Training Load Measures and Biomarker Responses during a 7-Day Training Camp in Young Cyclists-A Pilot Study.

Background and Objectives: During intense training periods, there is a high need to monitor the external and especially the internal training load in order to fine-tune the training process and to avoid overreaching or overtraining. However, data on stress reactions, especially of biomarkers, to high training loads in children and youth are rare. Therefore, in this study, we aimed to investigate the training load of youth athletes during a training camp using a multilevel approach. Materials and Methods: Six trained youth male cyclists performed a 7-day preseason training camp. To investigate the internal training load, every morning, minimally invasive "point-of-care testing" (POCT) devices were used to analyze the following biomarkers: creatine kinase (CK), blood urea nitrogen (BUN), albumin (Alb), bilirubin (Bil), alanine aminotransferase (ALT), aspartate aminotransferase (AST), and total protein (TP). Additionally, data of training load measures (HR: heart rate, RPE: rating of perceived exertion, sRPE: session-RPE, TRIMP: training impulse, intensity (RPE:HR), and load (sRPE:TRIMP) ratios), self-perception (person's perceived physical state, questionnaires on muscle soreness, and sleep quality), and measures of the autonomic nervous system (resting heart rate, heart rate variability) were collected. Two days before and after the training camp, subjects performed performance tests (Graded Exercise Test, Wingate Anaerobic Test, Counter Movement Jump). Results: Primarily, the biomarkers CK, BUN, and Alb, as well as the self-perception showed moderate to large load-dependent reactions during the 7-day training camp. The biomarkers returned to baseline values two days after the last training session. Power output at lactate threshold showed a small increase, and no changes were found for other performance parameters. Conclusions: The study suggests that a multilevel approach is suitable to quantify the internal training load and that different parameters can be used to control the training process. The biomarkers CK, BUN, and Alb are suitable for objectively quantifying the internal training load. The self-perception provides additional subjective information about the internal training load.

Acute Exhaustive Exercise under Normoxic and Normobaric Hypoxic Conditions Differentially Regulates Angiogenic Biomarkers in Humans.

Background and Objectives: Angiogenesis describes the outgrowth of new capillaries from already existing ones. Different biomarkers regulate this process. Physical exercise and hypoxia are key stimuli for the activation of different angiogenic molecules, such as the vascular endothelial growth factor (VEGF). matrix metalloproteases (MMPs)-2 and -9 or the extracellular matrix cleavage fragment endostatin. The present study aimed to investigate influences of short-term, intensive cycling exercise under both normoxic and normobaric hypoxic conditions on the mentioned parameters. Materials and Methods: Twelve male subjects (age: 23.3 ± 2.0 years) participated in the study. All subjects conducted four intensive cycling tests until individual exhaustion in a randomized order under the following conditions: normoxia, 2000 m, 3000 m and 4000 m above sea level. Blood samples were taken before (pre) and 10 min, 30 min, 60 min and 240 min post exercise and were analyzed by ELISA. Results: VEGF showed a significantly reduced concentration compared to the pre-value solely under 4000 m at 10 min post exercise. MMP-2 showed significantly reduced concentrations at 240 min post exercise under 4000 m. MMP-9 increased at 240 min post exercise under both 2000 m and 4000 m conditions. Endostatin was significantly increased at 10 min post exercise independently of the applied stimulus. Conclusions: The presented data show that intensive short-term exercise bouts facilitate the bioavailability of angiogenic, ECM (extracellular matrix)-related biomarkers. This finding is interesting for both health- and performance-related research as it demonstrates the positive effects of intensive short exercise interventions.

Whole-body cryotherapy (-110 °C) following high-intensity intermittent exercise does not alter hormonal, inflammatory or muscle damage biomarkers in trained males.

PURPOSE: This study examined the acute effects of a single session of Whole-body Cryotherapy (WBC) following severe intermittent running exercise on biomarkers of inflammation, muscle damage and stress. METHODS: Endurance-trained males (n = 11) were tested twice using a within-participant, balanced cross-over design that consisted of 5 × 5 min of high-intensity running (HIR) followed by either 3 min of WBC at -110 °C or a passive control condition (CON). Before the HIR and after 60 min of recovery a ramp-test was completed. At seven time points up to 24 hrs post exercise venous blood samples were analyzed for serum levels of interleukin 6 (IL-6), interleukin 10 (IL-10), c-reactive protein (CRP), soluble intercellular adhesion molecule-1 (sICAM-1), myoglobin, cortisol, and testosterone. RESULTS: HIR induced significant increases in all biomarkers except sICAM-1 in both recovery conditions, respectively. Compared to the CON condition WBC did not attenuate exercise- induced changes in IL-6, IL-10, sICAM-1, myoglobin, cortisol, testosterone or their ratio. Increased levels of cortisol following exercise were negatively correlated with subsequent running performance in both conditions (WBC: r = -0.61, p = 0.04; CON: r = -0.64, p = 0.04). CONCLUSION: The results of this study suggest that the postulated physiological mechanisms by which WBC is proposed to improve recovery, i.e. reductions in inflammation and muscle damage, may not be accurate.

Integrated Framework of Load Monitoring by a Combination of Smartphone Applications, Wearables and Point-of-Care Testing Provides Feedback that Allows Individual Responsive Adjustments to Activities of Daily Living.

Athletes schedule their training and recovery in periods, often utilizing a pre-defined strategy. To avoid underperformance and/or compromised health, the external load during training should take into account the individual's physiological and perceptual responses. No single variable provides an adequate basis for planning, but continuous monitoring of a combination of several indicators of internal and external load during training, recovery and off-training as well may allow individual responsive adjustments of a training program in an effective manner. From a practical perspective, including that of coaches, monitoring of potential changes in health and performance should ideally be valid, reliable and sensitive, as well as time-efficient, easily applicable, non-fatiguing and as non-invasive as possible. Accordingly, smartphone applications, wearable sensors and point-of-care testing appear to offer a suitable monitoring framework allowing responsive adjustments to exercise prescription. Here, we outline 24-h monitoring of selected parameters by these technologies that (i) allows responsive adjustments of exercise programs, (ii) enhances performance and/or (iii) reduces the risk for overuse, injury and/or illness.

Aqua Cycling Does Not Affect Recovery of Performance, Damage Markers, and Sensation of Pain.

Wahl, P, Sanno, M, Ellenberg, K, Frick, H, Böhm, E, Haiduck, B, Goldmann, J-P, Achtzehn, S, Brüggemann, G-P, Mester, J, and Bloch, W. Aqua cycling does not affect recovery of performance, damage markers, and sensation of pain. J Strength Cond Res 31(1): 162-170, 2017-To examine the effects of aqua cycling (AC) vs. passive recovery (P) on performance, markers of muscle damage, delayed onset of muscle soreness (DOMS), and the persons perceived physical state (PEPS) after 300 countermovement jumps (CMJs). Twenty male participants completed 300 CMJs. Afterward, they were randomly assigned to either the P group or the AC group, the latter performing 30 minutes of AC. Before, directly after the 300 CMJs, after the recovery session, and up to 72 hours post, performance of leg extensor muscles, damage markers, the PEPS, and DOMS were measured. Jumping height during 300 CMJs significantly decreased in both groups (AC: 13.4% and P: 14.6%). Maximal isometric strength (AC: 21% and P: 22%) and dynamic fatigue test (AC: 35% and P: 39%) of leg extensor muscles showed significant decreases in both groups. Myoglobin, creatine kinase, and lactate dehydrogenase significantly increased over time in both groups. Each of the 4 dimensions of the PEPS and DOMS showed significant changes over time. However, no significant differences between both groups were found for any of the parameters. Coaches and athletes should be aware that vertical jumping-induced fatigue decreases the ability to generate maximal isometric and submaximal dynamic force for more than 3 days after training. A single 30-minute session of AC was not able to attenuate the effects on muscular performance, markers of muscle damage, DOMS, or the PEPS compared with passive rest.

Markers of biological stress in response to a single session of high-intensity interval training and high-volume training in young athletes.

PURPOSE: The aim of the present study was to compare the effects of high-intensity interval training (HIIT) vs high-volume training (HVT) on salivary stress markers [cortisol (sC), testosterone (sT), alpha-amylase (sAA)], metabolic and cardiorespiratory response in young athletes. METHODS: Twelve young male cyclists (14 ± 1 years; 57.9 ± 9.4 mL min-1 kg-1 peak oxygen uptake) performed one session of HIIT (4 × 4 min intervals at 90-95 % peak power output separated by 3 min of active rest) and one session of HVT (90 min constant load at 60 % peak power output). The levels of sC, sT, their ratio (sT/sC) and sAA were determined before and 0, 30, 60, 180 min after each intervention. Metabolic and cardiorespiratory stress was characterized by blood lactate, blood pH, respiratory exchange ratio (RER) and heart rate (HR), oxygen uptake ([Formula: see text]), ventilation (V E) and ventilatory equivalent (V E/[Formula: see text]). RESULTS: sC increased 30 and 60 min after HIIT. However, 180 min post exercise, sC decreased below baseline levels in both conditions. sT increased 0 and 30 min after HIIT and 0 min after HVT. sAA and sT/sC ratio did not change significantly over time in HIIT nor HVT. Metabolic and cardiorespiratory stress, evidenced by blood lactate, HR, [Formula: see text], V E, and V E/[Formula: see text] was higher during HIIT compared to HVT. CONCLUSION: The metabolic and cardiorespiratory stress during HIIT was higher compared to HVT, but based on salivary analyses (cortisol, testosterone, alpha-amylase), we conclude no strong acute catabolic effects neither by HIIT nor by HVT.

Acute metabolic, hormonal and psychological responses to cycling with superimposed electromyostimulation.

PURPOSE: The purpose of the present study was to evaluate the effects of superimposed electromyostimulation (E) during cycling on the acute hormonal and metabolic response, as E might be a useful tool to intensify endurance training without performing high external workloads. METHODS: Thirteen subjects participated in three experimental trials each lasting 60 min in a randomized order. (1) Cycling (C), (2) cycling with superimposed E (C + E) and (3) E. Human growth hormone (hGH), testosterone and cortisol were determined before (pre) and 0', 30', 60', 240' and 24 h after each intervention. Metabolic stimuli and perturbations were characterized by lactate and blood gas analysis (pH, base excess, bicarbonate, partial pressure of oxygen, partial pressure of carbon dioxide). Furthermore, changes of the person's perceived physical state were determined. RESULTS: C + E caused the highest increases in cortisol and hGH, followed by C and E. Testosterone levels showed no significant differences between C + E and C. Metabolic stress was highest during C + E, followed by C and E. C + E was also the most demanding intervention from an athlete's point of view. CONCLUSION: As cortisol and hGH are known to react in an intensity dependent manner, the present study showed that superimposed E is a useful method to intensify endurance training, even when performing low to moderate external workloads. Even at lower exercise intensities, additional E may allow one to induce a high (local) stimulus. It can be speculated, that these acute hormonal increases and metabolic perturbations, might play a positive role in optimizing long-term training adaptations, similar to those of intense training protocols.

The effect of transcutaneous auricular vagus nerve stimulation (taVNS) on cognitive control in multitasking.

Current research in brain stimulation suggests transcutaneous auricular vagus nerve stimulation (taVNS) as a promising tool to modulate cognitive functions in healthy populations, such as attention, memory, and executive functions. Empirical evidence in single-task contexts, suggests that taVNS promotes holistic task processing, which strengthens the integration of multiple stimulus features in task processing. However, it is unclear how taVNS might affect performance in multitasking, where the integration of multiple stimuli leads to an overlap in stimulus response translation processes, increasing the risk of between-task interference (crosstalk). In a single-blinded, sham-controlled, within-subject design, participants underwent taVNS while performing a dual task. To assess the effects of taVNS, behavioral (reaction times), physiological (heart rate variability, salivary alpha-amylase), and subjective psychological variables (e.g., arousal) were recorded over three cognitive test blocks. Our results revealed no overall significant effect of taVNS on physiological and subjective psychological variables. However, the results showed a significant increase in between-task interference under taVNS in the first test block, but not in the subsequent test blocks. Our findings therefore suggest that taVNS increased integrative processing of both tasks early during active stimulation.

Iron status in elite young athletes: gender-dependent influences of diet and exercise.

Iron depletion seems to occur more frequently among athletes than in the general population and may affect performance capacity. Only little information is available about the prevalence of iron status abnormalities in young elite athletes and whether iron depletion is associated with gender, sport, age or nutrition- and exercise-related factors in this group. Hence, diet, exercise and haematological data from 193 elite athletes (96 males, 97 females; 16.2 ± 2.7 years) from 24 different sports were analyzed retrospectively. Most female athletes failed to meet the recommended daily allowance for iron, even though dietary iron density was higher than in males (5.75 ± 0.78 vs. 6.17 ± 0.98 mg/1,000 kcal; P = 0.001). Iron depletion (serum ferritin < 35 µg/L) occurred in 31% of male and 57% of female athletes (P < 0.001). Low haemoglobin (males: <13 g/dL; females: <12 g/dL) and haematocrit (males: <40%; females: <36%) values were equally prevalent in both genders [haemoglobin: 7.3% (males), 6.2% (females); haematocrit: 13.5% (males); 15.5% (females)]. In females, reduced ferritin levels were associated with a lower dietary iron density (5.9 ± 0.8 vs. 6.6 ± 1.1 mg/1,000 kcal; P = 0.002). Males with iron depletion had a significantly higher estimated energy expenditure (48.7 ± 7.0 vs. 44.4 ± 7.6 kcal/kg/day; P = 0.009).

Effects of hyperoxia during recovery from 5×30-s bouts of maximal-intensity exercise.

We test the hypothesis that breathing oxygen-enriched air (F(I)O(2) = 100%) maintains exercise performance and reduces fatigue during intervals of maximal-intensity cycling. Ten well-trained male cyclists (age 25 ± 3 years; peak oxygen uptake 64.8 ± 6.2 ml · kg(-1) · min(-1); mean ± s) were exposed to either hyperoxic or normoxic air during the 6-min intervals between five 30-s sessions of cycling at maximal intensity. The concentrations of lactate and hydrogen ions [H(+)], pH, base excess, oxygen partial pressure, and oxygen saturation in the blood were assessed before and after these sprints. The peak (P = 0.62) and mean power outputs (P = 0.83) with hyperoxic and normoxic air did not differ. The partial pressure of oxygen was 4.2-fold higher after inhaling hyperoxic air, whereas lactate concentration, pH, [H(+)], and base excess (P ≥ 0.17) were not influenced. Perceived exertion towards the end of the 6-min periods after the fourth and fifth sprints (P < 0.05) was lower with hyperoxia than normoxia (P < 0.05). These findings demonstrate that the peak and mean power outputs of athletes performing intervals of maximal-intensity cycling are not improved by inhalation of oxygen-enriched air during recovery.

Physiological responses and perceived exertion during cycling with superimposed electromyostimulation.

The goal of the study was to evaluate and to quantify the effects of local electromyostimulation (EMS) during cycling on the cardiorespiratory system, muscle metabolism, and perceived exertion compared with cycling with no EMS. Ten healthy men (age: 24.6 ± 3.2 years, V[Combining Dot Above]O2max: 54.1 ± 6.0 ml·min·kg) performed 3 incremental cycle ergometer step tests, 1 without and 2 with EMS (30 and 85 Hz) until volitional exhaustion. Lactate values and respiratory exchange ratio were significantly higher at intensities ≥75% peak power output (PPO) when EMS was applied. Bicarbonate concentration, base excess (BE), and Pco2 were significantly lower when EMS was applied compared with the control at intensities ≥75% PPO. Saliva cortisol levels increased because of the exercise but were unaffected by EMS. Furthermore, EMS showed greater effects on CK levels 24 hours postexercise than normal cycling did. Rating of perceived exertion was significantly higher at 100% PPO with EMS. No statistical differences were found for heart rate, pH, and Po2 between the tested cycling modes. The main findings of this study are greater metabolic changes (lactate, respiratory exchange ratio, BE, (Equation is included in full-text article.), Pco2) during cycling with EMS compared with normal cycling independent of frequency, mainly visible at higher work rates. Because metabolic alterations are important for the induction of cellular signaling cascades and adaptations, these results lead to the hypothesis that applied EMS stimulations during cycling exercise might be an enhancing stimulus for skeletal muscle metabolism and related adaptations. Thus, superimposed EMS application during cycling could be beneficial to aerobic performance enhancements in athletes and in patients who cannot perform high workloads. However, the higher demand on skeletal muscles involved must be considered.

Effects of bicarbonate ingestion and high intensity exercise on lactate and H(+)-ion distribution in different blood compartments.

Lactate (La) and H(+)-ions are unequally distributed in the blood between plasma and red blood cells (RBCs). To our knowledge there is no data concerning the effects of an oral ingestion of bicarbonate (HCO(3) (-)) on repeated high intensity sprint exercise and La and H(+) distribution between plasma and RBCs. Since an oral ingestion of HCO(3) (-) leads to a higher efflux of La from the working skeletal muscle to the plasma, as it was shown by previous studies, this would lead to a higher gradient of La between plasma and RBCs. Although a higher gradient leads to a higher uptake, it is even more difficult for the RBCs to take up La fast enough, due to the more stressed transport system. Since RBCs function to transport La from the working muscle and help to maintain a concentration difference between plasma and muscle, this potentially increases performance during repeated sprint exercise (e.g. 4 × 30 s). The major goal of the present investigation was to test this hypothesis. 11 male participants ingested either a solution of sodium bicarbonate (NaHCO(3)) or placebo (CaCO(3)). Thereafter all performed four maximal 30 s sprints with 5 min of passive rest. During the resting periods concentrations of HCO(3) (-), La and H(+) where measured in both blood compartments (plasma and RBCs). There were no significant differences in the La-ratios between plasma and RBCs between both interventions. These results indicate that the La/H(+) co-transport is not affected by an oral ingestion on NaHCO(3).

Effects of acid-base balance and high or low intensity exercise on VEGF and bFGF.

The purpose of the present study was to compare the acute hormonal response to a short-term high-intensity training (HIT) versus a high-volume endurance training (HVT) and to investigate the effects of acid-base status on cytokines involved in angiogenesis (VEGF and bFGF). Eleven subjects participated in three experimental trials. Two times subjects performed four 30-s "all-out" exercise bouts on a cycle ergometer separated by 5-min rest each, at which subjects either received bicarbonate (HIT (B)) or a placebo (HIT (P)) before the exercise. The third exercise trail consisted of a constant load exercise for 1 h at 50% peak power output (PPO). Venous blood samples were taken under resting conditions, 10, 60, and 240 min after each exercise condition to determine VEGF and bFGF serum concentrations. Capillary blood samples were taken to determine lactate concentrations and blood gas parameters. Mean pH values were significantly higher during HIT (B) compared to HIT (P). Serum VEGF concentration was significantly increased 10-min post-exercise in both HIT interventions. HVT showed no significant effects on VEGF levels. The diminished acidosis during HIT (B) had no effects on the VEGF response. There were no significant changes in bFGF in response to HIT or HVT. The present study suggests that HIT is a stimulus for exercise-induced VEGF secretion. These findings might be relevant for the arrangement of training, due to the fact that most of the training is often performed at low intensities possibly leading to an insufficient stimulus for VEGF secretion and angiogenesis.

Oxygen uptake, velocity at lactate threshold, and running economy in elite special forces.

OBJECTIVE: To examine the correlation of peak oxygen uptake (VO2 peak), velocity at lactate threshold (V(LT)), and running economy (RE) in a group of Special Force Squad members. METHODS: VO2 peak, V(LT), and RE of 120 male elite special force police squad members (VO2 peak, 57.4 +/- 4.3 mL minute(-1) kg(-1); age, 28.9 +/- 5.2 years; body mass index, 24.2 +/- 1.6 kg m(-2)) were tested using an incremental treadmill protocol (2.4 m second(-1), increase 0.4 m second(-1) every 5 minutes). Running velocities at the first lactate inflection point (V(LT)) and blood lactate concentration at 4 mmol L(-1) (V4) were determined. RE was defined as oxygen uptake in mL kg(-1) minute(-1) at 3.2 m second(-1). RESULTS: Analysis revealed little or no correlation between V4, V(LT), VO2 peak, and RE (r = 0.02-0.35; p = 0.01-0.80). CONCLUSIONS: (1) VO2 peak, V(LT), and RE do not correlate in elite squad members. (2) All 3 variables should be assessed when comparing inter- and intraindividual differences in endurance performance of Special Force Squad members.

Pre-exposure to hyperoxic air does not enhance power output during subsequent sprint cycling.

Previous studies have indicated that aerobic pathways contribute to 13-27% of the energy consumed during short-term (10-20 s) sprinting exercise. Accordingly, the present investigation was designed to test the hypothesis that prior breathing of oxygen-enriched air (F(in)O(2) = 60%) would enhance power output and reduce fatigue during subsequent sprint cycling. Ten well-trained male cyclists (mean +/- SD age, 25 +/- 3 years; height, 186.1 +/- 6.9 cm; body mass, 79.1 +/- 8.2 kg; maximal oxygen uptake [VO(2max)]: 63.2 +/- 5.2 ml kg(-1) min(-1)) took 25 breaths of either hyperoxic (HO) or normoxic (NO) air before performing 15 s of cycling at maximal exertion. During this performance, the maximal and mean power outputs were recorded. The concentration of lactate, pH, partial pressure of and saturation by oxygen, [H(+)] and base excess in arterial blood were assessed before and after the sprint. The maximal (1,053 +/- 141 for HO vs. 1,052 +/- 165 W for NO; P = 0.77) and mean power outputs (873 +/- 123 vs. 876 +/- 147 W; P = 0.68) did not differ between the two conditions. The partial pressure of oxygen was approximately 2.3-fold higher after inhaling HO in comparison to NO, while lactate concentration, pH, [H(+)] and base excess (best P = 0.32) after sprinting were not influenced by exposure to HO. These findings demonstrate that the peak and mean power outputs of athletes performing short-term intense exercise cannot be improved by pre-exposure to oxygen-enriched air.

Different types of compression clothing do not increase sub-maximal and maximal endurance performance in well-trained athletes.

Three textiles with increasing compressive surface were compared with non-compressive conventional clothing on physiological and perceptual variables during sub-maximal and maximal running. Fifteen well-trained endurance athletes (mean+/-s: age 27.1+/-4.8 years, VO(2max) 63.7+/-4.9 ml x min(-1) x kg(-1)) performed four sub-maximal (approximately 70% VO(2max)) and maximal tests with and without different compression stockings, tights, and whole-body compression suits. Arterial lactate concentration, oxygen saturation and partial pressure, pH, oxygen uptake, and ratings of muscle soreness were recorded before, during, and after all tests. In addition, we assessed time to exhaustion. Sub-maximal (P=0.22) and maximal oxygen uptake (P=0.26), arterial lactate concentration (P=0.16; 0.20), pH (P=0.23; 0.46), oxygen saturation (P=0.13; 0.26), and oxygen partial pressure (P=0.09; 0.20) did not differ between the types of clothing (effect sizes=0.00-0.45). Ratings of perceived exertion (P=0.10; 0.15), muscle soreness (P=0.09; 0.10) and time to exhaustion (P=0.16) were also unaffected by the different clothing (effect sizes=0.28-0.85). This was the first study to evaluate the effect on endurance performance of different types of compression clothing with increasing amounts of compressive surface. Overall, there were no performance benefits when using the compression garments.

Intra-Individual and Seasonal Variation of Selected Biomarkers for Internal Load Monitoring in U-19 Soccer Players.

The aim of this study was to investigate inter-day and -week as well as intra- and inter-individual variation of selected biomarkers in high-performance youth soccer players to assist practitioners interpreting player's internal load to counteract underperformance and unwanted health risks. Eleven male youth soccer players were tested multiple times during two 3-week periods at midpoint (3-wkmid) and at the end (3-wkend) of the first half of a German under-19 1. Bundesliga season. The levels of creatine kinase (CK), urea, and C-reactive protein (CRP) were measured during 3-wkmid and 3-wkend each Monday, Wednesday, and Friday. In 3-wkmid the CK median was 14% higher (241 vs. 212 U/L) compared to 3-wkend (P = 0.26, ES = 0.16). Overall, the medians of CK, urea (P = 0.59, ES = 0.08), and CRP (P = 0.56, ES = 0.10) during 3-wkmid did not differ to the values of 3-wkend. Daily coefficient of variations (CVs) ranged from 22 to 71% (CK), 17 to 37% (urea), and 9 to 164% (CRP). Individual medians ranged from 101 to 350 U/L (CK), 23 to 50 mg/dL (urea), and 0.6 to 1.1 mg/L (CRP). High intra-individual variability was demonstrated by large intra-individual CVs (medians: CK 50%, urea 18%, and CRP 45%). Our data show (i) large inter-day and inter-week variability of all biomarkers, depending on the external load and (ii) considerable inter- and intra-individual parameter variations. Creatine kinase concentrations could sensitively reflect soccer-specific loads during the season.

Locomotion replacement exercise cannot counteract cartilage biomarker response to 5 days of immobilization in healthy adults.

Biomarkers of cartilage metabolism are sensitive to changes in the biological and mechanical environment and can indicate early changes in cartilage homeostasis. The purpose of this study was to determine if a daily locomotion replacement program can serve as a countermeasure for changes in cartilage biomarker serum concentration caused by immobilization. Ten healthy male subjects (mean ± 1 standard deviation; age: 29.4 ± 5.9 years; body mass: 77.7 ± 4.1 kg) participated in the crossover 5-day bed rest study with three interventions: control (CON), standing (STA), and locomotion replacement training (LRT). Serum samples were taken before, during, and after bed rest. Biomarker concentrations were measured using commercial enzyme-linked immunosorbent assays. Cartilage oligomeric matrix protein (COMP) levels after 24 hours of bed rest decreased independently of the intervention (-16.8% to -9.8%) and continued to decrease until 72 hours of bed rest (minimum, -23.2% to -20.6%). LRT and STA did not affect COMP during bed rests (P = .056) but there was a strong tendency for a slower decrease with LRT (-9.4%) and STA (-11.7%) compared with CON (-16.8%). MMP-3 levels decreased within the first 24 hours of bed rest (CON: -22.3%; STA: -14.7%; LRT: -17%) without intervention effect. Both COMP and MMP-3 levels recovered to baseline levels during the 6-day recovery period. MMP-1, MMP-9, and TNF-α levels were not affected by immobilization or intervention. COMP and MMP-3 are mechano-sensitive cartilage biomarkers affected by immobilization, and simple interventions such as standing upright or LRT during bed rest cannot prevent these changes. Clinical significance: simple locomotion interventions cannot prevent cartilage biomarker change during bed rest.

Salivary testosterone and cortisol concentrations after two different resistance training exercises.

BACKGROUND: The aim of this study was to identify the acute hormonal responses of salivary testosterone (T) and cortisol (C) concentrations during and after two different resistance exercises involving the lower and the upper body, respectively. METHODS: For this reason, 13 healthy recreationally trained male athletes performed an identical strength protocol (5x10 reps, with ~75% of 1 RM) with the exercises bench press and back-squat in a cross-over design. Saliva samples were taken at baseline (t0), mid training (t1), immediately after (t2), 15 (t3) and 45 minutes after the training (t4). Samples were analyzed for T and C, and the T/C ratio was calculated. RESULTS: T concentrations increased significantly from t0 to t2, t3 and t4 and also at t3 and t4 for C in the back-squat protocol (P<0.05). There were no significant changes for T and C in the bench press protocol (P<0.05). The T/C ratio remained constant for the bench press protocol. The T/C ratio increased in the squat protocol at t2 and decreased at t3 and t4. CONCLUSIONS: We conclude that back-squat exercise can change the hormonal state of the body after an intense resistance training workout, while an exercise with a lower amount of muscle mass (i.e. bench press) has almost no influence on T and C.

Sensitivity of serum concentration of cartilage biomarkers to 21-days of bed rest.

The objective of the study was to test the hypothesis that serum levels of cartilage oligomeric matrix protein (COMP) would decrease and serum levels of tumor-necrosis factor alpha (TNF-α) and selected matrix metalloproteinases (MMPs) would increase in response to bed rest (BR) and that these changes are unaffected by the intake of potassium bicarbonate or whey protein. Seven and nine healthy male subjects participated in two 21-day 6° head down tilt crossover BR-studies with nutrition interventions. Serum samples were taken before, during, and after BR and biomarker concentrations were measured using commercial enzyme-linked immunosorbent assays. MMP-3 during BR was significantly lower than at baseline (reduction greater 20%; p < 0.001). MMP-3 increased significantly from 14 to 21 days of BR (+7%; p = 0.049). COMP during BR was significantly lower than at baseline (reduction greater 20%; p < 0.001). MMP-3 and COMP returned to baseline within 1 day after BR. MMP-9 on day 3 of BR was significantly lower than at baseline (-31%; p < 0.033) and on days 3, 5, and 14 of BR significantly lower than at the end of and after BR (reduction greater 35%; p < 0.030). The nutritional countermeasures did not affect these results. The observed changes in cartilage biomarkers may be caused by altered cartilage metabolism in response to the lack of mechanical stimulus during BR and inflammatory biomarkers may play a role in changes in biomarker levels. CLINICAL RELEVANCE: Immobilization independently from injury can cause altered cartilage biomarker concentration. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:1465-1471, 2018.