Glycaemic Effects of a 156-km Ultra-trail Race in Athletes: An Observational Field Study.

BACKGROUND: Ultra-trail running races pose appreciable physiological challenges, particularly for glucose metabolism. Previous studies that yielded divergent results only measured glycaemia at isolated times. OBJECTIVES: We aimed to explore the impact of an ultra-endurance race on continuously measured glycaemia and to understand potential physiological mechanisms, as well as the consequences for performance and behavioural alertness. METHODS: Fifty-five athletes (78% men, 43.7 ± 9.6 years) ran a 156-km ultra-trail race (six 26-km laps, total elevation 6000 m). Participants wore a masked continuous glucose monitoring sensor from the day before the race until 10 days post-race. Blood was taken at rest, during refuelling stops after each lap, and after 24-h recovery. Running intensity (% heart rate reserve), performance (lap times), psychological stress, and behavioural alertness were explored. Linear mixed models and logistic regressions were carried out. RESULTS: No higher risk of hypo- or hyperglycaemia was observed during the exercise phases of the race (i.e. excluding stops for scientific measurements and refuelling) compared with resting values. Laps comprising a greater proportion of time spent at maximal aerobic intensity were nevertheless associated with more time > 180 mg/dL (P = 0.021). A major risk of hyperglycaemia appeared during the 48-h post-race period compared with pre-race (P < 0.05), with 31.9% of the participants spending time with values > 180 mg/dL during recovery versus 5.5% during resting. Changes in circulating insulin, cortisol, and free fatty acids followed profiles comparable with those usually observed during traditional aerobic exercise. However, creatine phosphokinase, and to a lesser extent lactate dehydrogenase, increased exponentially during the race (P < 0.001) and remained high at 24-h post-race (P < 0.001; respectively 43.6 and 1.8 times higher vs. resting). Glycaemic metrics did not influence physical performance or behavioural alertness. CONCLUSION: Ultra-endurance athletes were exposed to hyperglycaemia during the 48-h post-race period, possibly linked to muscle damage and inflammation. Strategies to mitigate muscle damage or subsequent inflammation before or after ultra-trail races could limit recovery hyperglycaemia and hence its related adverse health consequences. TRIAL REGISTRATION NUMBER: NCT05538442 2022-09-21 retrospectively registered.

In Amateur Athletes With Type 1 Diabetes, a 9-Day Period of Cycling at Moderate-to-Vigorous Intensity Unexpectedly Increased the Time Spent in Hyperglycemia, Which Was Associated With Impairment in Heart Rate Variability.

OBJECTIVE: In type 1 diabetes, autonomic dysfunction may occur early as a decrease in heart rate variability (HRV). In populations without diabetes, the positive effects of exercise training on HRV are well-documented. However, exercise in individuals with type 1 diabetes, particularly if strenuous and prolonged, can lead to sharp glycemic variations, which can negatively impact HRV. This study explores the impact of a 9-day cycling tour on HRV in this population, with a focus on exercise-induced glycemic excursions. RESEARCH DESIGN AND METHODS: Twenty amateur athletes with uncomplicated type 1 diabetes cycled 1,500 km. HRV and glycemic variability were measured by heart rate and continuous glucose monitoring. Linear mixed models were used to test the effects of exercise on HRV, with concomitant glycemic excursions and subject characteristics considered as covariates. RESULTS: Nighttime HRV tended to decrease with the daily distance traveled. The more time the subjects spent in hyperglycemia, the lower the parasympathetic tone was. This result is striking given that hyperglycemic excursions progressively increased throughout the 9 days of the tour, and to a greater degree on the days a longer distance was traveled, while time spent in hypoglycemia surprisingly decreased. This phenomenon occurred despite no changes in insulin administration and a decrease in carbohydrate intake from snacks. CONCLUSIONS: In sports enthusiasts with type 1 diabetes, multiday prolonged exercise at moderate-to-vigorous intensity worsened hyperglycemia, with hyperglycemia negatively associated with parasympathetic cardiac tone. Considering the putative deleterious consequences on cardiac risks, future work should focus on understanding and managing exercise-induced hyperglycemia.

Cannabidiol in sport: Ergogenic or else?

In the sports domain, cannabis is prohibited by the World Anti-Doping Agency (WADA) across all sports in competition since 2004. The few studies on physical exercise and cannabis focused on the main compound i.e. Δ9-tetrahydrocannabinol. Cannabidiol (CBD) is another well-known phytocannabinoid present in dried or heated preparations of cannabis. Unlike Δ9-tetrahydrocannabinol, CBD is non-intoxicating but exhibits pharmacological properties that are interesting for medical use. The worldwide regulatory status of CBD is complex and this compound is still a controlled substance in many countries. Interestingly, however, the World Anti-Doping Agency removed CBD from the list of prohibited substances - in or out of competition - since 2018. This recent decision by the WADA leaves the door open for CBD use by athletes. In the present opinion article we wish to expose the different CBD properties discovered in preclinical studies that could be further tested in the sport domain to ascertain its utility. Preclinical studies suggest that CBD could be useful to athletes due to its anti-inflammatory, analgesic, anxiolytic, neuroprotective properties and its influence on the sleep-wake cycle. Unfortunately, almost no clinical data are available on CBD in the context of exercise, which makes its use in this context still premature.

Beetroot Juice Does Not Enhance Supramaximal Intermittent Exercise Performance in Elite Endurance Athletes.

Objective: Nitrate (NO3-)-rich beetroot juice (BR) is recognized as an ergogenic supplement that improves exercise tolerance during submaximal to maximal intensity exercise in recreational and competitive athletes. A recent study has investigated the effectiveness of BR on exercise performance during supramaximal intensity intermittent exercise (SIE) in Olympic-level track cyclists, but studies conducted in elite endurance athletes are scarce. The present study aimed to determine whether BR supplementation enhances the tolerance to SIE in elite endurance athletes.Methods: Eleven elite endurance athletes (age: 21.7 ± 3.7 years, maximal oxygen uptake [Formula: see text] 71.1 ± 5.2 mL·kg-1·min-1) performed an SIE test until exhaustion following either a 3-day BR supplementation (340 mg/d) or a placebo (PL) supplementation (<2.5 mg/d) in a randomized, single blind, placebo-controlled, and crossover study. The exercise test consisted of 15-second cycling exercise bouts at 170% of the maximal aerobic power interspersed with 30-second passive recovery periods. Gas exchange was measured during SIE tests as local muscle O2 delivery and extraction were assessed by near infrared spectroscopy.Results: The number of repetitions completed was not significantly different between BR (13.9 ± 4.0 reps) and PL conditions (14.2 ± 4.5 reps). BR supplementation did not affect oxygen uptake ([Formula: see text]) during SIE tests (BR: 3378.5 ± 681.8 mL·min-1, PL: 3466.1 ± 505.3 mL·min-1). No significant change in the areas under curves was found for local muscle total hemoglobin (BR: 6816.9 ± 1463.1 arbitrary units (a.u.), PL: 6771.5 ± 3004.5 a.u.) and deoxygenated hemoglobin (BR: 6619.7 ± 875.8 a.u., PL: 6332.7 ± 1336.8 a.u.) during time-matched work + recovery periods from SIE tests following BR supplementation.Conclusions: BR supplementation does not enhance the tolerance to SIE in elite endurance athletes and affects neither [Formula: see text] nor local muscle O2 delivery and extraction.

Active Versus Passive Recovery in High-Intensity Intermittent Exercises in Children: An Exploratory Study.

This study aimed to compare the effect of active recovery (AR) versus passive recovery (PR) on time to exhaustion and time spent at high percentages of peak oxygen uptake ( peakV˙O2 ) during short, high-intensity intermittent exercises in children. Twelve children (9.5 [0.7] y) underwent a graded test and 2 short, high-intensity intermittent exercises (15 s at 120% of maximal aerobic speed) interspersed with either 15 seconds of AR (50% of maximal aerobic speed) or 15-second PR until exhaustion. A very large effect (effect size = 2.42; 95% confidence interval, 1.32 to 3.52) was observed for time to exhaustion in favor of longer time to exhaustion with PR compared with AR. Trivial or small effect sizes were found for peakV˙O2 , peakHR, and peak ventilation between PR and AR, while a moderate effect in favor of higher average V˙O2 values (effect size = -0.87; 95% confidence interval, -1.76 to -0.01) was found using AR. The difference between PR and AR for the time spent above 80% (t80%) and 90% (t90%) of peakV˙O2 was trivial. Despite the shorter running duration in AR, similar t80% and t90% were spent with AR and PR. Time spent at a high percentage of peakV˙O2 may be attained by running 3-fold shorter using AR compared with using PR.

Plasma asymmetric dimethylarginine concentrations are not related to differences in maximal oxygen uptake in endurance trained and untrained men.

NEW FINDINGS: What is the central question of this study? Is there an association of plasma concentration of asymmetric dimethylarginine, which is related to exercise capacity in patients with cardiovascular diseases, with oxygen delivery and subsequently exercise capacity in healthy subjects in the absence of the potentially confounding influence of inflammation and oxidative stress? What is the main finding and its importance? Plasma asymmetric dimethylarginine concentrations are not related to exercise capacity in healthy subjects, while O2 delivery in the working skeletal muscle during the maximal graded-exercise test is not associated with any of the l-arginine analogues. ADMA alone does not play a crucial role in local muscle perfusion and in maintaining exercise capacity. ABSTRACT: Asymmetric dimethylarginine (ADMA) is an endogenous inhibitor of nitric oxide (NO) synthesis that could limit oxygen (O2 ) delivery in the working skeletal muscles by altering endothelium-dependent vasodilatation. Exercise capacity is associated with plasma ADMA concentrations in patients with cardiovascular diseases, but this issue has still not been investigated in healthy subjects. We aimed to determine whether plasma ADMA concentrations were negatively associated with exercise capacity in young healthy male subjects. Ten men with maximal oxygen uptake ( V ̇ O 2 max ) > 65 mL kg-1  min-1 were included in the high exercise capacity group (HI-FIT), and 10 men with V ̇ O 2 max  < 45 mL kg-1  min-1 were included in the low exercise capacity group (LO-FIT). Plasma ADMA and other l-arginine analogue concentrations were measured before and after a maximal graded-exercise test by liquid chromatography-tandem mass spectrometry. Microvascular O2 delivery during exercise was estimated through the pattern from the sigmoid model of muscle deoxygenation in the vastus lateralis measured by near infrared spectroscopy. V ̇ O 2 max was 60% higher in the HI-FIT group (median: 70.2 mL kg-1  min-1 ; IQR: 68.0-71.9 mL kg-1  min-1 ) than in the LO-FIT group (median: 43.8 mL kg-1  min-1 ; IQR: 34.8-45.3 mL kg-1  min-1 ). Plasma ADMA concentrations did not differ between the LO-FIT and HI-FIT groups before (0.50 ± 0.06 vs. 0.54 ± 0.07 µmol L-1 , respectively) and after the maximal incremental exercise test (0.49 ± 0.08 vs. 0.55 ± 0.03 µmol L-1 , respectively). There was no significant association of plasma ADMA concentrations with the pattern of local muscle deoxygenation and exercise capacity. Exercise capacity and microvascular O2 delivery are not related to plasma ADMA concentrations in young healthy male subjects. Our findings show that ADMA does not play a crucial role in local muscle perfusion and in maintaining exercise capacity without pathological conditions.

Longitudinal Follow-Up of Physical Activity During School Recess: Impact of Playground Markings.

To promote physical activity (PA) among children, few studies have reported long-term effects of playground marking during school recess. The aim of this study was to investigate the impact of a playground design on children's recess PA across 12 months and to evaluate the influence of covariates on the intervention effects with accelerometry data. Two hundred and eighty-three children (aged 6-11 years) were selected from 3 elementary schools. Two experimental schools received a recess-based intervention; the third one served as a control group. The design of playgrounds was based on a multicolored zonal design. Children's PA was measured with a uniaxial accelerometer twice a day (morning and afternoon recess) during a 4-day school week. Times spent below and above different PA levels, varying from sedentary (SED, <1.5 METs), light PA (LPA, <4 METs), and from moderate to very high (MVPA, ≥ 4 METs) were calculated before and after 6 and 12 months intervention. A three level (time, pupil, school) multilevel analysis was used to control the intervention effect across time on SED, LPA, and MVPA. The playground intervention was effective after 6 months for LPA (+2.5%, CI 0.65/4.29, P < 0.01) and after 12 months for MVPA (+3.1%, CI 0.62/5.54, P < 0.01). Moreover, negative non-significant intervention effects were found for SED and LPA. Baseline PA and sex were significant covariates to the contrary of body mass index and age. Playground markings intervention can modify positively long-term school recess total PA.

Cardiorespiratory Responses to Continuous and Intermittent Exercises in Children.

The aim of the study was to characterize aerobic responses to high intensity intermittent (HIIE) and continuous (CE) exercises in prepubertal children. 26 children aged 8 to 11-year-old took part in a preliminary session to determine peakVO2 and Maximal Aerobic Velocity (MAV). In 5 subsequent experimental visits, the participants completed 2 CE and 3 HIIE sessions in a randomized order. HIIE consisted of short intermittent 10-s and 20-s running bouts at 100 to 130% MAV, interspersed with recovery periods of equal duration (S-HIIE1 and S-HIIE2 respectively) and 5-s of sprinting and jumping at maximal intensity with 15-s recovery periods (S-HIIE3). CE consisted of 2 10-min running periods at 80% and 85% MAV with a 5-min recovery period. CE protocols elicited higher average VO2 and exercise time spent above 95% of peakVO2 compared to the HIIE protocols. S-HIIE 1 and S-HIIE 2 elicited similar average VO2 response, higher than S-HIIE 3. Our study shows that CE activated the aerobic system to a greater extent than S-HIIE in prepubertal children, as reflected by the time above 95% of peakVO2 during exercise. However, isotime S-HIIE protocols comprising 10-s or 20-s exercise bouts at an intensity above MAV result in similar times above 95% of peakVO2 during exercise.

Effects of chronic exercise on the endocannabinoid system in Wistar rats with high-fat diet-induced obesity.

The endocannabinoid system is dysregulated during obesity in tissues involved in the control of food intake and energy metabolism. We examined the effect of chronic exercise on the tissue levels of endocannabinoids (eCBs) and on the expression of genes coding for cannabinoid receptor 1 (CB1) and cannabinoid receptor 2 (CB2) (Cnr1 and Cnr2, respectively) in the subcutaneous (SAT) and visceral adipose tissues and in the soleus and extensor digitorim longus (EDL) muscles, in rats fed with standard or high-fat diet. Twenty-eight male Wistar rats were placed on high-fat diet or standard diet (HFD and Ctl groups, respectively) during 12 weeks whereafter half of each group was submitted to an exercise training period of 12 weeks (HFD + training and Ctl + training). Tissue levels of eCBs were measured by LC-MS while expressions of genes coding for CB1 and CB2 receptors were investigated by qPCR. High-fat diet induced an increase in anandamide (AEA) levels in soleus and EDL (p < 0.02). In soleus of the HFD group, these changes were accompanied by elevated Cnr1 messenger RNA (mRNA) levels (p < 0.05). In EDL, exercise training allowed to reduce significantly this diet-induced AEA increase (p < 0.005). 2-Arachidonoylglycerol (2-AG) levels were decreased and increased by high-fat diet in SAT and EDL, respectively (p < 0.04), but not affected by exercise training. Unlike the HFD + training group, 2-AG levels in soleus were also decreased in the HFD group compared to Ctl (p < 0.04). The levels of eCBs and Cnr1 expression are altered in a tissue-specific manner following a high-fat diet, and chronic exercise reverses some of these alterations.

Exercise training and high-fat diet elicit endocannabinoid system modifications in the rat hypothalamus and hippocampus.

The purpose of the present study was to examine the effect of chronic exercise on the hypothalamus and hippocampus levels of the endocannabinoids (eCBs) anandamide (AEA) and 2-arachidonoylglycerol (2-AG) and of two AEA congeners and on the expression of genes coding for CB1, CB2 receptors (Cnr1 and Cnr2, respectively), and the enzymes responsible for eCB biosynthesis and degradation, in rats fed with a standard or high-fat diet. Male Wistar rats (n = 28) were placed on a 12-week high-fat (HFD) or standard diet period, followed by 12 weeks of exercise training for half of each group. Tissue levels of eCBs and related lipids were measured by liquid chromatography mass spectrometry, and expression of genes coding for CB1 and CB2 receptors and eCB metabolic enzymes was measured by quantitative real-time polymerase chain reaction (qPCR). HFD induced a significant increase in 2-AG (p < 0.01) in hypothalamus. High-fat diet paired with exercise training had no effect on AEA, 2-AG, and AEA congener levels in the hypothalamus and hippocampus. Cnr1 expression levels were significantly increased in the hippocampus in response to HFD, exercise, and the combination of both (p < 0.05). Our results indicate that eCB signaling in the CNS is sensitive to diet and/or exercise.

Effect of dietary nitrate supplementation on tolerance to supramaximal intensity intermittent exercise.

Dietary nitrate (NO3(-)) supplementation has been shown to increase exercise tolerance and improve oxidative efficiency during aerobic exercise in healthy subjects. We tested the hypothesis that a 3-day supplementation in beetroot juice (BJ) rich in NO3(-) would improve the tolerance to supramaximal intensity intermittent exercise consisting of 15-s exercise periods at 170% of the maximal aerobic power interspersed with 30-s passive recovery periods. The number of repetitions completed before reaching volitional exhaustion was significantly higher in the BJ than in the placebo condition (26.1 ± 10.7 versus 21.8 ± 8.0 respectively, P < 0.05). In contrast to previous findings during exercise performed at intensity below the peak oxygen uptake (VO2peak), oxygen uptake (VO2) was unaffected (BJ: 2735 ± 345 mL kg(-1) min(-1) vs. placebo: 2787 ± 346 mL kg(-1) min(-1), NS). However, the Area Under the Curve for microvascular total hemoglobin (AUC-THb) in the vastus lateralis muscle assessed by near infrared spectroscopy during 3 time-matched repetitions was significantly increased with NO3(-) supplementation (BJ: 9662 ± 1228 a.u. vs. placebo:8178 ± 1589 a.u.; P < 0.05). Thus, increased NO3(-) (BJ: 421.5 ± 107.4 µM vs placebo:39.4 ± 18.0 µM) and NO2(-) (BJ: 441 ± 184 nM vs placebo: 212 ± 119 nM) plasma levels (P < 0.001 for both) are associated with improved muscle microvascular Red Blood Cell (RBC) concentration and O2 delivery during intense exercise, despite no effect on resting femoral artery blood flow, and vascular conductance. Maximal voluntary force during an isometric leg extensor exercise, and blood lactate levels were also unaffected by NO3(-) supplementation. To conclude, dietary NO3(-) supplementation enhances tolerance to exercise at supramaximal intensity, with increased microvascular total RBC concentration in the working muscle, in the absence of effect on contractile function and resting hemodynamic parameters.

Swimmers can train in hypoxia at sea level through voluntary hypoventilation.

This study used an innovative technique of pulse oximetry to investigate whether swimmers can train under hypoxic conditions through voluntary hypoventilation (VH). Ten trained subjects performed a front crawl swimming series with normal breathing (NB), VH at high (VHhigh) and low pulmonary volume (VHlow). Arterial oxygen saturation was continuously measured via pulse oximetry (SpO2) with a waterproofed forehead sensor. Gas exchanges were recorded continuously and lactate concentration ([La]) was assessed at the end of each test. In VHlow, SpO2 fell down to 87% at the end of the series whereas it remained above 94% in VHhigh during most part of the series. Ventilation, oxygen uptake and end-tidal O2 pressure were lower in both VHhigh and VHlow than in NB. Compared to NB, [La] significantly increased in VHlow and decreased in VHhigh. This study demonstrated that swimmers can train under hypoxic conditions at sea level and can accentuate the glycolytic stimulus of their training if they perform VH at low but not high pulmonary volume.

Continuous vs. interval aerobic training in 8- to 11-year-old children.

The aim of the present study was to show if the use of continuous-running training vs. intermittent-running training has comparable or distinct impact on aerobic fitness in children. At first, children were matched according to their chronological age, their biological age (secondary sexual stages), and their physical activity or training status. Then, after randomization 3 groups were composed. Sixty-three children (X 9.6 +/- 1.0 years) were divided into an intermittent-running training group (ITG, 11 girls and 11 boys), a continuous-running training group (CTG, 10 girls and 12 boys), and a control group (CG, 10 girls and 9 boys). Over 7 weeks, ITG and CTG participated in 3 running sessions per week. Before and after the training period, they underwent a maximal graded test to determine peak oxygen uptake (peak VO2) and maximal aerobic velocity (MAV). Intermittent training consisted of short intermittent runs with repeated exercise and recovery sequences lasting from 5/15 to 30/30 seconds. With respect to continuous training sessions, repeated exercise sequences lasted from 6' to 20'. Training-effect threshold for statistical significance was set at p < 0.05. After training, peak VO2 was significantly improved in CTG (+7%, p < 0.001) and ITG (+4.8%, p < 0.001), whereas no difference occurred for the CG (-1.5%). Similarly, MAV increased significantly (p < 0.001) in both CTG (+8.7%) and ITG (+6.4%) with no significant change for CG. Our results demonstrated that both continuous and intermittent-running sessions induced significant increase in peak VO2 and MAV. Therefore, when adequate combinations of intensity/duration exercises are offered to prepubertal children, many modalities of exercises can successfully be used to increase their aerobic fitness. Aerobic running training is often made up of regular and long-distance running exercises at moderate velocity, which causes sometimes boredom in young children. During the developmental years, it seems therefore worthwhile to use various training modalities, to make this activity more attractive and thus create conditions for progress and enhanced motivation.

Effect of high intensity intermittent training on heart rate variability in prepubescent children.

The purpose of this study was to observe the effect of high intermittent exercise training on children's heart rate variability (HRV). Thirty-eight children (age 9.6 +/- 1.2 years) were divided into an intermittent (IT, n = 22) and a control group (CON, n = 16). At baseline and after a 7-week training period, HRV parameters, peak oxygen consumption (VO(2peak)) and maximal aerobic velocity (MAV) were assessed. Training consisted of three 30-min sessions composed by short maximal and supramaximal runs at velocities ranging from 100 up to 190% of MAV. HRV was computed in time and frequency domains. Training resulted in a significant increase in MAV and VO(2peak) in IT (P < 0.05) only without any significant change in HRV parameters for the two groups. Thus, 7 weeks of high intermittent exercise training allows to improve aerobic fitness. However, this modality of training was not sufficient enough to underline a possible effect on the heart rate autonomic regulation in children.

Is aerobic endurance a determinant of cardiac autonomic regulation?

The aim of this study was to determine if subjects matched for VO2max but with differing aerobic endurance displayed similar heart rate variability (HRV) at rest and heart rate recovery (HRR) after maximal exercise. We hypothesized that the higher the aerobic endurance, the higher the HRV and the faster the HRR. Twenty-eight well trained middle- and long-distance runners (24 men and 4 women) performed a maximal continuous graded exercise test for the determination of maximal oxygen consumption (VO2max), ventilatory threshold (VT), peak treadmill velocity (PTV) and HRR, as well as a test to measure the autonomic regulation of heart rate during supine rest, using HRV analysis. Once both tests were completed, subjects were matched for VO2max and assigned to the low endurance or the high endurance group, depending on the %PTV at which VT occurred (81.9 +/- 2.9 and 88.3 +/- 3.1%PTV for both groups, respectively; P < 0.0001). Contrary to our hypotheses, neither HRV nor HRR parameters were different between groups or associated with aerobic endurance. VO2max (59.0+/-7.3 ml min(-1) kg(-1)) was inversely correlated with ln SDNN (r = -0.44, P < 0.05), ln HF (r = -0.52, P < 0.05), ln LF + HF (r = -0.53, P < 0.05). These results suggest that aerobic endurance is not associated with cardiovascular autonomic control, as measured by HRV and HRR.

Prediction of one-hour running performance using constant duration tests.

Critical velocity (CV) represents, theoretically, the highest velocity that can be sustained without fatigue. The aim of this study was to compare CV computed from 5 mathematical models in order to determine which CV estimate is better correlated with 1-hour performance and which model provides the most accurate prediction of performance. Twelve trained middle- and long-distance male runners (29 +/- 5 years) performed 3 randomly ordered constant duration tests (6, 9, and 12 minutes), a maximal running velocity test for the estimation of CV, and a 1-hour track test (actual performance). Two linear, 2 nonlinear, and 1 exponential mathematical models were used to estimate CV and to predict the highest velocity that could be sustained during 1 hour (predicted performance). Although all CV estimates were correlated with performance (0.80 < r < 0.93, p < 0.01), it appeared that CV estimated from the exponential model was more closely associated with performance than all other models (r = 0.93; p < 0.01). Analysis of the bias +/- 95% interval of confidence between actual and predicted performance revealed that none of the models provided an accurate prediction of the 1-hour performance velocity. In conclusion, the estimation of CV allows us to rank middle- and long-distance runners with regard to their ability to perform well in long-distance running. However, no models provide an accurate prediction of performance that could be used as a reference for coaches or athletes.

Validity of the polar S810 heart rate monitor to measure R-R intervals at rest.

PURPOSE: This study was conducted to compare R-R intervals and the subsequent analysis of heart rate variability (HRV) obtained from the Polar S810 heart rate monitor (HRM) (Polar Electro Oy) with an electrocardiogram (ECG) (Physiotrace, Estaris, Lille, France) during an orthostatic test. METHODS: A total of 18 healthy men (age: 27.1 +/- 1.9 yr; height: 1.82 +/- 0.06 m; mass 77.1 +/- 7.7 kg) performed an active orthostatic test during which R-R intervals were simultaneously recorded with the HRM and the ECG recorder The two signals were synchronized and corrected before a time domain analysis, the fast Fourier transform (FFT) and a Poincaré plot analysis. Bias and limits of agreement (LoA), effect size (ES), and correlation coefficients were calculated. RESULTS: R-R intervals were significantly different in the supine and standing position between the ECG and the HRM uncorrected and corrected signal (P < 0.05, ES = 0.000 and 0.006, respectively). The bias +/- LoA, however, were 0.9 +/- 12 ms. HRV parameters derived from both signals in both positions were not different (P > 0.05) and well correlated (r > 0.97, P < 0.05), except root mean square of difference (RMSSD) and SD1 in standing position (P < 0.05, ES = 0.052 and 0.057; r = 0.99 and 0.98, respectively). CONCLUSION: Narrow LoA, good correlations, and small effect sizes support the validity of the Polar S810 HRM to measure R-R intervals and make the subsequent HRV analysis in supine position. Caution must be taken in standing position for the parameters sensitive to the short-term variability (i.e., RMSSD and SD1).