Examination of fatigue development in elite soccer in a hot environment: a multi-experimental approach.

The study examines fatigue in elite soccer played in hot conditions. High-profile soccer players (n=20) were studied during match play at ∼31 °C. Repeated sprint and jump performances were assessed in rested state and after a game and activity profile was examined. Additionally, heart rate (HR), blood lactate, muscle temperature and body mass changes were determined. Repeated sprint and jump performances were reduced (P<0.05) by 2.6% and 8.2%, respectively, after the game. The fatigue index in the repeated sprint test was 6.0±0.7% after the game compared with 1.7±1.0% at rest (P<0.05). High-intensity running was 57±4% lower (P<0.05) during the last 15-min interval of the game compared with the first 15-min period. No differences were observed in mean HR or blood lactates between halves. Muscle temperature was 40.5±0.4 °C after the first half, which was 0.8±0.2 °C higher (P<0.05) than after the second half. Net fluid loss during the game was >2% of the body mass. Correlations were observed between net-fluid loss and repeated sprint test fatigue index after the game (r=0.73, P<0.05) and Yo-Yo intermittent recovery, level 1 test performance and high-intensity running during the final 15 min of the game (r=0.51, P<0.05). The study provides direct evidence of compromised repeated sprint and jump performances induced by soccer match play and pronounced reduction in high-intensity running toward the end of an elite game played in a hot environment. This fatigue could be associated training status and hyperthermia/dehydration.

Peripheral Vascular Restenosis: A Retrospective Study on the Use of Drug-Eluting Balloons in Native Arteries, Vein Grafts and Dialysis Accesses.

BACKGROUND AND AIMS: The objective of this study is to analyze outcomes of the first experiences with drug-eluting balloons in native arteries, vein grafts, and vascular accesses. The study is also a pilot for our future prospective, randomized, and controlled studies regarding the use of drug-eluting balloons in the treatment of the stenosis in bypass vein graft and dialysis access. MATERIALS AND METHODS: A total of 93 consecutive patients were retrospectively analyzed and in the end 81 were included in the study. Inclusion criteria included at least one previous percutaneous angioplasty to the same lesion. Patients were divided into three groups according to the anatomical site of the lesion: native lower limb artery, vein bypass graft, or vascular access. Time from the previous percutaneous angioplasty to the drug-eluting balloon was compared to the time from the drug-eluting balloon to endpoint in the same patient. Endpoints included any new revascularization of the target lesion, major amputation, or new vascular access. RESULTS: The median time from the drug-eluting balloon to endpoint was significantly longer than the median time from the preceding percutaneous angioplasty to drug-eluting balloon in all three groups. This difference was clearest in native arteries and vein grafts, whereas the difference was smaller from the beginning and disappeared over time in the vascular access group. No significant differences were seen between the groups with regard to smoking, antiplatelet regime, diabetes, Rutherford classification, or sex. CONCLUSION: Although the setup of this study has several limitations, the results suggest that there could be benefit from drug-eluting balloons in peripheral lesions. Very little data have been published on the use of drug-eluting balloons in vein grafts and vascular accesses, and randomized and controlled prospective studies are needed to further investigate this field.

Changes in running speed, blood lactic acid concentration and hormone balance during sprint training performed at an altitude of 1860 metres.

The development of results of five national level sprinters (Group A) was followed up during a training period of two weeks at an altitude of 1860 m aiming at increase of strength and speed and after it. Changes in anaerobic capacity were monitored by making blood lactic acid determinations, and occurrence of any overstrain by serum testosterone, cortisol, growth hormone and SHBG (sex hormone binding globulin) determinations. A control group (Group B) trained simultaneously according to a similar programme at sea level. Maximal 150 m running speeds increased in Group A significantly during the two weeks at the altitude of 1860 m (p less than 0.001). No such increase was observable in Group B. Maximal 300 m running speeds and maximal lactic acid concentrations after running did not increase significantly in either group. Serum hormone levels did not change significantly either, in either group. Training at an altitude of 1860 m to increase strength and speed significantly improved results at the shorter distance of 150 m but had not significant effects on anaerobic capacity or on serum testosterone, cortisol, growth hormone or SHBG levels.

Physiological performance capacity in different prepubescent athletic groups.

Endurance, strength and speed capacity were investigated among prepubescent male weight lifters (EL), endurance runners (ER) and sprint runners (SR). The subjects were selected by their coaches and all of them were classified as promising and successful junior athletes in the age groups of 10-13 years. Twelve boys belonged to athletic group (AG) and their performance capacity was compared to normally active control (C) boys (n = 9). Biological age was significantly (p less than 0.05) greater in AG (11.3 +/- 0.9 years) than in C (10.2 +/- 1.4 years) but in chronological age there was no difference between the groups. Maximal oxygen uptake was significantly (p less than 0.05) higher in AG (62.3 +/- 3.1 ml.kg-1.min-1) than in C (55.4 +/- 7.7 ml.kg-1.min-1). The endurance runners had the highest value (66.5 +/- 2.9 ml.kg-1.min-1). In anaerobic characteristics there were no significant differences. The rise of centre of gravity (0.26 +/- 0.03 m) of AG in a test for the best drop jump was clearly (p less than 0.05) higher than that (0.22 +/- 0.03 m) of C. The weight lifters and sprint runners were the best in the test for force production. AG had significantly (p less than 0.01) shorter choice reaction time (261 +/- 39 ms) than C (344 +/- 81 ms). Testosterone correlated with jump performances (p less than 0.05), biological age (p less than 0.01) and chronological age (p less than 0.001). Growth hormone correlated significantly only with biological age (p less than 0.05) and testosterone (p less than 0.001). In conclusion, endurance capacity (aerobic) and strength capacity were greater in the athletic group than in the control group and it was suggested that training background and more advanced biological maturation of the athletes affected especially their strength capacity. The parameters used in this investigation can be utilized for talent selection in sport.

Aerobic characteristics, oxygen debt and blood lactate in speed endurance athletes during training.

Aerobic characteristics, oxygen debt and blood lactate were analysed in 20 male speed endurance athletes (400 m sprinters and 400 m hurdlers). The subjects were tested three times; at the beginning of March, at the end of May and at the end of August. Aerobic and anaerobic threshold and maximal oxygen uptake measured on the treadmill decreased (p < 0.05-0.01) from the second test occasion to the third one. The anaerobic work test on the treadmill was a constant load test at 5.56 m.s-1 with a slope of 4 degrees. The time to exhaustion increased (p < 0.05) from the first test occasion (112 +/- 17 s) to the second one (136 +/- 35 s) and did not change in the last test (135 +/- 25 s). Following the anaerobic work test oxygen debt was measured during 20 minutes. The highest total oxygen debt values (144 +/- 19 ml.kg-1) were observed in the second test occasion. Peak blood lactate following the anaerobic work increased (p < 0.05) from the first test occasion to the second one and remained at the same level during the next three competitive months. The good speed endurance athletes differed from the poor counterparts in time to exhaustion (p < 0.01), in 100 m record time (p < 0.01) and in maximal oxygen uptake (p < 0.05). Our results suggest that aerobic characteristics decrease during the competitive period in speed endurance athletes. The anaerobic performance capacity including work time and peak blood lactate is at high level in the competitive period.(ABSTRACT TRUNCATED AT 250 WORDS)