Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 164
Filtrar
1.
J Strength Cond Res ; 2024 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-39016257

RESUMO

ABSTRACT: Goods, PS, Appleby, B, Scott, BR, Peeling, P, and Galna, B. High-intensity running during international male field hockey involves frequent changes of direction and repeated accelerations but seldom reaches sprint velocities. J Strength Cond Res XX(X): 000-000, 2024-The aim of this investigation was to quantify the characteristics of high-intensity running in international male field hockey. Player movement data were collected through wearable player tracking devices across 3 tournaments (17 matches) from 27 members of the Australian male field hockey team (totaling 266 player matches). Active duration (minute), high-intensity efforts (>2.5 m·s-2 for >1 second), repeated high-intensity efforts (≥3 efforts with ≤45-second recovery between efforts), and sprints (>7 m·s-1) were extracted and aggregated for each player match. The duration, distance, mean and peak speed, mean change of direction and straightness for each high-intensity effort, and peak deceleration at the conclusion of each effort were calculated. Mixed-effects models were used to estimate the mean for each outcome (fixed effect), with random intercepts modeled for player and match. On average, players completed 42.2 high-intensity efforts and 2.1 sprints per match. High-intensity efforts were short (3.61 seconds, 12.9 m), failed to reach high velocities (average peak velocity: 4.8 m·s-1), and involved frequent changes of direction (56% of efforts were not straight). There were 4.7 bouts of repeated high-intensity efforts per player, per match (comprising 3.8 efforts, with 3.53 seconds per effort separated by 16.2-second recovery). Last, we also found that 29% of high-intensity efforts involved a high-speed deceleration (>3.5 m·s-2), and these occurred frequently when in conjunction with a >45° (86%) or >90° (89%) change of direction. We recommend practitioners focus on developing players' ability to repeatedly accelerate, decelerate, and change direction over short distances and adopt testing and monitoring programs that assess these qualities.

2.
Syst Rev ; 13(1): 182, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-39010146

RESUMO

BACKGROUND: A deficiency in iron stores is associated with various adverse health complications, which, if left untreated, can progress to states of anaemia, whereby there is significant detriment to an individual's work capacity and quality of life due to compromised erythropoiesis. The most common methods employed to treat an iron deficiency include oral iron supplementation and, in persistent and/or unresponsive cases, intravenous iron therapy. The efficacy of these treatments, particularly in states of iron deficiency without anaemia, is equivocal. Indeed, both randomised control trials and aggregate data meta-analyses have produced conflicting evidence. Therefore, this study aims to assess the efficacy of both oral and intravenous iron supplementation on physical capacity, quality of life, and fatigue scores in iron-deficient non-anaemic individuals using individual patient data (IPD) meta-analysis techniques. METHODS: All potential studies, irrespective of design, will be sourced through systematic searches on the following databases: Cochrane Central Register of Controlled Trials, MEDLINE Ovid, Embase Ovid, Web of Science: Science Citation Index Expanded, Web of Science: Conference Proceedings Citation Index-Science, ClinicalTrials.gov, and World Health Organization (WHO) International Clinical Trials Registry Platform. Individual patient data from all available trials will be included and subsequently analysed in a two-stage approach. Predetermined subgroup and sensitivity analyses will be employed to further explain results. DISCUSSION: The significance of this IPD meta-analysis is one of consolidating a clear consensus to better inform iron-deficient individuals of the physiological response associated with iron supplementation. The IPD approach, to the best of our knowledge, is novel for this research topic. As such, the findings will significantly contribute to the current body of evidence. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42020191739.


Assuntos
Suplementos Nutricionais , Deficiências de Ferro , Ferro , Humanos , Ferro/uso terapêutico , Revisões Sistemáticas como Assunto , Qualidade de Vida , Metanálise como Assunto , Fadiga/tratamento farmacológico , Anemia Ferropriva/tratamento farmacológico
3.
J Sports Sci ; 42(9): 847-850, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38916194

RESUMO

We assessed the accuracy and inter-sessional reliability of traditional (manual) compared to automatic (AutoHR) heart rate (HR) clamping methods during submaximal intensity continuous cycling. On separate occasions, thirteen males cycled at an HR corresponding to 80% of the ventilatory threshold for 18 min. Cycling power output was adjusted using either manual or AutoHR methods, encompassing three trials per method. For the manual method, cycling power output was adjusted every 30 s by 0, 5 or 10 W at the experimenter's discretion. Conversely, AutoHR automatically adjusted power output based on the difference between target and actual HR. Participants' HR was measured at 1 Hz. Root-mean square error (RMSE) and intraclass correlation coefficients (ICC) were calculated from the difference between measured and target HR to represent accuracy and reliability of each method. The RMSE for the manual method (3.2 ± 2.6 bpm) was significantly higher compared to AutoHR (2.8 ± 2.3 bpm) (p < 0.01, r = 0.13); inter-day ICC were 0.92 and 0.89 for manual adjustment and AutoHR, respectively. Automatic methods to clamp HR are more accurate than manual approaches during submaximal intensity continuous cycling and can be easily implemented for uniform HR control in individual and group training sessions at minimal cost.


Assuntos
Ciclismo , Ergometria , Frequência Cardíaca , Humanos , Masculino , Frequência Cardíaca/fisiologia , Ciclismo/fisiologia , Reprodutibilidade dos Testes , Adulto Jovem , Adulto , Ergometria/métodos , Ergometria/instrumentação , Teste de Esforço/métodos , Consumo de Oxigênio/fisiologia
4.
J Sci Med Sport ; 27(7): 437-450, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38749874

RESUMO

OBJECTIVES: Iron deficiency, anaemia, and menorrhagia - or heavy menstrual bleeding - are interrelated conditions that are highly prevalent and commonly underrecognised in exercising females of reproductive age. This study utilised a screening tool to identify risk factors and symptoms associated with heavy menstrual bleeding, iron deficiency, and anaemia in this population. DESIGN: An observational, cross sectional survey study was employed. METHODS: 1042 active females (aged 18-65) completed a comprehensive screening questionnaire and 887 (85 % compliance) provided a fingerprick blood sample for haemoglobin (Hb) concentration measurement. Women that presented as anaemic (defined as a [Hb] < 120 g/L) or deemed to be at risk of iron deficiency (120 < [Hb] < 130 g/L) were asked to complete follow-up blood tests to screen for iron studies. RESULTS: Average [Hb] was 134.2 ±â€¯12.1 g/L, with 94 individuals considered anaemic (10.6 %). Of the sample, 104 underwent follow-up blood tests; 51 (~49 %) presented with iron deficiency (defined as ferritin <30 µg/L). Based on survey responses, 274 (30.9 %) participants were determined to have heavy menstrual bleeding. Those presenting with heavy menstrual bleeding were younger, exercised fewer hours per week, and were more likely to have a history of iron deficiency or anaemia (all p < 0.05). Participants reporting a history of anaemia or iron deficiency were more likely to have heavy menstrual bleeding (anaemia: 39.7 %; iron deficiency; 36.9 %; both p < 0.05). CONCLUSIONS: In this cohort of exercising females of reproductive age, the prevalence of anaemia was 10.6 %. There is a strong association between heavy menstrual bleeding and a self-reported history of iron deficiency and anaemia. Greater awareness of heavy menstrual bleeding and its relationship with iron deficiency and anaemia is needed in this population. Non-invasive screening should be conducted to raise awareness and further understand the associated risk factors and symptomatology.


Assuntos
Anemia Ferropriva , Menorragia , Humanos , Feminino , Menorragia/sangue , Menorragia/epidemiologia , Adulto , Estudos Transversais , Pessoa de Meia-Idade , Adulto Jovem , Adolescente , Anemia Ferropriva/epidemiologia , Anemia Ferropriva/sangue , Anemia Ferropriva/diagnóstico , Hemoglobinas/análise , Fatores de Risco , Deficiências de Ferro , Exercício Físico , Idoso , Inquéritos e Questionários , Prevalência , Ferritinas/sangue , Anemia/epidemiologia , Anemia/sangue , Anemia/diagnóstico
5.
J Sports Sci Med ; 23(1): 1-7, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38455439

RESUMO

This study analysed critical movement demands of tennis match-play to better inform contemporary approaches to athlete preparation and training. HawkEye data from matches during the 2021 and 2022 Australian Open were utilised. Distance was aggregated for movement cycles, points, games, sets, and matches, alongside total shots played. Data was collated for males (best-of-five sets) and females (best-of-three sets) allowing comparisons both within and between sexes. Overall, no differences within sexes were evident for total distance, however males traversed further per match than females (MDE = 809 ± 139m, ES = 0.86). Female players travelled further in their deciding (third) sets compared to set 1 (ES = 0.28) and while this effect wasn't as discernible for males, the deciding (fifth) set showed some evidence of elevated distance requirements and variability. Between sexes, only female set 3 was different to male set 3 (ES = 0.29). Female and male tiebreak games (i.e. game 13) required players travel further distance compared to other games (ES = ~1.45). Between sex differences were observed for tiebreak games compared to games 1 to 12 (female ES = 1.36 and male ES = 1.53). Players from both sexes generally covered similar distances during points and movement cycles, with between-shot distances of 4.2m-4.5m, notably longer than previous reports. Further, total shots and total match distance (r > 0.97; p < 0.01) shared similar linear relationships. These results highlight that the between shot or movement cycle demands of professional hard court tennis are substantially higher than described in the literature (Roetert et al., 2003). The findings also reveal competitiveness as a key influence on set level distance demands during professional tennis match-play, a consideration in player preparation programs.


Assuntos
Desempenho Atlético , Tênis , Humanos , Masculino , Feminino , Austrália , Atletas , Movimento
6.
J Sports Sci ; 42(4): 350-357, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38502604

RESUMO

We investigated whether a single heart rate clamped cycling session under systemic hypoxia affects the recovery of physical and psycho-physiological responses from residual fatigue compared to normoxia. On separate occasions, twelve trained males performed a 3-d acute training camp scenario. On days 1 and 3, participants cycled for 60 min at a constant heart rate (80% of ventilatory threshold). On day 2, fatigue was induced through a simulated team game circuit (STGC), followed by a 60-min intervention of either: (1) heart rate clamped cycling in normoxia; (2) heart rate clamped cycling in hypoxia (simulated altitude ~ 3500 m); or (3) no cycling. Countermovement jump height and leg stiffness were assessed before and after every session. Perceptual fatigue was evaluated daily. Compared to baseline, jump height decreased at all timepoints following the STGC (all p < 0.05). Leg stiffness and cycling power output only decreased immediately following the STGC, with a 48% further decrease in cycling power output in hypoxia compared to normoxia (p < 0.05). Perceived fatigue, decreased sleep quality, and increased muscle soreness responses occurred on day 3 (p < 0.05). A single heart rate-clamped cycling session in hypoxia reduced mechanical output without affecting recovery of physical performance and perceptual measures from residual fatigue induced through team sport activity.


Assuntos
Ciclismo , Frequência Cardíaca , Hipóxia , Humanos , Frequência Cardíaca/fisiologia , Masculino , Hipóxia/fisiopatologia , Ciclismo/fisiologia , Adulto Jovem , Fadiga/fisiopatologia , Mialgia/fisiopatologia , Mialgia/etiologia , Fadiga Muscular/fisiologia , Adulto , Percepção/fisiologia , Altitude , Sono/fisiologia , Esportes de Equipe , Desempenho Atlético/fisiologia , Perna (Membro)/fisiologia
7.
J Strength Cond Res ; 38(3): 517-525, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38320234

RESUMO

ABSTRACT: Giles, B, Peeling, P, and Reid, M. Quantifying change of direction movement demands in professional tennis matchplay: An analysis from the Australian Open Grand Slam. J Strength Cond Res 38(3): 517-525, 2024-Change of direction (COD) contributes significantly to the movement repertoire of professional tennis players, yet the time-motion and degree demands of these changes are poorly understood. This study examines the velocity, acceleration, and angular displacement profiles of COD movements in modern professional tennis. One hundred eighty-two singles matches of Hawk-Eye player tracking data collected from the Australian Open Grand Slam were used for analysis. A novel COD classification algorithm was used to identify >120,000 medium and high-intensity CODs for analysis. Descriptive characteristics of the COD performance were calculated using player coordinate and time variables. Sex comparisons were analyzed using 2 mixed-effects models assessed for differences via likelihood ratios. Players performed 1.6 CODs per point. Both sexes executed, on average, 1.3-1.4 shots and covered 4.8 m per COD, with men performing changes every 2.7 seconds and women every 3.1 seconds. Medium-intensity COD comprised 88-94% of all identified changes. Approximately 2 in 3 CODs involved a degree of change >105°, whereas cutting maneuvers (<45°) were most commonly high-intensity COD. This study is the first to quantify the COD characteristics of professional tennis matchplay. Both sexes performed the same average number of CODs per point, however, men executed high-intensity changes twice as frequently as women, at an average of 1 every 5 points. These novel findings will help to improve the specificity of training interventions in elite tennis conditioning.


Assuntos
Desempenho Atlético , Tênis , Masculino , Humanos , Feminino , Austrália , Movimento , Movimento (Física) , Algoritmos
8.
Int J Sports Physiol Perform ; 19(3): 322-327, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38237571

RESUMO

BACKGROUND: Repeated exposure to heat (ie, plasma volume expansion) or altitude (ie, increase in total hemoglobin mass), in conjunction with exercise, induces hematological adaptations that enhance endurance performance in each respective environment. Recently, combining heat and altitude training has become increasingly common for athletes preparing to compete in temperate, sea-level conditions. PURPOSE: To review the physiological adaptations to training interventions combining thermal and hypoxic stimuli and summarize the implications for temperate, sea-level performance. Current Evidence: To date, research on combining heat and hypoxia has employed 2 main approaches: simultaneously combining the stressors during training or concurrently training in the heat and sleeping at altitude, sometimes with additional training in hypoxia. When environmental stimuli are combined in a training session, improvements in aerobic fitness and time-trial performance in temperate, sea-level conditions are generally similar in magnitude to those observed with heat, or altitude, training alone. Similarly, training in the heat and sleeping at altitude does not appear to provide any additional hematological or nonhematological benefits for temperate; sea-level performance relative to training in hot, hypoxic, or control conditions. CONCLUSIONS: Current research regarding combined heat and altitude interventions does not seem to indicate that it enhances temperate, sea-level performance to a greater extent than "traditional" (heat or hypoxia alone) training approaches. A major challenge in implementing combined-stressor approaches lies in the uncertainty surrounding the prescription of dosing regimens (ie, exercise and environmental stress). The potential benefits of conducting heat and altitude exposure sequentially (ie, one after the other) warrants further investigation.


Assuntos
Altitude , Temperatura Alta , Humanos , Hipóxia , Adaptação Fisiológica , Exercício Físico , Aclimatação/fisiologia
9.
Int J Sport Nutr Exerc Metab ; 34(2): 79-87, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38215732

RESUMO

We examined the sweat characteristics and fluid balance of elite female field hockey players during two heat training camps. Fourteen elite female field hockey players from the Australian national squad participated in two heat training camps held ∼6 months apart, following winter- (Camp 1) and summer-based training (Camp 2). Daily waking body mass (BM) and urine specific gravity (USG) were collected, along with several markers of sweat and fluid balance across two matches per camp. There was a 19% mean reduction in estimated whole-body sweat sodium concentration from Camp 1 (45.8 ± 6.5 mmol/L) to Camp 2 (37.0 ± 5.0 mmol/L; p < .001). Waking urine specific gravity ≥ 1.020 was observed in 31% of samples, with no significant differences in mean urine specific gravity or BM between camps (p > .05), but with substantial interindividual variation. Intramatch sweat rates were high (1.2-1.8 L/hr), with greater BM losses in Camp 1 (p = .030), resulting in fewer players losing ≥2% BM in Camp 2 (0%-8%), as compared with Camp 1 (36%-43%; p = .017). Our field data suggest that elite female field hockey players experience substantial sweat losses during competition in the heat regardless of the season. In agreement with previous findings, we observed substantial interindividual variation in sweat and hydration indices, supporting the use of individualized athlete hydration strategies.


Assuntos
Hóquei , Suor , Humanos , Feminino , Hóquei/fisiologia , Temperatura Alta , Ingestão de Líquidos/fisiologia , Austrália , Sudorese , Equilíbrio Hidroeletrolítico/fisiologia , Desidratação
10.
Int J Sports Physiol Perform ; 19(2): 133-141, 2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-38016454

RESUMO

PURPOSE: To compare the energetic contribution and pacing in 2000- and 1500-m maximal rowing-ergometer performances. METHODS: On separate visits (>48 h apart, random order), 18 trained junior (16.7 [0.4] y) male rowers completed 3 trials: a 7 × 4-minute graded exercise test, a 2000-m time trial (TT2000), and a 1500-m TT (TT1500). Respiratory gases were continuously measured throughout each trial. The submaximal power-to-oxygen-consumption relationship from the graded exercise test was used to determine the accumulated oxygen deficit for each TT. Differences in mean power output (MPO), relative anaerobic contribution, percentage of peak oxygen uptake, pacing index, maximum heart rate, rating of perceived exertion, and blood lactate concentration were assessed using linear mixed modeling. RESULTS: Compared to TT2000 (324 [24] W), MPO was 5.2% (3.3%) higher in TT1500 (341 [29 W]; P < .001, ηp2=.70). There was a 4.9% (3.3%) increase (P < .001, ηp2=.71) in anaerobic contribution from 17.3% (3.3%) (TT2000) to 22.2% (4.3%) (TT1500). Compared to TT1500, maximum heart rate, rating of perceived exertion, and blood lactate concentration were all greater (P < .05) in TT2000. The pacing index was not different between trials. Percentage increase in MPO from TT2000 to TT1500 was negatively associated with pacing variance in TT1500 (R2 = .269, P = .027). CONCLUSIONS: Maximal ergometer performance over 1500 m requires a significantly greater anaerobic contribution compared with 2000 m. Junior male athletes adopt a consistent pacing strategy across both distances. However, those who experienced greater percentage increases in MPO over the shorter test adopted a more even pacing strategy. To prepare for 1500-m performance, greater emphasis should be placed on developing capacity for work in the severe domain and completing race simulations with a more even pacing strategy.


Assuntos
Ergometria , Esportes Aquáticos , Humanos , Masculino , Los Angeles , Esportes Aquáticos/fisiologia , Teste de Esforço , Consumo de Oxigênio/fisiologia , Ácido Láctico , Oxigênio
11.
Med Sci Sports Exerc ; 56(1): 118-127, 2024 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-38098150

RESUMO

PURPOSE: We examined iron absorption and its regulation during two common scenarios experienced by endurance athletes. Our aims were to: (i) compare the effects of preexercise versus postexercise iron intake on iron absorption; and (ii) compare the impact of training at altitude (1800 m) on iron absorption preexercise. METHODS: Male runners (n = 18) completed three exercise trials over a 5-wk period, each preceded by 24 h of standardized low-iron diets. First, athletes completed two 60-min treadmill running trials at 65% V̇O2max at near sea-level (580 m). In a randomized order, preexercise and postexercise test meals labeled with 4 mg of 57Fe or 58Fe were consumed 30 min before or 30 min after exercise. Then, the same exercise trial was performed after living and training at altitude (~1800 m) for 7 d, with the labeled test meal consumed 30 min preexercise. We collected venous blood samples preexercise and postexercise for markers of iron status and regulation, and 14 d later to measure erythrocyte isotope incorporation. RESULTS: No differences in fractional iron absorption were evident when test meals were consumed preexercise (7.3% [4.4, 12.1]) or postexercise (6.2% [3.1, 12.5]) (n = 18; P = 0.058). Iron absorption preexercise was greater at altitude (18.4% [10.6, 32.0]) than at near sea-level (n = 17; P < 0.001) and hepcidin concentrations at altitude were lower at rest and 3 h postexercise compared with near sea level (P < 0.001). CONCLUSIONS: In an acute setting, preexercise and postexercise iron absorption is comparable if consumed within 30 min of exercise. Preexercise iron absorption increases 2.6-fold at altitude compared with near sea-level, likely due to the homeostatic response to provide iron for enhanced erythropoiesis and maintain iron stores.


Assuntos
Ferro , Corrida , Humanos , Masculino , Ferro/metabolismo , Corrida/fisiologia , Exercício Físico/fisiologia , Eritrócitos/metabolismo , Atletas
12.
Int J Sports Med ; 2023 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-37963599

RESUMO

A high prevalence of iron deficiency exists in athlete populations. Various mechanisms, including increased losses through sweat, haemolysis, haematuria, and gastrointestinal micro-ischemia; inadequate dietary intake; and transient exercise-induced increases in the regulatory hormone, hepcidin, contribute to the increased prevalence in athletes. Indeed, hepcidin has been shown to peak around 3-6 hours post-exercise, limiting iron absorption from the gut. As the practitioner's ability to control losses is limited, the key to treatment of iron deficiency in athletes is optimal timing of dietary and oral iron supplementation around these periods of reduced gut absorption. While timing and dosing schedule strategies might be sufficient to treat iron deficiency non-anaemia, the significant lag to impact iron status is relatively long. Therefore, in iron deficiency anaemia, the use of parenteral iron has the benefit of rapid repletion of iron stores and normalisation of haemoglobin status, while bypassing the action of hepcidin at the gut. Furthermore, newer intravenous formulations can be administered as a single total dose over 15-60 min and have a similar safety profile to oral treatment. This review discusses the existing evidence for parenteral iron use in athletes and the unique context for consideration when choosing the parenteral route in this population.

13.
J Sci Med Sport ; 26(11): 628-635, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37852804

RESUMO

OBJECTIVES: To investigate the acute effects of graded hypoxia on external and internal loads during 60 min of endurance cycling at a clamped heart rate. DESIGN: Repeated measures. METHODS: On separate visits, 16 trained males cycled for 60 min at a clamped heart rate corresponding to 80 % of their first ventilatory threshold at sea-level and 2500 m, 3000 m, 3500 m and 4000 m simulated altitudes (inspired oxygen fractions of 20.9 %, 15.4 %, 14.5 %, 13.6 % and 12.7 %, respectively). Markers of external (power output) and internal (blood lactate concentration, tissue saturation index, cardio-respiratory and perceptual responses) loads were measured every 15 min during cycling. Neuromuscular function of knee extensors was characterised pre- and post-exercise. RESULTS: Compared to sea-level (101 ±â€¯22 W), there was a stepwise reduction in power output with increasing hypoxia severity (-17.9 ±â€¯8.9 %, -27.1 ±â€¯10.7 %, -34.2 ±â€¯12.0 % and - 44.6 ±â€¯15.1 % at 2500 m, 3000 m, 3500 m, and 4000 m, respectively, all p < 0.05). Blood lactate and tissue saturation index were not different across hypoxia severities, and perceptual responses were exacerbated at 4000 m only, with increased breathing difficulty. Knee extensor torque decreased post-exercise (-14.5 ±â€¯9.0 %, p < 0.05), independent of condition. CONCLUSIONS: Increasing hypoxia severity reduces cycling power output and arterial oxygen saturation in a stepwise fashion without affecting exercise responses between sea-level and simulated altitudes up to 3500 m despite breathing difficulty being elevated at 4000 m.


Assuntos
Hipóxia , Consumo de Oxigênio , Masculino , Humanos , Frequência Cardíaca , Consumo de Oxigênio/fisiologia , Oxigênio , Altitude , Lactatos
14.
Patient Prefer Adherence ; 17: 2097-2108, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37644963

RESUMO

Background: Patient perceptions of iron deficiency and efficacy of iron therapy may differ from the interpretations of doctors. Qualitative investigation at an individual level related may help define patient expectations and therapeutic targets. Therefore, we aimed to explore this concept in exercising females of reproductive age. Methods: Exercising females (n = 403) who either (a) were currently experiencing iron deficiency, or (b) have experienced iron deficiency in the past were included. A survey comprising open-ended text response questions explored three 'domains': (1) the impact of iron deficiency, (2) the impact of iron tablet supplementation (where applicable), and (3) the impact of iron infusion treatment (where applicable). Questions were asked about training, performance, and recovery from exercise. Survey responses were coded according to their content, and sentiment analysis was conducted to assess responses as positive, negative, or neutral. Results: Exercising females showed negative sentiment toward iron deficiency symptoms (mean range = -0.94 to -0.81), with perception that fatigue significantly impacts performance and recovery. Iron therapies were perceived to improve energy, performance, and recovery time. Participants displayed a strong positive sentiment (mean range = 0.74 to 0.79) toward iron infusion compared to a moderately positive sentiment toward oral iron supplementation (mean range = 0.44 to 0.47), with many participants perceiving that oral iron supplementation had no effect. Conclusion: In Australia, women prefer an iron infusion in treatment of iron deficiency compared to oral iron.

15.
Curr Opin Clin Nutr Metab Care ; 26(6): 551-556, 2023 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-37421382

RESUMO

PURPOSE OF REVIEW: This review examines recent developments in our understanding of iron regulation/absorption around exercise, with specific attention paid towards the female athlete. RECENT FINDINGS: Building on the well accepted knowledge that hepcidin concentrations increase in the 3-6 h period following an acute bout of exercise, recent studies have shown that this links to a reduced fractional iron absorption from the gut during feedings provided 2 h postexercise. Further, a window of enhanced iron absorption has recently been identified to occur 30 min either side of exercise commencement/completion, which allows for strategic iron intake to optimize absorption around exercise. Finally, there is burgeoning evidence to show that iron status and iron regulation change throughout the menstrual cycle and with hormonal contraceptive use, which could have implications for iron status in female athletes. SUMMARY: Exercise can affect iron regulatory hormone activity, which subsequently impairs iron absorption, potentially contributing to the high rates of iron deficiency seen in athletes. Future research should continue to examine strategies to optimize iron absorption, with consideration to the timing, mode and intensity of exercise, the time of day, and in females, the menstrual cycle/menstrual status.


Assuntos
Deficiências de Ferro , Ferro , Humanos , Feminino , Atletas , Exercício Físico/fisiologia , Estado Nutricional , Hepcidinas
16.
J Strength Cond Res ; 37(11): e593-e600, 2023 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-37463357

RESUMO

ABSTRACT: Watts, SP, Binnie, MJ, Goods, PSR, Hewlett, J, Fahey-Gilmour, J, and Peeling, P. Demarcation of intensity from 3 to 5 zones aids in understanding physiological performance progression in highly trained under-23 rowing athletes. J Strength Cond Res 37(11): e593-e600, 2023-The purpose of this investigation was to compare 2 training intensity distribution models (3 and 5 zone) in 15 highly trained rowing athletes ( n = 8 male; n = 7 female; 19.4 ± 1.1 years) to determine the impact on primary (2,000-m single-scull race) and secondary (2,000-m ergometer time trial, peak oxygen consumption [V̇O 2 peak], lactate threshold 2 [LT2 power]) performance variables. Performance was assessed before and after 4 months training, which was monitored through a smart watch (Garmin Ltd, Olathe, KS) and chest-strap heart rate (HR) monitor (Wahoo Fitness, Atlanta, GA). Two training intensity distribution models were quantified and compared: a 3-zone model (Z1: between 50% V̇O 2 peak and lactate threshold 1 (LT1); Z2: between LT1 and 95% LT2; Z3: >95% LT2) and a 5-zone model (T1-T5), where Z1 and Z3 were split into 2 additional zones. There was significant improvement in LT2 power for both male (4.08% ± 1.83, p < 0.01) and female (3.52% ± 3.38, p = 0.02) athletes, with male athletes also demonstrating significant improvement in 2,000-m ergometer time trial (2.3% ± 1.92, p = 0.01). Changes in V̇O 2 peak significantly correlated with high-quality aerobic training (percent time in T2 zone; r = 0.602, p = 0.02), whereas changes in LT2 power significantly correlated with "threshold" training (percent time in T4 zone; r = 0.529, p = 0.04). These correlations were not evident when examining intensity distribution through the 3-zone model. Accordingly, a 5-zone intensity model may aid in understanding the progression of secondary performance metrics in rowing athletes; however, primary (on-water) performance remains complex to quantify.


Assuntos
Consumo de Oxigênio , Esportes Aquáticos , Humanos , Masculino , Feminino , Consumo de Oxigênio/fisiologia , Ergometria , Atletas , Ácido Láctico
17.
J Sports Sci ; 41(6): 512-518, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37310984

RESUMO

This investigation explored differences in the pre-tournament preparation period relative to the movement demands of the Tokyo 2020 Olympic Games for the Australian male field-hockey team. Movement data was collected over 7 months prior to and during the 13-day Olympic tournament. Duration, distance (total; >80% individual peak velocity; >5 m.s-1), high-speed decelerations (>3.5 m.s-2), and total accelerations and decelerations (>2.5 m.s-2) were measured during each running-based session. A 13-day moving sum was calculated for each variable and compared to a player-specific "worst-case scenario" (WCS) for intra-tournament total movement demands. Summed 13-day movement demands exceeded the WCS for 6-58% of the preparation period across variables, for the entire squad. During the tournament, midfielders covered significantly greater sprint distance than Defenders (+84%,p = 0.020), with no other positional differences found. Greater variation in tournament movement demands was observed between players for accelerations, decelerations, and high-speed distance (CV = 19-46%) compared to duration and distance (CV = 4-9%). In conclusion, physical preparation exposed athletes to movement demands which surpassed WCS. Additionally, gross measures of training volume (duration and distance) are more generalisable to a squad; however, additional metrics such as sprint distance and high-speed decelerations are needed to better define positional and individual movement demands, and therefore, should be monitored by practitioners.


Assuntos
Desempenho Atlético , Hóquei , Humanos , Masculino , Tóquio , Austrália , Aceleração , Sistemas de Informação Geográfica
18.
Sports Med ; 53(10): 1931-1949, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37347443

RESUMO

BACKGROUND: Hepcidin, the master iron regulatory hormone, has been shown to peak 3-6 h postexercise, and is likely a major contributor to the prevalence of iron deficiency in athletes. Although multiple studies have investigated the hepcidin response to exercise, small sample sizes preclude the generalizability of current research findings. OBJECTIVE: The aim of this individual participant data meta-analysis was to identify key factors influencing the hepcidin-exercise response. METHODS: Following a systematic review of the literature, a one-stage meta-analysis with mixed-effects linear regression, using a stepwise approach to select the best-fit model, was employed. RESULTS: We show that exercise is associated with a 1.5-2.5-fold increase in hepcidin concentrations, with pre-exercise hepcidin concentration accounting for ~ 44% of the variance in 3 h postexercise hepcidin concentration. Although collectively accounting for only a further ~ 3% of the variance, absolute 3 h postexercise hepcidin concentrations appear higher in males with lower cardiorespiratory fitness and higher pre-exercise ferritin levels. On the other hand, a greater magnitude of change between the pre- and 3 h postexercise hepcidin concentration was largely attributable to exercise duration (~ 44% variance) with a much smaller contribution from VO2max, pre-exercise ferritin, sex, and postexercise interleukin-6 (~ 6% combined). Although females tended to have a lower absolute 3 h postexercise hepcidin concentration [1.4 nmol·L-1, (95% CI [- 2.6, - 0.3]), p = 0.02] and 30% less change (95% CI [-54.4, - 5.1]), p = 0.02) than males, with different explanatory variables being significant between sexes, sample size discrepancies and individual study design biases preclude definitive conclusions. CONCLUSION: Our analysis reveals the complex interplay of characteristics of both athlete and exercise session in the hepcidin response to exercise and highlights the need for further investigation into unaccounted-for mediating factors.


Assuntos
Exercício Físico , Hepcidinas , Masculino , Feminino , Humanos , Exercício Físico/fisiologia , Ferro , Ferritinas , Atletas
19.
Sports Med ; 53(Suppl 1): 15-24, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37358750

RESUMO

Vitamins and minerals are of fundamental importance to numerous human functions that are essential to optimise athlete performance. Athletes incur a high turnover of key vitamins and minerals and are therefore dependent on sufficient energy intake to replenish nutrient stores. However, many athletes are poor at servicing their energy replenishment needs, especially female athletes, and although a 'food first approach' to meeting nutrient requirements is the primary goal, it may be important for some athletes to consider a vitamin and/or mineral supplement to meet their daily needs. When working to determine if an athlete requires vitamin or mineral supplements, practitioners should use a robust framework to assess the overall energy requirements, current dietary practices and the biological and clinical status of their athletes. Of note, any supplementation plan should account for the various factors that may impact the efficacy of the approach (e.g. athlete sex, the nutrient recommended dietary intake, supplement dose/timing, co-consumption of other foods and any food-drug interactions). Importantly, there are numerous vitamins and minerals of key importance to athletes, each having specific relevance to certain situations (e.g. iron and B vitamins are significant contributors to haematological adaptation, calcium and vitamin D are important to bone health and folate is important in the female athlete); therefore, the appropriate supplement for a given situation should be carefully considered and consumed with the goal to augment an athlete's diet.


Assuntos
Suplementos Nutricionais , Vitaminas , Feminino , Humanos , Minerais , Dieta , Atletas
20.
Eur J Sport Sci ; 23(12): 2275-2282, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37291690

RESUMO

ABSTRACTThe effectiveness of a morning versus evening oral iron supplement strategy to increase iron stores was explored. Ballet and contemporary dancers with serum ferritin (sFer) < 50µg/L (n = 14), were supplemented daily with 105 mg elemental oral iron in either the morning (FeAM) or evening (FePM) for 8 weeks. A control group (n = 6) with sFer >50µg/L were given no supplement over the same period. Dancers' sFer were measured at baseline and post-intervention. Assessment of daily training load, dietary intake, and menstruation were made. A significant interaction (p < 0.001) showed the within group sFer change over the 8-week intervention in FeAM (+25.9 ± 10.5µg/L) and FePM, (+22.3 ± 13.6µg/L) was significantly different to CON (-30.17 ± 28.7µg/L; both p = 0.001). This change was not different between FeAM and FePM (p = 0.778). sFer levels within FeAM and FePM significantly increased over the 8-weeks; however, they significantly decreased in the CON group (all p < 0.05). Post-intervention sFer levels were no longer different between the three groups (p > 0.05). Training load, dietary intake, and number of menstrual cycles incurred were similar between FeAM and FePM (p > 0.05). Oral iron supplementation in either the morning or evening appears equally effective in increasing sFer levels in dancers with sub-optimal iron status.


8 weeks of oral iron supplements increases serum ferritin levels in elite dancers.Dancers not consuming an iron supplement showed a decline in serum ferritin over the 8-week period.Consuming the iron supplement in either the morning or the evening appeared equally effective in improving serum ferritin stores.


Assuntos
Dança , Ferro , Feminino , Humanos , Ferritinas , Hemoglobinas/metabolismo , Suplementos Nutricionais
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA