Body Composition and Bone Health Status of Jockeys: Current Findings, Assessment Methods and Classification Criteria.

Jockeys are unlike other weight-making athletes as the sport of horse racing requires strict weight management to meet the racing stipulations, protracted working hours and an extended racing season with limited downtime. Several studies have reported on the body composition and bone status of male and female professional and retired jockeys, yet the variety of assessment techniques, lack of standardised testing protocols and classification inconsistency make interpretation and comparison between studies problematic. This review aimed to appraise the existing body composition and bone health evidence in jockeys and evaluate the assessment methods and classification criteria used. Dual-energy X-ray absorptiometry (DXA) has been used most frequently in jockey research to assess body composition and bone status, while various generic skinfold equations have been used to predict body fat percentage. Evidence indicates flat jockeys are now taller and heavier than the data reported in earlier studies. Absolute fat mass has steadily increased in male jockeys in the last decade. The bone status of male jockeys remains a concern as constant low bone density (BMD) is evident in a large percentage of young and experienced professional jockeys. Due to limited studies and variations in assessment methods, further research is required to investigate bone turnover markers in male and female jockeys. A standardised testing protocol using internationally recognised assessment guidelines is critical for the accurate interpretation and evaluation of body composition and bone health measurements. Furthermore, establishing jockey-specific BMD and bone turnover reference ranges should be considered using existing and future data.

Physical Preparation Strategies of Professional Jockeys.

ABSTRACT: Kiely, M, Warrington, G, McGoldrick, A, and Cullen, S. Physical preparation strategies of professional jockeys. J Strength Cond Res 36(11): 3184-3189, 2022-Professional horse racing is a physically demanding sport. The aim of the study was to examine the physical preparation strategies of jockeys for racing. A questionnaire was developed and validated which comprised of 4 sections; (a) background information, (b) making weight and current associated exercise habits, (c) current physical activity practices, and (d) jockey perceptions of strength and conditioning (S&C) and current practices. Eighty-five jockeys ( n = 38 professional flat, n = 47 professional jump) completed the questionnaire in race course weighing rooms representing 80% of the professional athlete population. In total, 77.6% of jockeys participate in physical activity outside of riding. Jockeys that participated in S&C (42.4%) reported their most frequent type of S&C practice; cardio (52.8%), high-intensity interval training (33.3%), flexibility and mobility training (8.3%), resistance training (5.6%). There was no significant difference in S&C participation between total flat and total jump licenses ( p = 0.530; [PHI] = 0.068). Difficulty making weight was reported by 55.3% of jockeys. Exercise alone was used by 29.4% of jockeys to rapidly reduce weight. There was no significant difference ( p = 0.201, [PHI] = 0.357) between the frequency of rapid weight loss per month for total flat (1.7 ± 1.7) and total jump jockeys (1.6 ± 0.5). This study represents the only published data on the physical preparation strategies of jockeys. Jockeys do not partake in physical activity, which mimics the repeated high-intensity demands of racing. Future research is required to examine the effects of specific S&C interventions on riding performance.

Physical and Lifestyle Factors Influencing Bone Density in Jockeys: A Comprehensive Update of the Bone Density Status of Irish Jockeys.

Compromised bone density in jockeys has previously been identified as an important health and safety concern in horseracing. Despite this, no update on the bone density status in Irish jockeys has been provided in the past decade. The study aimed to conduct a comprehensive update of the current bone density status in professional Irish jockeys and identify possible contributory physical and lifestyle factors. Eighty-five professional male jockeys (flat n = 39; national hunt (NH) n = 46) completed a dual-energy X-ray absorptiometry (DXA) scan for the assessment of body composition and bone mineral density (BMD) at the lumbar spine (LS), femoral neck (FN) and hip, 24-hour food recall, bone-specific physical activity questionnaire (BPAQ) and lifestyle questionnaire on weight making practices and injury history. Z-scores were interpreted to assess current bone density status. Correlation analysis was used to identify physical and lifestyle factors associated with bone mineral apparent density (BMAD). Results revealed a high prevalence of low BMD (Z-score < - 1.0) at the LS (44%), FN (15%) and hip (29%) in Irish jockeys. Analysis of jockeys physical characteristics found a positive relationship with the LS but not FN BMAD. Riding experience and timing of weight cut in NH and the practice of cutting weight in flat jockeys negatively influenced BMAD sites, while supplement use in flat jockeys displayed a positive effect on LS BMAD. Findings indicate the need for targeted individualised support strategies. Further investigation is required into jockey-specific intervention strategies that promote the development of optimal bone health in professional jockeys.

Injuries outside of horseracing: is it time to focus on injury prevention of jockeys outside of races?

Objectives: Falls and injuries are frequent in professional horseracing. However, professional jockeys spend a large part of their week in horse-related activities outside of racing such as schooling, exercise riding, and yard-related activities. The injury risk related to these activities remains largely unknown internationally. This study aimed to identify the injury prevalence and injury profile of flat and jump jockeys during non-racing activities. Methods: In total 45.6% and 38.5% of all licensed Irish professional flat and jump jockeys completed a cross-sectional self-recall questionnaire examining injuries that occurred outside of racing during 2018. Injury proportion, repeat incidence proportion, and descriptive statistics were calculated. Results: Fifteen percent of professional jockeys sustained an injury outside of a race, half of those injured receiving at least another injury in 2018 and 66.52 injuries per 1,000 falls were noted. Injuries frequently occurred to the upper limb (36.67%), with fractures common (32.00%). Most injuries occurred due to a fall (60.00%) and 77.27% occurred in the gallops. Half of injuries resulted in the jockey missing racing, with 31.00 ± 47.18 (4-180) days lost on average. Twenty-three percent of jockeys attended hospital and 16.67% required surgery due to injury. Interestingly, just under a third did not report their injury to anyone. Conclusion: Injuries to professional jockeys, whilst not as frequent outside of racing, tend to be serious and can affect jockeys financially and impact their availability to ride. Prioritizing injury prevention strategies to maximize availability of jockeys to race is important. Education on the importance of reporting all injuries regardless of where they occur is important to ensure their management and rehabilitation.

Physiological Demands of Professional Flat and Jump Horse Racing.

Kiely, M, Warrington, GD, McGoldrick, A, Pugh, J, and Cullen, S. Physiological demands of professional flat and jump horse racing. J Strength Cond Res 34(8): 2173-2177, 2020-No information is currently available on the effect of race distance on the physiological demands of jockeys. This study aimed to quantify the respective demands of short and long flat and jump race distances. Twenty professional jockeys (10 flat and 10 jump) participated in the study. The subjects initially performed a graded incremental exercise test to volitional exhaustion on a treadmill to determine the peak heart rate (HR) and blood lactate concentrations. Two competitive races (short and long) were then monitored on 2 separate occasions for each jockey type to obtain hydration, HR, blood lactate concentration, and rating of perceived exertion data. Mean distances for the 4 races were: 1,247.2 ± 184.7 m (short flat race), 2,313.4 ± 142.2 m (long flat race), 3,480.2 ± 355.3 m (short jump race), and 4,546.4 ± 194.3 m (long jump race). The mean HR for the long flat race was 151 ± 19 b·min (79 ± 11% of HRpeak), which was significantly lower than all other race distances (p = 0.000, effect size [ES] = 0.469). A longer jump race resulted in a significantly higher reported rate of perceived exertion (RPE) (14 ± 2.8) than the short jump race (11.0 ± 1.5) (p = 0.009, ES = 0.271), whereas no significant difference was revealed between peak HR responses or blood lactate concentrations when comparing other race distances (p < 0.05). The finding of this study supports previous limited research, which suggests that horse racing is a high-intensity sport, whereas RPE and mean HR fluctuate according to the race distance.

Estimation of Body Fat Percentage in Jockeys: Implications for a Weight Category Sport.

The assessment of body composition in horse racing, a unique weight-restricted sport, provides an important health and performance indicator. The accuracy of skinfold prediction equations at estimating % body fat (% BF) was compared with dual-energy X-ray absorptiometry (DXA) data in a group of professional Irish jockeys (age 27.5 ± 7.7 years). Body composition was assessed in seventy-two male professional jockeys (flat n=35 and national hunt n=37) using standardised guidelines for skinfold thickness at 8 sites and DXA body fat assessment. Hydration status was assessed using urine specific gravity (Usg) to determine if participants were euhydrated and male specific prediction equations (Durnin and Womersley, Evans, Lohman, Reilly, Withers and Zemski) were selected to estimate % BF. Jockey-group specific equations were developed using the collected dataset. The selected equations underestimated % BF with variability between equations ranging from 7% to 10% compared to the DXA % BF of 15%. Flat jockeys were significantly lighter and shorter (p < 0.05) compared to national hunt jockeys resulting in the need for individual jockey-specific equations. The Flat and National Hunt Jockey specific equations demonstrated overall agreement accounting for 84% and 83% variance, respectively. Caution must be taken when using existing prediction equations due to the variability of % BF relative to DXA. Jockey-specific equations offer an alternative method for interpreting estimated body fat %.

Concussion History, Reporting Behaviors, Attitudes, and Knowledge in Jockeys.

OBJECTIVE: To examine concussion history, knowledge, and attitudes among Irish professional and amateur jockeys. DESIGN: Cross-sectional survey. SETTING: Questionnaire was distributed through e-mails sent to all licensed jockeys, over social media and during professional and amateur race meetings. PARTICIPANTS: An average of 23.6% (12%-44%) Irish professional and amateur jockeys (n = 119) holding a license in 2017. MAIN OUTCOME MEASURES: Jockeys reported their previous concussion history, actions after their most recent concussion and responded to questions examining their knowledge and attitudes toward concussion. RESULTS: Amateur (32.4%) and professional (19.6%) jockeys, who were never medically diagnosed over their career, suspected that they had sustained a concussion. Jockeys displayed good knowledge of concussion signs and symptoms; yet, one in 2 jockeys would continue to ride out the same day if they suspected they had a concussion. They were less likely if they had a race that day. Reasons for continuing to ride include not considering a concussion as serious (85.7%); risk of losing the ride (84.0%); not wanting to let anyone down (77.8%); and considered it a sign of weakness (74.1%). Risky behavior was more common after a suspected concussion than a medically diagnosed concussion. CONCLUSIONS: Underreporting of concussions is proposed as a serious concern, and concussion understanding and attitudes can impact reporting. To address the issue of underreporting of concussions in Irish horseracing, there is a need to educate jockeys and the wider racing community on the importance of timely concussion assessments and access to appropriate management systems.

Physiological demands of daily riding gaits in jockeys.

BACKGROUND: Jockeys should maintain a high level of physical fitness to meet the physical demands of horse racing. The aim of this study was to determine the physiological requirements of the riding gaits used regularly in training. METHODS: Eleven trainee jockeys performed a maximal incremental Wattbike cycle ergometer test. Mean absolute and relative oxygen uptake (VO2) and heart rate (HR) were recorded for the steady-state period during a walk, trot and canter. Energy expenditure (EE) and associated metabolic equivalent (MET) were also estimated. RESULTS: During a walk, trot and canter, relative mean VO2 corresponded to 15±4%, 38±6%, 47±9% of VO2peak and mean HR corresponded to 48±6%, 60±6%, 71±7% of HRpeak respectively. Mean VO2 and mean HR were significantly different amongst gaits; P≤0.001. Walking required the lowest estimated EE of 2.25±0.6 kcal.min-1 (P≤0.001; 2.4 METs;) and it was significantly lower than trotting at 5.72±1.0 kcal.min-1 (P≤0.001; 6.2 METs) and cantering at 7.10±1.8 kcal.min-1 (P≤0.001; 7.7 METs). CONCLUSIONS: These riding activities are associated with relatively low physiological demand and alternate modes of exercise are recommended for trainee jockeys to ensure the demands of racing are met. Future research should investigate the physical training, both riding-specific and general conditioning, jockeys perform in preparation for racing.

A 9-Year Epidemiologic Study (2007-2015) on Race-Day Jockey Fall and Injury Incidence in Amateur Irish Horse Racing.

CONTEXT: Point-to-point racing may place jockeys at risk of serious injuries due to the high incidence of falls as previously reported. Despite many advances in health and safety strategies, the incidence of falls and injuries in point-to-point racing has not been reported since 2006. OBJECTIVES: To provide a longitudinal analysis of the fall and injury incidence in point-to-point horse racing jockeys in Ireland from 2007 to 2015 and compare these findings with the previous literature. DESIGN: Descriptive epidemiologic study. SETTING: All injuries that occurred due to a fall at every official point-to-point race meeting from 2007 to 2015 were recorded by a medical doctor using a standardized injury report form. MAIN OUTCOME MEASURE(S): Falls and injury rates and their 95% confidence intervals were calculated. Incidence rate ratios (IRRs), 95% confidence intervals and percentage change were compared between point-to-point and professional racing, between previous data and the current results, and from 2007 to 2015. RESULTS: An average of 67.40 injuries/1000 falls and 9.08 injuries/1000 rides occurred in point-to-point racing, and this was reduced compared with the previous analysis. Amateur jockeys sustained an overall mean of 134.77 falls/1000 rides and the yearly means decreased over the 9 years of the study. Amateur jockeys sustained a higher fall rate than professional jockeys (flat: IRR = 35.47 [31.03, 40.54]; jump: IRR = 2.72 [2.63, 2.82]); however, their injuries/1000 falls rate was lower (flat: IRR = 0.19 [0.15, 0.24]; jump: IRR = 0.33 [0.30, 0.63]). Soft tissue injuries were predominant (43.09%), with 26.06 fractures and 9.98 concussions/1000 falls occurring. CONCLUSIONS: Although injuries have been reduced since the previous analysis, more serious injuries such as fractures and concussions were more common in point-to-point racing than professional racing, possibly due to their higher fall risk. Thus, identifying strategies to reduce the fall risk in point-to-point racing should be a priority.

Epidemiology of Injury Due to Race-Day Jockey Falls in Professional Flat and Jump Horse Racing in Ireland, 2011-2015.

CONTEXT: Professional horse racing is considered a high-risk sport, yet the last analysis of fall and injury incidence in this sport in Ireland was completed between 1999 and 2006. OBJECTIVE: To provide an updated analysis of the fall and injury incidence in professional flat and jump horse racing in Ireland from 2011 through 2015, compare it with the previous analysis, and detail the specific types and locations of injuries. DESIGN: Descriptive epidemiology study. SETTING: A medical doctor recorded all injuries that occurred at every official flat and jump race meeting for the 2011 through 2015 seasons using standardized injury-report forms. MAIN OUTCOME MEASURE(S): Injury and fall rates and their 95% confidence intervals (CIs) were reported for flat and jump racing. Incidence rate ratios and 95% CIs were calculated between flat and jump racing, between the 1999-2006 analysis and the current results, and between 2011 and 2015. The distribution of injuries for type and location of injury was reported. RESULTS: Compared with flat racing, jump racing had significantly more falls per 1000 rides (49.5 versus 3.8), injuries per 1000 rides (10.1 versus 1.4), and injuries per 1000 meetings (776.0 versus 94.1). However, the rate of injuries per 1000 falls was significantly higher in flat racing (352.8 versus 203.8). An increase in injuries per 1000 falls between 2011 and 2015 was found in flat racing ( P = .005). Since the previous analysis, a significant increase in injuries per 1000 rides and falls was noted in jump racing. Soft tissue injuries were predominant in flat and jump racing (61.54% and 68.80%, respectively), with fractures the second most common injury (15.38% and 18.06%, respectively). Concussions were more prevalent from flat-racing falls (incidence rate ratio = 0.30; 95% CI = 0.15, 0.61). The lower limb was the most frequent location of injury (32.89%) in flat racing; however, in jump racing, upper limb injuries (34.97%) were predominant. CONCLUSIONS: An update on professional flat- and jump-racing fall and injury epidemiology is provided. Further research to identify risk factors for injury, design and investigate the feasibility of injury-prevention strategies, and document their effects on fall and injury incidence is required.

The "Ice-Mile": Case Study of 2 Swimmers' Selected Physiological Responses and Performance.

PURPOSE: "Ice-mile" swimming presents significant physiological challenges and potential safety issues, but few data are available. This study examined deep body temperature (BT), respiratory rate (RR), and swim performance in 2 swimmers completing an ice-mile swim of 1 mile (1600 m) in water less than 5°C. METHODS: Two male cold-water-habituated swimmers completed a 1-mile lake swim in 3.9°C water. For comparative purposes, they completed an indoor 1-mile swim in 28.1°C water. The Equivital physiological monitoring system was used to record BT and RR before, during, and after each swim. Total time to complete the swims and 400-m splits were recorded. RESULTS: One swimmer became hypothermic after 27 min while swimming, reaching BT of 33.7°C at swim's end. On exiting the water the swimmers experienced large BT after-drops of -3.6°C and -2.4°C, reaching low points of 33.2°C and 31.3°C 38 and 23 min postswim, respectively. Respiratory rate and swim pace decreased over the course of the ice-mile swim for both swimmers. Swim pace for 1 swimmer declined sharply in the final 400-m lap of the ice mile when he was hypothermic. Both swimmers remained hypothermic 60 min postswim (34.2°C and 33.4°C). CONCLUSION: Ice-mile swimmers may become hypothermic while swimming, and the postswim BT after drop may expose them to dangerous levels of hypothermia. Pace and RR should be monitored as proxies for a swimmer's physiological state. Postswim recovery should also be monitored for hypothermia for at least 1 h.

Physiological and health characteristics of ex-jockeys.

OBJECTIVES: The long-term health implications resulting from extreme and chronic weight cycling and the associated energy restricted lifestyle of a professional jockey remain unknown. The aim of the present study was to describe and evaluate the physiological and health characteristics of retired jockeys. DESIGN: Cross-sectional. METHODS: Retired male jockeys (n=28; age 59±6yr; height 1.65±0.03m; body mass 73.7±10.9kg; BMI 26.9±3.8kgm(-2)) participated. Body composition (by dual energy X-ray absorptiometry; DXA), resting metabolic rate (RMR), glucose metabolism (by oral glucose tolerance test; OGTT), lipids and thyroid function were assessed. All data were interpreted in relation to established age specific reference ranges for the particular assessment undertaken. RESULTS: Forty three percent of the retired jockeys were classified as overweight, while 21% were obese. RMR was calculated as 1447±201kcalday(-1). Mean total cholesterol was 5.93±1.5mmolL(-1) for those not on cholesterol lowering medication and 5.09±1.1mmolL(-1) for those currently taking medication. No abnormalities in glucose metabolism and thyroid function were found. CONCLUSIONS: Chronic weight cycling during a career as a professional jockey did not induce any health consequences in the retired jockeys assessed in this study, however enhanced weight gain and dyslipidaemia were evident. Results suggest jockeys should be tracked longitudinally throughout their racing career and beyond to further establish long-term physical health implications associated with the current lifestyle of a professional jockey.

Physiological Demands of Flat Horse Racing Jockeys.

The physiological demands of jockeys during competition remain largely unknown, thereby creating challenges when attempting to prescribe sport-specific nutrition and training guidelines. The purpose of this study was to evaluate the physiological demands and energy requirements of jockeys during flat racing. Oxygen uptake (V[Combining Dot Above]O2) and heart rate (HR) were assessed in 18 male trainee jockeys during a race simulation trial on a mechanical horse racing simulator for the typical time duration to cover a common flat race distance of 1,400 m. In addition, 8 male apprentice jockeys participated in a competitive race, over distances ranging from 1,200 to 1,600 m, during which HR and respiratory rate (RR) were assessed. All participants performed a maximal incremental cycle ergometer test. During the simulated race, peak V[Combining Dot Above]O2 was 42.74 ± 5.6 ml·kg·min (75 ± 11% of V[Combining Dot Above]O2peak) and below the mean ventilatory threshold (81 ± 5% of V[Combining Dot Above]O2peak) reported in the maximal incremental cycle test. Peak HR was 161 ± 16 b·min (86 ± 7% of HRpeak). Energy expenditure was estimated as 92.5 ± 18.8 kJ with an associated value of 9.4 metabolic equivalents. During the competitive race trial, peak HR reached 189 ± 5 b·min (103 ± 4% of HRpeak) and peak RR was 50 ± 7 breaths per minute. Results suggest that horse racing is a physically demanding sport, requiring jockeys to perform close to their physiological limit to be successful. These findings may provide a useful insight when developing sport-specific nutrition and training strategies to optimally equip and prepare jockeys physically for the physiological demands of horse racing.

Lack of Effect of Typical Rapid-Weight-Loss Practices on Balance and Anaerobic Performance in Apprentice Jockeys.

UNLABELLED: Balance and anaerobic performance are key attributes related to horse-racing performance, but research on the impact of making weight for racing on these parameters remains unknown. The purpose of this study was to investigate the effects of rapid weight loss in preparation for racing on balance and anaerobic performance in a group of jockeys. METHODS: Twelve apprentice male jockeys and 12 age- and gender-matched controls completed 2 trials separated by 48 h. In both trials, body mass, hydration status, balance, and anaerobic performance were assessed. Between the trials, the jockeys reduced body mass by 4% using weight-loss methods typically adopted in preparation for racing, while controls maintained body mass through typical daily dietary and physical activity habits. RESULTS: Apprentice jockeys decreased mean body mass by 4.2% ± 0.3% (P < .001) with a subsequent increase in dehydration (P < .001). The controls maintained body mass and a euhydrated state. No differences in balance, on the left or right side, or in peak power, mean power, or fatigue index were reported between the trials in either group. CONCLUSION: Results from this study indicate that a 4% reduction in body mass in 48 h through the typical methods employed for racing, in association with an increase in dehydration, resulted in no impairments in balance or anaerobic performance. Further research is required to evaluate performance in a sport-specific setting and to investigate the specific physiological mechanisms involved.

The impact of making-weight on cognitive performance in apprentice jockeys.

Jockeys regularly engage in rapid weight-loss practices in preparation for competition. These practices are thought to impair cognitive function, although the evidence in support of this theory remains inconclusive. The purpose of this study was to examine the effects of making-weight on cognitive function in apprentice jockeys in a simulated and competitive environment. Apprentice jockeys (n = 12) reduced their body mass by 4% in 48 h in a simulated environment using weight-loss methods typically adopted in preparation for racing. Simple and choice reaction time, attention, learning and memory were assessed before and after the weight loss. A further 10 apprentice jockeys performed the cognitive function assessment in a competitive racing environment at both a self-reported "normal" and "light" body mass. Hydration status and body mass were assessed in all trials. In the simulated environment, body mass was reduced by 4.2 ± 0.3%, yet no change in cognitive function was observed. Cognitive function also remained unchanged in the competitive environment after a body mass loss of 5.7 ± 1.9%. Typical reductions in body mass in preparation for racing have no effect on cognitive function in apprentice jockeys in a simulated and competitive environment. Further research is required to investigate the physiological mechanisms preventing the adverse effects of making-weight on cognitive function in jockeys.

The impact of making weight on physiological and cognitive processes in elite jockeys.

PURPOSE: To examine the impact of making weight on aerobic work capacity and cognitive processes in a group of professional jockeys. METHODS: Nine male jockeys and 9 age-, gender-, and BMI-matched controls were recruited to take part in two experimental trials, conducted 48 hr apart. The jockeys were asked to reduce their body mass by 4% in the 48 hr between trials, and controls maintained usual dietary and physical activity habits between trials. Aerobic work capacity was assessed by performance during an incremental cycle ergometer test. Motor response, decision making, executive function, and working memory were assessed using a computerized cognitive test battery. RESULTS: The jockey group significantly reduced their body mass by 3.6 ± 0.9% (p < .01). Mean urine specific gravity (Usg) readings increased from 1.019 ± 0.004-1.028 ± 0.005 (p < .01) following this reduction in body mass. Peak work capacity was significantly reduced between trials in the jockey group (213 ± 27 vs. 186 ± 23 W, p < .01), although VO2peak (46.4 ± 3.7 vs. 47.2 ± 6.3 ml·kg·min-1) remained unchanged. No changes were identified for any cognitive variable in the jockey group between trials. CONCLUSION: Simulation of race day preparation, by allocating a weight that is 4% below baseline body mass caused all jockeys to report for repeat testing in a dehydrated state, and a reduction in aerobic work capacity, both of which may impact on racing performance.