses responses were reversed. Using daily HRV recordings averaged over each week, this study detected a progressive increase in the parasympathetic modulation of HR in endurance athletes led to F-OR. It also revealed that due to a wide day-to-day variability, isolated, once per week HRV recordings may not detect training-induced autonomic modulations in F-OR athletes.
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Athletes experience minor fatigue and acute reductions in performance as a consequence of the normal training process. When the balance between training stress and recovery is disproportionate, it is thought that overreaching and possibly overtraining may develop. However, the majority of research that has been conducted in this area has investigated overreached and not overtrained athletes. Overreaching occurs as a result of intensified training and is often considered a normal outcome for elite athletes due to the relatively short time needed for recovery (approximately 2 weeks) and the possibility of a supercompensatory effect. As the time needed to recover from the overtraining syndrome is considered to be much longer (months to years), it may not be appropriate to compare the two states. It is presently not possible to discern acute fatigue and decreased performance experienced from isolated training sessions, from the states of overreaching and overtraining. This is partially the result of a lack of diagnostic tools, variability of results of research studies, a lack of well controlled studies and individual responses to training. The general lack of research in the area in combination with very few well controlled investigations means that it is very difficult to gain insight into the incidence, markers and possible causes of overtraining. There is currently no evidence aside from anecdotal information to suggest that overreaching precedes overtraining and that symptoms of overtraining are more severe than overreaching. It is indeed possible that the two states show different defining characteristics and the overtraining continuum may be an oversimplification. Critical analysis of relevant research suggests that overreaching and overtraining investigations should be interpreted with caution before recommendations for markers of overreaching and overtraining can be proposed. Systematically controlled and monitored studies are needed to determine if overtraining is distinguishable from overreaching, what the best indicators of these states are and the underlying mechanisms that cause fatigue and performance decrements. The available scientific and anecdotal evidence supports the existence of the overtraining syndrome; however, more research is required to state with certainty that the syndrome exists.
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The present study examined whether a high protein diet prevents the attenuated leukocyte redistribution in response to acute exercise caused by a large volume of high-intensity exercise training. Eight cyclists (VO2max: 64.2 ± 6.5 mL kg(-1)·min(-1)) undertook two separate weeks of high-intensity training while consuming either a high protein diet (3 g kg(-1) protein·BM(-1)·day(-1)) or an energy and carbohydrate-matched control diet (1.5 g·kg(-1) protein·BM(-1)·day(-1)). High-intensity training weeks were preceded by a week of normal-intensity training under the control diet. Leukocyte and lymphocyte sub-population responses to acute exercise were determined at the end of each training week. Self-reported symptoms of upper-respiratory tract infections (URTI) were monitored daily by questionnaire. Undertaking high-intensity training with a high protein diet restored leukocyte kinetics to similar levels observed during normal-intensity training: CD8(+)TL mobilization (normal-intensity: 29,319±13,130 cells/μL× ∼165 min vs. high-intensity with protein: 26,031±17,474 cells/μL× ∼165 min, P>0.05), CD8(+)TL egress (normal-intensity: 624 ± 264 cells/μL vs. high-intensity with protein: 597 ± 478 cells/μL, P>0.05). This pattern was driven by effector-memory populations mobilizing (normal-intensity: 6,145±6,227 cells/μL× ∼165 min vs. high-intensity with protein: 6,783±8,203 cells/μL× ∼165 min, P>0.05) and extravastating from blood (normal-intensity: 147±129 cells/μL vs. high-intensity with protein: 165±192 cells/μL, P>0.05). High-intensity training while consuming a high protein diet was associated with fewer symptoms of URTI compared to performing high-intensity training with a normal diet (P<0.05). To conclude, a high protein diet might reduce the incidence of URTI in athletes potentially mediated by preventing training-induced impairments in immune-surveillance.
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To examine whether i) objective markers of sleep quantity and quality are altered in endurance athletes experiencing overreaching in response to an overload training program and ii) whether potential reduced sleep quality would be accompanied with higher prevalence of upper respiratory tract infections in this population. Twenty seven trained male triathletes were randomly assigned to either overload (n=18) or normal (CTL, n=9) training groups. Respective training programs included a 1-week moderate training phase, followed by a 3-week period of overload or normal training, respectively and then a subsequent 2-week taper. Maximal aerobic power and oxygen uptake (V˙O2max) from incremental cycle ergometry were measured after each phase, whilst mood states and incidences of illness were determined from questionnaires. Sleep was monitored every night of the 6 weeks using wristwatch actigraphy. Nine of the 18 overload training group subjects were diagnosed as functionally overreached (F-OR) after the overload period, as based on declines in performance and V˙O2max with concomitant high perceived fatigue (p<0.05), whilst the nine other overload subjects showed no decline in performance (AF, p>0.05). There was a significant time × group interaction for sleep duration (SD), sleep efficiency (SE) and immobile time (IT). Only the F-OR group demonstrated a decrease in these three parameters (-7.9±6.7%, -1.6±0.7% and -7.6±6.6%, for SD, SE and IT, respectively, p<0.05), which was reversed during the subsequent taper phase. Higher prevalence of upper respiratory tract infections were also reported in F-OR (67%, 22%, 11% incidence rate, for F-OR, AF and CTL, respectively). This study confirms sleep disturbances and increased illness in endurance athletes who present with symptoms of F-OR during periods of high volume training.
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Purpose: To examine whether i) objective markers of sleep quantity and quality are altered in endurance athletes experiencing overreaching in response to an overload training program and ii) whether potential reduced sleep quality would be accompanied with higher prevalence of upper respiratory tract infections in this population. Methods: Twenty seven trained male triathletes were randomly assigned to either overload (n=18) or normal (CTL, n=9) training groups. Respective training programs included a 1-week moderate training phase, followed by a 3-week period of overload or normal training, respectively and then a subsequent 2-week taper. Maximal aerobic power and oxygen uptake (V ̇O2max) from incremental cycle ergometry were measured after each phase, whilst mood states and incidences of illness were determined from questionnaires. Sleep was monitored every night of the 6 weeks using wristwatch actigraphy. Results: Nine of the 18 overload training group subjects were diagnosed as functionally overreached (F-OR) after the overload period, as based on declines in performance and V ̇O2max with concomitant high perceived fatigue (p<0.05), whilst the nine other overload subjects showed no decline in performance (AF, p>0.05). There was a significant time × group interaction for sleep duration (SD), sleep efficiency (SE) and immobile time (IT). Only the F-OR group demonstrated a decrease in these three parameters (-7.9 ± 6.7%, -1.6 ± 0.7% and -7.6 ± 6.6%, for SD, SE and IT, respectively, p<0.05), which was reversed during the subsequent taper phase. Higher prevalence of upper respiratory tract infections were also reported in F-OR (67%, 22%, 11% incidence rate, for F-OR, AF and CTL, respectively). Conclusion: This study confirms sleep disturbances and increased illness in endurance athletes who present with symptoms of F-OR during periods of high volume training.
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Background: In females, estrogen is a potential modulator of cortisol response to stressors. The aim of this study was to determine the influence of menstrual cycle phase, oral contraception (OC) use and exercise training on hypothalamo-pituitary-adrenal (HPA) axis activity and reactivity after physical stress. Aim: We investigated the effects of the menstrual cycle and OC use on exhaustive exerciseinduced changes in free salivary cortisol concentrations and free urinary cortisol/cortisone excretion in healthy young women. Materials and subjects: Twenty-eight women were allocated to an untrained group (no.=16) or a trained group (no.=12), depending on their physical training background. The untrained group was composed of nine OC users (UNTOC+) and seven eumenorrheic women (UNT-OC-) tested in the follicular and luteal phases, while the trained group was entirely composed of OC+ subjects (T-OC+). Methods: Three laboratory sessions were conducted in a randomised order: a prolonged exercise test, a short-term exercise test, and a control session. For each session, urine and saliva specimens were collected at rest (09:00 h) and then, 30, 60 and 90 min later. Results: Estradiol fluctuation during the menstrual cycle phase did not alter free cortisol baseline values and responses to exercise. OC use was associated with increased free resting salivary concentrations and urinary cortisol excretion with blunted salivary cortisol response to prolonged exercise stimulation. No training effect was noted. Conclusions: OC but not menstrual cycle phase is associated with increased free cortisol levels and low HPA axis reactivity.
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In sport, high training load required to reach peak performance push human adaptation to their limits. In that process, athletes may experience general fatigue, impaired performance and may be identified as overreached (OR). When this state lasts for several months, an overtraining syndrome is diagnosed (OT). Until now, no variable per se can detect OR, a requirement to prevent the transition from OR to OT. It encouraged us to further investigate OR using a multivariate approach including physiological, biomechanical, cognitive and perceptive monitoring. Twenty-four highly trained triathletes were separated into an overload group and a normo-trained group (NT) during three weeks of training. Given the decrement of their running performance, eleven triathletes were diagnosed as OR after this period. A discriminant analysis showed that the changes of eight parameters measured during a maximal incremental test could explain 98.2% of the OR state (lactataemia, heart rate, biomechanical parameters and effort perception). Variations in heart rate and lactataemia were the two most discriminating factors. When the multifactorial analysis was restricted to these variables, the classification score reached 89.5%. Catecholamines and creatine kinase concentrations at rest did not change significantly in both groups. Running pattern was preserved and cognitive performance decrement was observed only at exhaustion in OR subjects. This study showed that monitoring various variables is required to prevent the transition between NT and OR. It emphasized that an OR index, which combines heart rate and blood lactate concentration changes after a strenuous training period, could be helpful to routinely detect OR.
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It has been established that excellence in sports with short and long exercise duration requires a high proportion of fast-twitch (FT) or type-II fibers and slow-twitch (ST) or type-I fibers, respectively. Until today, the muscle biopsy method is still accepted as gold standard to measure muscle fiber type composition. Because of its invasive nature and high sampling variance, it would be useful to develop a non-invasive alternative. Eighty-three control subjects, 15 talented young track-and-field athletes, 51 elite athletes and 14 ex-athletes volunteered to participate in the current study. The carnosine content of all 163 subjects was measured in the gastrocnemius muscle by proton magnetic resonance spectroscopy ((1)H-MRS). Muscle biopsies for fiber typing were taken from 12 untrained males. A significant positive correlation was found between muscle carnosine, measured by (1)H-MRS, and percentage area occupied by type II fibers. Explosive athletes had ∼30% higher carnosine levels compared to a reference population, whereas it was ∼20% lower than normal in typical endurance athletes. Similar results were found in young talents and ex-athletes. When active elite runners were ranked according to their best running distance, a negative sigmoidal curve was found between logarithm of running distance and muscle carnosine. Muscle carnosine content shows a good reflection of the disciplines of elite track-and-field athletes and is able to distinguish between individual track running distances. The differences between endurance and sprint muscle types is also observed in young talents and former athletes, suggesting this characteristic is genetically determined and can be applied in early talent identification. This quick method provides a valid alternative for the muscle biopsy method. In addition, this technique may also contribute to the diagnosis and monitoring of many conditions and diseases that are characterized by an altered muscle fiber type composition.
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High-intensity interval training (HIIT) forms an important component of endurance athletes' training, but little is known on intramuscular metabolic and fiber type adaptations. This study investigated physiological and skeletal muscle adaptations in endurance runners subjected to 6 weeks HIIT. Eighteen well-trained endurance athletes were subjected to 6 weeks HIIT. Maximal and submaximal exercise tests and muscle biopsies were performed before and after training. Results indicated that peak treadmill speed (PTS) increased (21.0 ± 0.8 vs 22.1 ± 1.2 km/h, P<0.001) and plasma lactate decreased at 64% and 80% PTS (P<0.05) after HIIT. Cross-sectional area of type II fibers tended to have decreased (P=0.06). No changes were observed in maximal oxygen consumption, muscle fiber type, capillary supply, citrate synthase and 3-hydroxyacetyl CoA dehydrogenase activities. Lactate dehydrogenase (LDH) activity increased in homogenate (P<0.05) and type IIa fiber pools (9.3%, P<0.05). The change in the latter correlated with an absolute interval training speed (r=0.65; P<0.05). In conclusion, HIIT in trained endurance runners causes no adaptations in muscle oxidative capacity but increased LDH activity, especially in type IIa fibers and in relation to absolute HIIT speed.
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Introduction: The aim of this study was to determine if muscle oxidative capacity is influenced by alterations in training volume in middle-distance runners. Methods: Twenty-four highly-trained middle-distance runners (n=16 male; VO2peak=73.3(4.3) ml·kg·min; n=8 female, VO2peak=63.2(3.4) ml·kg·min) completed 3 weeks of normal training (NormTr), 3 weeks of high-volume training (HVTr; a 10, 20 and 30% increase in training volume during each successive week from NormTr), and a 1-week taper (TapTr; 55% exponential reduction in training volume from HVTr week 3). Before, and immediately after each training period, the rate of recovery of muscle oxygen consumption (mVO2) of the gastrocnemius medalis was measured using near-infrared spectroscopy, with the rate constant indicating muscle oxidative capacity. Time to exhaustion (TTE) and VO2peak were determined during a maximal incremental treadmill test. Results: Twelve subjects were classified as being functionally overreached (FOR) following HVTr (decreased running TTE and high perceived fatigue), whereas the other twelve subjects were classified as acutely fatigued (AF; no decrease in running TTE). The AF group demonstrated a significant increase in muscle oxidative capacity following HVTr (rate constant: 15.1% (SD; 9.7%) min; p=0.009), with no further improvement following TapTr, while there was no change in muscle oxidative capacity for FOR at any time point (p>0.05). Compared to the FOR group, the AF group had substantially larger improvements in TTE from pre-HVTr to post-TapTr (FOR: 8.8% (3.7%); AF: 3.2% (3.0%); p=0.04). Conclusion: The present study was able to demonstrate that muscle oxidative capacity was increased in response to a period of HVTr, but only in runners who did not develop FOR. Furthermore, runners who did not develop FOR had substantially larger performance improvements following a taper period.
Article
Purpose: To compare the training-intensity distribution (TID) across an 8-wk training period in a group of highly trained middle-distance runners employing 3 different methods of training-intensity quantification. Methods: Fourteen highly trained middle-distance runners performed an incremental treadmill test to exhaustion to determine the heart rate (HR) and running speed corresponding to the ventilatory thresholds (gas-exchange threshold and respiratory-compensation threshold), as well as fixed rating of perceived exertion (RPE) values, which were used to demarcate 3 training-intensity zones. During the following 8 wk, the TID (total and percentage of time spent in each training zone) of all running training sessions (N = 695) was quantified using continuous running speed, HR monitoring, and RPE. Results: Compared with the running-speed-derived TID (zone 1, 79.9% ± 7.3%; zone 2, 5.3% ± 4.9%; zone 3, 14.7% ± 7.3%), HR-demarcated TID (zone 1, 79.6% ± 7.2%; zone 2, 17.0% ± 6.3%; zone 3, 3.4% ± 2.0%) resulted in a substantially higher training time in zone 2 (ES95%CI: -1.64 ± 0.53, P < .001) and lower training time in zone 3 (-1.59 ± 0.51, P < .001). RPE-derived TID (zone 1, 39.6% ± 8.4%; zone 2, 31.9% ± 8.7%; zone 3, 28.5% ± 11.6%) reduced time in zone 1 compared with both HR (-5.64 ± 1.40, P < .001) and running speed (-5.69 ± 1.9, P < .001), while time in RPE training zones 2 and 3 was substantially higher than both HR- and running-speed-derived zones. Conclusion: The results show that the method of training-intensity quantification substantially affects computation of TID.
Article
Introduction: Detecting the onset of functional or non-functional overreaching in endurance athletes is of prior importance to ensure reactive amendment of the scheduled training program. The objective of this study was to assess photo-plethysmography (PPG) in overloaded athletes and test whether 1) it would be affected differently in functional overreached (FOR) or non-overreached acutely fatigued (AF) athletes; 2. Specific PPG characteristics would allow timely distinction of FOR and AF. Methods: Fifteen athletes performed 2-wk baseline (BSL) training followed by 3-wk overload (+45%; OVL) and 2-wk recovery (-20%; RCV). 3000 m running time-trial was used to assess performance at the end of BSL, OVL and RCV and distinguish FOR and AF. PPG was recorded overnight using a wearable sensor, every third night. Overnight means and variances of systolic, diastolic and dicrotic amplitudes and times as well as systolic and diastolic slopes were used to discriminate FOR and AF athletes. Results: Performance was decreased in FOR and improved in AF at the end of OVL. Diastolic time was greater in AF than FOR whilst systolic slope was smaller in AF than FOR during OVL. The variances of systolic, diastolic, dicrotic amplitudes, systolic, diastolic slopes and pulse areas were smaller in AF compared to FOR in the last week of OVL. Conclusion: PPG is an efficient tool for the detection of overreaching as it distinguished FOR and AF athletes during OVL (prior performance decrement). This fast-responding method would therefore allow adjusting the daily training content in order to prevent non-functional overreaching.
Article
Objective: Heart rate variability (HRV) is commonly used to diagnose overreaching and monitor athletes’ responses to training. Baroreflex sensitivity (BRS) is modified by changes in training load and might be another means to detect overreaching. The goal of this study was to assess BRS and HRV changes in two groups of athletes responding either negatively (FOR) or positively (AF) to similar training overload. Design: Fifteen athletes performed 2-wk baseline (BSL) training followed by 3-wk overload (+45%; OVL) and 2-wk recovery (-20%; RCV). Methods: HRV, training load and subjective fatigue were measured daily via questionnaires. BRS, salivary cortisol and testosterone, and submaximal exercise and maximal 3-km run performances were measured at the end of each period. Results: Based on their performance change during OVL, 8 athletes were diagnosed as FOR and 7 as AF. Subjective fatigue was increased in FOR athletes during OVL. BRS increased in AF but not in FOR athletes during RCV. At the end of RCV, cortisol and testosterone were higher than BSL in both groups. Conclusion: Three weeks of similar training overload can induce either performance enhancement or overreaching. The changes in submaximal exercise and maximal performances and in subjective fatigue were the fastest-responding parameters that distinguished the two groups of athletes during OVL. Training overload blunted the increase in BRS in FOR only. Most of the differences in BRS were observed during the recovery period. BRS appears to be a more sensitive parameter than HRV for early monitoring of responses to training.
Article
The regular monitoring of athletes is important to fine-tune training and detect early symptoms of overreaching. Therefore the aim of this study was to determine if a noninvasive submaximal running test could reflect a state of overreaching. 14 trained runners completed a noninvasive Lamberts Submaximal Running Test, one week before and 2 days after finishing an ultramarathon, and delayed onset of muscle soreness and the daily analysis of life demands for athletes questionnaire were also captured. After the ultramarathon, submaximal heart rate was lower at 70% (−3 beats) and 85% of peak treadmill running speed (P<0.01). Ratings of perceived exertion were higher at 60% (2 units) and 85% (one unit) of peak treadmill running speed, while 60-second heart rate recovery was significantly faster (7 beats, P<0.001). Delayed Onset of Muscle Soreness scores and the number of symptoms of stress (Daily Analysis of Life Demands for Athletes) were also higher after the ultramarathon (P<0.01). The current study shows that the Lamberts Submaximal Running Test is able to reflect early symptoms of overreaching. Responses to acute fatigue and overreaching were characterized by counterintuitive responses, such as lower submaximal heart rates and faster heart rate recovery, while ratings of perceived exertion were higher.
Article
CO2 is generated when lactate is increased during exercise because its [H'] is buffered primarily by HCO: (22 ml for each meq of lactic acid). We developed a method to detect the anaerobic threshold (AT), using computerized regression analysis of the slopes of the CO, uptake (ko,) vs. 0, uptake (VO,) plot, which detects the beginning of the excess CO, output generated from the buffering of [H'], termed the V-slope method. From incremental exercise tests on 10 subjects, the point of excess CO, output (AT) predicted closely the lactate and HCO: thresholds. The mean gas exchange AT was found to correspond to a small increment of lactate above the mathematically defined lactate threshold [0.50 t 0.34 (SD) meq/l] and not to differ significantly from the estimated HCO: threshold. The mean VO, at AT computed by the V-slope analysis did not differ significantly from the mean value determined by a panel of six experienced reviewers using traditional visual methods, but the AT could be more reliably determined by the V-slope method. The respiratory compensation point, detected separately by examining the minute ventilation vs. VCO~ plot, was consistently higher than the AT (2.51 t 0.42 vs. 1.83 t 0.30 l/min of VOW). This method for determining the AT has significant advantages over others that depend on regular breathing pattern and respiratory chemosensitivity.
Article
There is a continuing research interest in the muscle fiber type composition (MFTC) of athletes. Recently, muscle carnosine quantification by proton magnetic resonance spectroscopy ((1) H-MRS) was developed as a new non-invasive method to estimate MFTC. This cross-sectional study aims to better understand estimated MFTC in relation to (a) different disciplines within one sport; (b) cyclic sport exercise characteristics; (c) within-athlete variability; and (d) athlete level. A total of 111 elite athletes (74 runners, 7 triathletes, 11 swimmers, 14 cyclists and 5 kayakers) and 188 controls were recruited to measure muscle carnosine in gastrocnemius and deltoid muscle by (1) H-MRS. Within sport disciplines, athletes were divided into subgroups (sprint-, intermediate-, and endurance-type). The controls were used as reference population to allow expression of the athletes' data as Z-scores. Within different sports, endurance-type athletes systematically showed the lowest Z-score compared to sprint-type athletes, with intermediate-type athletes always situated in between. Across the different sports disciplines, carnosine content showed the strongest significant correlation with cyclic movement frequency (R = 0.86, P = 0.001). Both within and between different cyclic sports, estimated MFTC was divergent between sprint- and endurance-type athletes. Cyclic movement frequency, rather than exercise duration came out as the most determining factor for the optimal estimated MFTC in elite athletes.
Article
Mechanical properties were measured in single skinned fibers from rat hindlimb muscle to test the hypothesis that the fast type IIb fiber exhibits a higher maximal shortening velocity (V-o) than the fast type IIa fiber and that the difference is directly attributable to a higher myofibrillar adenosinetriphosphatase (ATPase) activity in the type IIb, fiber. Additional measurements were made to test the hypotheses that regular endurance exercise increases and decreases the V-o of the type I and IIa fiber, respectively, and that the altered V-o is associated with a corresponding change in the fiber ATPase activity. Rats were exercised by 8-12 wk of treadmill running for 2 h/day, 5 day/wk, up a 15% grade at a speed of 27 m/min. Fiber V-o was determined by the slack test, and the ATPase was measured fluorometrically in the same fiber. The myosin isozyme profile of each fiber was subsequently determined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis. The mean +/- SE V-o (7.9 +/- 0.22 fiber lengths/s) of the type IIb fiber was significantly greater than the type IIa fiber (4.4 +/- 0.21 fiber lengths/s), and the higher V-o was associated with a higher ATPase activity (927 +/- 70 vs. 760 +/- 60 mu M.min(-1).mm(-3)). The exercise program induced cardiac hypertrophy and an approximately twofold increase in the mitochondrial marker enzyme citrate synthase. Exercise had no effect on fiber diameter or peak tension per cross-sectional area in any fiber type, but, importantly, it significantly increased (23%) both the V-o and the ATPase activity of the slow type I fiber of the soleus. The increased V-o was highly correlated with (r = 0.76) and probably caused by the elevated fiber ATPase. Possible causes of the increased fiber V-o and ATPase include an exercise-induced increase in the number of slow fibers expressing fast myosin light chains (from 39 to 83%) and a small increase in the number of hybrid fibers containing both slow and fast myosin heavy chains. The contractile properties of the fast type IIa and IIb fibers of the gastrocnemius muscle were not significantly altered by the exercise program.
Article
Purpose: Heart rate variability (HRV) as a measure of autonomic function may increase in response to training interventions leading to increases or decreases in performance, making HRV interpretation difficult in isolation. This study aimed to contextualise changes in HRV with subjective measures of training tolerance. Methods: Supine and standing measures of vagal-related HRV (RMSSD), and measures of training tolerance (Daily Analysis of Life Demands for Athletes questionnaire, perception of energy levels, fatigue and muscle soreness) were recorded daily during 1 week of light-training (LT), 2 weeks of heavy-training (HT) and 10 days of tapering (T) in 15 male runners/triathletes. HRV and training tolerance were analysed as rolling seven day averages at LT, HT and T. Performance was assessed following LT, HT and T with a 5 km treadmill time-trial (5TTT). Results: Time to complete 5TTT likely increased following HT (Effect size [ES] ± 90% confidence interval=0.16±0.06), and then almost certainly decreased following T (ES=-0.34±0.08). Training tolerance worsened after HT (ES≥1.30±0.41) and improved after T (ES≥1.27±0.49). Standing RMSSD very likely increased after HT (ES=0.62±0.26), and likely remained higher than LT at the completion of T (ES=0.38±0.21). Changes in supine RMSSD were possible or likely trivial. Conclusions: Vagal-related HRV during standing increase in response to functional overreaching (indicating potential parasympathetic hyperactivity), and also to improvements in performance. Thus, additional measures such as training tolerance are required to interpret changes in vagal-related HRV.
Article
Anorexia-cachexia associated with cancer and other diseases is a common and often fatal condition representing a large area of unmet medical need. It occurs most commonly in advanced cancer and is probably a consequence of molecules released by tumour cells, or tumour associated interstitial or immune cells. These may then act directly on muscle to cause atrophy and/or may cause anorexia, which then leads to loss of both fat and lean mass. Whilst the aetiological triggers for this syndrome are not well characterized, recent data suggests that MIC-1/GDF15, a TGF-b superfamily cytokine produced in large amounts by cancer cells and as a part of other disease processes, may be an important trigger. This cytokine acts on feeding centres in the hypothalamus and brainstem to cause anorexia leading to loss of lean and fat mass and eventually cachexia. In animal studies, the circulating concentrations of MIC-1/GDF15 required to cause this syndrome are similar to those seen in patients with advanced cancer, and at least some epidemiological studies support an association between MIC-1/GDF15 serum levels and measures of nutrition. This article will discuss its mechanisms of central appetite regulation, and the available data linking this action to anorexia-cachexia syndromes that suggest it is a potential target for therapy of cancer anorexia-cachexia and conversely may also be useful for the treatment of severe obesity.International Journal of Obesity accepted article preview online, 01 December 2015. doi:10.1038/ijo.2015.242.