Biomechanical differences in double poling between sexes and level of performance during a classical cross-country skiing competition.

Biomechanical differences in double poling (DP) between sex and performance level were investigated in female and male cross-country skiers during a classical race (10/15 km). Skiers were divided into faster and slower on basis of race performance: females faster (n=20), females slower (n=20), males faster (n=20), and males slower (n=20). Based on video analysis while DP in a flat section of the track, joint and pole angles at pole plant (PP) and pole-off, cycle characteristics and the use and coordination pattern of heel-raise (raise of heels from the ground to have a higher body position at PP) were analysed. Faster females and males had 4.3% and 7.8% higher DP velocity than their slower counterparts (both P<0.001). Faster males had 6.5% longer cycles than slower males (P<0.001). Faster skiers stopped heel-raise later than slower skiers (females: 2.0±3.4% vs. -1.0±3.5%, P<0.05; males: 3.9±2.4% vs. 0.8±3.2% of cycle time in relation to PP, P<0.001). At PP, faster skiers and male skiers had a smaller pole angle and greater ankle to hip and ankle to shoulder angle with respect to vertical, resulting in a more distinct forward body lean. However, the majority of the differences are likely due to higher DP velocity.

Impact of Incline, Sex and Level of Performance on Kinematics During a Distance Race in Classical Cross-Country Skiing.

Here, female and male elite cross-country (XC) skiers were compared on varying terrain during an official 10-km (women) and 15-km (men) Norwegian championship race. On the basis of race performance, 82 skiers were classified as fast (FS) (20 women, 20 men) or slower (SS) (21, 21) skiers. All were video recorded on flat (0°), intermediate (3.5°), uphill (7.1°) and steep uphill (11°) terrain during the race at a distance of 0.8, 1.2, 2.1 and 7.1 km from the start, respectively. All skiers employed exclusively double-poling (DP) on the flat section and, except for the male winner, exclusively diagonal stride (DIA) on the uphill sections. On the intermediate section, more men than women utilized DP and fewer DIA (p = 0.001), with no difference in kick double-poling (DPK). More FS than SS utilized DPK and fewer DIA (p = 0.001), with similar usage of DP. Males skied with faster and longer cycles but lower cycle rate compared with females (p < 0.001), with largest absolute sex differences on flat terrain (p < 0.001) and largest relative differences for cycle velocity and length on intermediate and uphill terrain. External power output rose with increasing incline, being higher for men and FS (p < 0.001). Cycle velocity on flat terrain was the best predictor of mean race velocity for the men, while cycle velocity on steep uphill was the best predictor for the women (both p < 0.001). In conclusion, incline, sex and level of performance influenced cycle characteristics and power output. Greatest absolute sex gap was on flat terrain, whereas the relative difference was greatest on intermediate and steep uphill terrain. We recommend usage of more DP and/or DPK, and less DIA and fewer transitions between techniques on intermediate terrain. Predictors of race performance are sex specific with greatest potential for enhancing performance on flat terrain for men and on steep uphill terrain for women.

Contribution of Upper-Body Strength, Body Composition, and Maximal Oxygen Uptake to Predict Double Poling Power and Overall Performance in Female Cross-Country Skiers.

Østerås, S, Welde, B, Danielsen, J, van den Tillaar, R, Ettema, G, and Sandbakk, Ø. Contribution of upper-body strength, body composition, and maximal oxygen uptake to predict double poling power and overall performance in female cross-country skiers. J Strength Cond Res 30(9): 2557-2564, 2016-Maximal oxygen uptake (V[Combining Dot Above]O2max) is regarded as the most performance-differentiating physiological measure in cross-country (XC) skiing. In addition, upper-body strength and lean mass have been associated with double poling (DP) power in XC skiers. In this study, we tested upper-body maximal strength, lean mass, and V[Combining Dot Above]O2max's contributions to predict DP power production of different durations and the overall XC skiing performance level of elite female XC skiers. Thirteen skiers (V[Combining Dot Above]O2max: 64.9 ± 4.2 ml·kg·min) performed one 30-second and one 3-minute DP performance test using a ski ergometer. The International Ski Federation's (FIS) ranking points determined their overall XC skiing performance. The skiers performed three 1-repetition maximal strength tests in poling-specific exercises that isolated the elbow extension, shoulder extension, and trunk flexion movements. Body composition was determined by a DXA scan, and V[Combining Dot Above]O2max was tested in an incremental running test. Multiple regressions were used to predict power production in the 30-second and 3-minute tests and FIS points. The 2 best predictions of 30-second DP power were lean upper-body mass and maximal upper-body strength (with the 3 strength tests normalized and pooled together as one variable) (R = 0.84 and 0.81, p < 0.001). Along with V[Combining Dot Above]O2max, the same 2 variables were the best predictions of both 3-minute DP power (R = 0.60 and 0.44, p ≤ 0.05) and overall XC skiing performance (R = 0.43 and 0.40, p ≤ 0.05). Although the importance of upper-body strength and lean mass to predict DP power production and the overall XC skiing performance declines with the performance duration in female XC skiers, the importance of V[Combining Dot Above]O2max shows an opposite relationship.

Effects of acute supplementation of L-arginine and nitrate on endurance and sprint performance in elite athletes.

This study examined the effects of acute supplementation with L-arginine and nitrate on running economy, endurance and sprint performance in endurance-trained athletes. In a randomised cross-over, double-blinded design we compared the effects of combined supplementation with 6 g L-arginine and 614 mg nitrate against 614 mg nitrate alone and placebo in nine male elite cross-country skiers (age 18 ± 0 years, VO2max 69.3 ± 5.8 ml ⋅ min(-1) ⋅ kg(-1)). After a 48-hour standardisation of nutrition and exercise the athletes were tested for plasma nitrate and nitrite concentrations, blood pressure, submaximal running economy at 10 km ⋅ h(-1) and 14 km ⋅ h(-1) at 1% incline and 180 m as well as 5-km time-trial running performances. Plasma nitrite concentration following L-arginine + nitrate supplementation (319 ± 54 nmol ⋅ L(-1)) did not differ from nitrate alone (328 ± 107 nmol ⋅ L(-1)), and both were higher than placebo (149 ± 64 nmol ⋅ L(-1), p < 0.01). There were no differences in physiological responses during submaximal running or in 5-km performance between treatments. The plasma nitrite concentrations indicate greater nitric oxide availability both following acute supplementation of L-arginine + nitrate and with nitrate alone compared to placebo, but no additional effect was revealed when L-arginine was added to nitrate. Still, there were no effects of supplementation on exercise economy or endurance running performance in endurance-trained cross-country skiers.

The physiological responses to repeated upper-body sprint exercise in highly trained athletes.

PURPOSE: To study performance, physiological and biomechanical responses during repeated upper-body sprint exercise. METHODS: Twelve male elite cross-country skiers performed eight 8-s maximal poling sprints with a 22-s recovery while sitting on a modified SkiErg poling ergometer. Force, movement velocity, cycle rate, work per cycle, oxygen saturation in working muscles and pulmonary oxygen uptake were measured continuously. A 3-min all-out ergometer poling test determined VO2peak, and 1 repetition maximum (1RM) strength was determined in a movement-specific pull-down. RESULTS: Average sprint power was 281 ± 48 W, with the highest power on the first sprint, a progressive decline in power output over the following four sprints, and a sprint decrement of 11.7 ± 4.1 %. Cycle rate remained unchanged, whereas work per cycle progressively decreased (P < 0.05). m. triceps brachii and m. latissimus dorsi were highly desaturated already after the first sprint (all P < 0.05), whereas the response was delayed for m. biceps brachii and m. vastus lateralis. Correspondingly, increases in VO2 mainly occurred over the first two sprints (P < 0.05) and plateaued at approximately 75 % of VO2peak. 1RM correlated with power during the first four sprints and with average sprint power (r = 0.71-0.80, all P < 0.05), whereas VO2peak correlated with power in the last three sprints (r = 0.60-0.71, all P < 0.05). CONCLUSIONS: The main decrement in upper-body sprint performance was evident in the first five sprints, followed by highly desaturated muscles and a plateau in pulmonary oxygen uptake already after the first 2-3 sprints. While high maximal strength seems important for producing power, aerobic capacity correlates with power in the last sprints.

Annual Volume and Distribution of Physical Training in Norwegian Female Cross-Country Skiers and Biathletes: A Comparison Between Sports, Competition Levels, and Age Categories-The FENDURA Project.

PURPOSE: To describe and compare the annual physical training characteristics between Norwegian female cross-country (XC) skiers and biathletes across competition levels and age categories. METHODS: Daily training sessions for 1 year were recorded for 45 XC skiers and 26 biathletes, comprising international/national team (inter[national]) and nonnational/regional team members (nonnational) of both junior and senior age. Endurance, strength, flexibility, speed, and power training sessions were recorded. Data included exercise modality, intensity, and duration. Data were analyzed using linear mixed-effects models. RESULTS: The total annual physical training volume consisted of ∼90% endurance training for both groups, although XC skiers had significantly higher total volumes (∼10%; P = .003; d = 0.78) than biathletes. Senior XC skiers performed more training hours of skiing and/or roller skiing compared with biathletes over the season. However, biathletes compensated for this lower volume by more skating and a higher proportion of endurance training as skiing (81% [17%]) compared with XC skiers (68% [16%]; P < .001; d = 0.94). Overall, (inter)national-level athletes completed a higher annual training volume than non-national-level athletes (740 [90] h vs 649 [95] h; P = .004;d = 0.81). Although juniors reported less endurance volume than seniors, they maintained a relatively stable level of endurance training across the preparatory and competition period, unlike senior athletes. CONCLUSIONS: The higher annual physical training volume by XC skiers compared with biathletes is likely caused by the different demands of the 2 sports; XC skiing necessitates training for 2 skiing styles, while biathlon requires additional shooting practice. However, biathletes compensate with a higher proportion of ski training, particularly in the skating technique.

Cross-sectional associations between accelerometer-measured physical activity and hip bone mineral density: the Tromsø Study 2015-2016.

Positive associations between physical activity and bone health have been found in population-based studies, however, mostly based on self-reported physical activity. Therefore, we investigated the association between accelerometer-measured physical activity, measured in steps per day and minutes of moderate to vigorous physical activity (MVPA) per day, and total hip areal BMD (aBMD) measured by DXA in a general population, utilizing multiple regression models. The study participants, 1560 women and 1177 men aged 40-84 yr, were part of the seventh survey of the Tromsø Study (2015-2016). In both genders, we found a positive association between the number of daily steps and aBMD adjusted for age, BMI, and smoking status (P < .001). In women, an increase of 1000 steps per day was associated with 0.005 g/cm2 higher aBMD. For men, a polynomial curve indicated a positive association with aBMD up to 5000 steps per day, plateauing between 5000 and 14 000 steps, and then increasing again. Additionally, MVPA duration was positively associated with aBMD in both women (P < .001) and men (P = .004) when adjusted for age, BMI, and smoking status. Specifically, each 60-min increase in daily MVPA was associated with 0.028 and 0.023 g/cm2 higher aBMD in women and men, respectively. Despite positive associations, the clinical impact of physical activity on aBMD in this general population of adults and older adults was relatively small, and a large increase in daily MVPA might not be achievable for most individuals. Therefore, further longitudinal population-based studies incorporating device-based measures of physical activity could add more clarity to these relationships.

Menstrual Cycle Phase has no Influence on Performance-Determining Variables in Endurance-Trained Athletes: The FENDURA Project.

PURPOSE: To investigate the effect of the MC and endogenous sex hormone concentrations on performance-determining variables in three distinct MC phases in endurance-trained females. METHODS: Twenty-one eumenorrheic trained/highly trained endurance athletes completed a standardized test battery during the early follicular phase (EFP), ovulatory phase (OP), and mid-luteal phase (MLP) for either one (n = 7) or two test cycles (n = 14). MC phases were determined using calendar-based counting, urinary ovulation testing, and verified with serum hormone analysis. MCs were retrospectively classified as eumenorrheic or disturbed. Disturbed MCs were excluded from analysis. The test battery consisted of 4-6 x 5-min submaximal stages with stepwise speed increases, a 30-s all-out double-poling ski ergometer test, and a maximal incremental treadmill running test. RESULTS: At a group level, there was no effect of MC phase or the serum concentrations of estrogen and progesterone on peak oxygen uptake ( O 2peak ), oxygen uptake at 4 mmol·L -1 blood lactate concentration, time-to-exhaustion, running economy, or mean 30-s power output (MPO 30s ). Serum testosterone concentration was positively associated with MPO 30s (p = 0.016). Changes in O 2peak from EFP to MLP were inconsistent between individuals and across cycles. CONCLUSIONS: None of the measured performance-determining variables were influenced by MC phase or serum estrogen or progesterone concentrations. While some individual patterns could be observed, there was no indication that any single MC phase is consistently associated with improved or impaired O 2peak on a group level.

On the relationship between upper-body strength, power, and sprint performance in ice sledge hockey.

Ice sledge hockey is a popular paralympic team sport where players rely entirely on their upper body to propel themselves rapidly across the ice surface. The isolated and repetitive poling movements provide a good model for examining upper-body sprint ability and the related movement and strength characteristics. Therefore, the purpose of the present study was to investigate the relationship between upper-body maximal strength, power, and sprint performance in ice sledge hockey. Thirteen male ice sledge hockey players from the Norwegian national team performed three 30-m maximal sprint tests recorded by fixed light sensors. The best 30-m time for each subject was used for further analyses, and the sprint was analyzed more in detail for the first and last 10-m split times and kinematics (cycle length and rate) using photocells and 2-dimensional video analysis. One repetition maximum (1RM) strength and peak power were assessed in the bench press, bench pull, and pull-down exercises using a barbell and a linear encoder. Both 1RM strength and peak power for all the 3 strength exercises correlated significantly with the total sprint time (-0.75 < r < - 0.86, all p < 0.005), the first (0.60 < r < 0.72, all p < 0.05), and the last (0.74 < r < 0.83, all p < 0.05) 10-m split times in the 30-m sprint test. There were no significant relationships between sprint kinematics and 1RM strength and peak power. Overall, these results demonstrate that there are close relationships between upper-body strength, power, and sprint performance in highly trained athletes and that the ability to produce propulsion and high frequency in combination is important for the sprint abilities in ice sledge hockey.

Effects of intensity and duration in aerobic high-intensity interval training in highly trained junior cross-country skiers.

The purpose of this study was to test whether a long duration of aerobic high-intensity interval training is more effective than shorter intervals at a higher intensity in highly trained endurance athletes. The sample comprised of 12 male and 9 female, national-level, junior cross-country skiers (age, 17.5 ± 0.4 years, maximal oxygen uptake (V[Combining Dot Above]O2max): 67.4 ± 7.7 ml min kg), who performed 8-week baseline and 8-week intervention training periods on dry land. During the intervention period, a short-interval group (SIG, n = 7) added 2 weekly sessions with short duration intervals (2- to 4-minute bouts, total duration of 15-20 minutes), a long-interval group (LIG; n = 7) added 2 weekly sessions with long duration intervals (5- to 10-minute bouts, total duration of 40-45 minutes). The interval sessions were performed with the athletes' maximal sustainable intensity. A control group (CG; n = 7) added 2 weekly sessions with low-intensity endurance training at 65-74% of maximal heart rate. Before and after the intervention period, the skiers were tested for time-trial performance on 12-km roller-ski skating and 7-km hill run. V[Combining Dot Above]O2max and oxygen uptake at the ventilatory threshold (V[Combining Dot Above]O2VT) were measured during treadmill running. After the intervention training period, the LIG-improved 12-km roller ski, 7-km hill run, V[Combining Dot Above]O2max, and V[Combining Dot Above]O2VT by 6.8 ± 4.0%, 4.8 ± 2.6%, 3.7 ± 1.6%, and 5.8 ± 3.3%, respectively, from pre- to posttesting, and improved both performance tests and V[Combining Dot Above]O2VT when compared with the SIG and the CG (all p < 0.05). The SIG improved V[Combining Dot Above]O2max by 3.5 ± 3.2% from pre- to posttesting (p < 0.05), whereas the CG remained unchanged. As hypothesized, a long duration of aerobic high-intensity interval training improved endurance performance and oxygen uptake at the ventilatory threshold more than shorter intervals at a higher intensity.

Effect of Computational Method on Accumulated O2 Deficit.

The aim of this study was to examine how relationships between exercise intensity and the rate of energy release established in different ways, affect the calculated O2 deficit accumulated during strenuous exercise. Aerobic energy release is readily measured by the O2 uptake, while anaerobic energy release is by definition independent of O2. The latter is not easily measured during strenuous exercise, but it can be estimated using the accumulated O2 deficit principle. We have calculated it using nine different approaches. Thirteen moderately trained persons (three women) volunteered to serve as subjects for cycle ergometry. Their maximal O2 uptake was 2.9 ± 0.6 mmol s-1 (x̄ ± s; 3.9 ± 0.8 LSTPD min-1). Our reference method (M0) is based on measuring the steady state O2 uptake at the end of at least ten bouts of 10 min of exercise at constant intensity, varying between 30 and 40% of that corresponding to the maximal O2 uptake and up to a power >90% of the maximal O2 uptake, which is a rather time-consuming method. The outcomes of eight different simpler approaches have been compared with those of the reference method. The main result is that the accumulated O2 deficit calculated depends a great deal on the relationship used to calculate it. A protocol of stepwise increases in exercise intensity every 4 min appeared to work well. A gross efficiency method showed the poorest performance. Another important result is that at constant power the O2 uptake continued to increase beyond 4 min of exercise at all powers examined, also at powers well-below those corresponding to the lactate threshold. Finally, the O2 uptake during loadless pedaling was considerably higher than resting O2 uptake, and it appeared to follow a cubic function of the pedaling frequency. In conclusion, to obtain reliable values of the anaerobic energy release using the accumulated O2 deficit principle, reliable relationships between exercise intensity and O2 demand must be established.

Longitudinal Associations Between Cumulative Physical Activity and Change in Structure and Function of the Left Side of the Heart: The Tromsø Study 2007-2016.

Background: Current knowledge about the relationship between physical activity (PA) and cardiac remodeling is mainly derived from cross-sectional studies of athletes, and there is a knowledge gap of this association in the general adult and elderly population. Therefore, we aimed to explore the longitudinal association between cumulative PA and change in cardiac structure and function in a general adult and elderly population. Methods: This longitudinal study includes 594 participants from the sixth (Tromsø6, 2007-08) and seventh (Tromsø7, 2015-16) survey of the Tromsø Study. Cardiac structure and function were assessed by echocardiography at two time points, and PA was self-reported by questionnaire at both time points. PA volume was expressed as cumulative PA (Low, Moderate, and Hard) and the association with left atrial (LA) and left ventricular (LV) structure and function was assessed using ANCOVA. Results: Overall, LA diameter index (LADi) increased significantly more in Hard compared to Moderate PA (+0.08 cm/m2, 95% CI 0.01-0.15, p = 0.020) from Tromsø6 to Tromsø7. When stratified by sex or age, higher levels of cumulative PA were associated with increased LADi in males and in participants <65 years only. Indexed LV mass (LVMi) increased significantly more in Moderate than in Low PA (+3.9 g/m2.7, 95% CI 0.23-7.57, p = 0.037). When stratified by sex or age, these changes in LVMi and indexed LV diameter (LVDi) were only significant in females. No significant associations were observed between cumulative PA and change in relative wall thickness, E/e' ratio, e' velocity, LV ejection fraction, and LADi/LVDi ratio. Conclusion: Higher levels of cumulative PA were associated with increased LADi in males and participants <65 years, and with increased LVMi and LVDi in females. Despite cardiac chamber enlargement, the pump function of the heart did not change with higher levels of PA, and the atrioventricular ratio was unchanged. Our results indicate that cardiac chamber enlargement is a physiological response to PA.

Prevalence and Self-Perceived Experiences With the Use of Hormonal Contraceptives Among Competitive Female Cross-Country Skiers and Biathletes in Norway: The FENDURA Project.

Purpose: To investigate the prevalence of hormonal contraceptive (HC) use by female cross-country (XC) skiers and biathletes competing at a national and/or international level, their reasons for HC use, and to compare negative symptoms related to the HC-/menstrual cycle in HC users and non-HC users. Additionally, to characterize the self-perceived influence of HC use on training and performance. Methods: A total of 113 Norwegian competitive XC skiers and biathletes completed an online questionnaire including both closed and open-ended questions. The questions were designed to assess the type of HC, reasons for use, self-reported negative symptoms related to HC-/menstrual cycle, as well as athletes' experiences regarding how HC use affects training and performance. Results: In total, 68% of all the athletes used HC, with 64 and 36% of them using a progestin-only and combined type HC, respectively. Non-contraceptive reasons for HC use were reported by 51% of the progestin-only HC users vs. 75% of the combined HC users (P = 0.039), with reduction of negative menstrual-related symptoms as the most common reason. Of the athletes reporting regular withdrawal bleedings in connection to HC use, 80% of the progestin-only and 86% of combined HC users experienced negative menstrual-related symptoms, which was comparable to the non-HC group (86%). The majority (81%) of HC users experienced solely positive, or no effect, of HC use on training and performance, with no differences between progestin-only and combined HC users (P = 0.942). Conclusions: In total, 68% of the XC skiers and biathletes used HC, with the highest proportion (64%) using a progestin-only HC. Many athletes used HC to manipulate their menstrual cycle due to perceived negative menstrual-related symptoms that interfered with their training sessions and/or competitions.

A 15-year follow-up study of hip bone mineral density and associations with leisure time physical activity. The Tromsø Study 2001-2016.

AIMS: The aim was to investigate the long-term association between leisure time physical activity and hip areal bone mineral density (aBMD), in addition to change in hip aBMD over time, in 32-86 years old women and men. METHODS: Data were retrieved from the 2001, 2007-2008, and 2015-2016 surveys of the Tromsø Study, a longitudinal population study in Norway. Leisure time physical activity was assessed by the four-level Saltin-Grimby Physical Activity Level Scale which refers to physical exertion in the past twelve months. Hip aBMD was assessed by Dual-Energy X-ray Absorptiometry. Linear Mixed Model analysis was used to examine long-term associations between physical activity and hip aBMD (n = 6324). In addition, the annual change in hip aBMD was analyzed in a subsample of 3199 participants. RESULTS: Physical activity was significantly and positively associated with total hip aBMD in the overall cohort (p<0.005). Participants who reported vigorous activity had 28.20 mg/cm2 higher aBMD than those who were inactive (95% CI 14.71; 41.69, controlled for confounders), and even light physical activity was associated with higher aBMD than inactivity (8.32 mg/cm2, 95% CI 4.89; 11.76). Associations between physical activity and femoral neck aBMD yielded similar results. Hip aBMD decreased with age in both sexes, although more prominently in women. From 2001 to 2007-2008, aBMD changed by -5.76 mg/cm2 per year (95% CI -6.08; -5.44) in women, and -2.31 mg/cm2 (95% CI -2.69; -1.93), in men. From 2007-2008 to 2015-2016, the change was -4.45 mg/cm2 per year (95% CI -4.84; -4.06) in women, and -1.45 mg/cm2 (95% CI -1.92; -0.98) in men. CONCLUSIONS: In this cohort of adult men and women, physical activity levels were positively associated with hip aBMD in a dose-response relationship. Hip aBMD decreased with age, although more pronounced in women than men.

Endurance training and sprint performance in elite junior cross-country skiers.

The purpose of the present study was to investigate the relationship between aerobic characteristics and sprint skiing performance, and the effects of high-intensity endurance training on sprint skiing performance and aerobic characteristics. Ten male and 5 female elite junior cross-country skiers performed an 8-week intervention training period. The intervention group (IG, n = 7) increased the volume of high-intensity endurance training performed in level terrain, whereas the control group (CG, n = 8) continued their baseline training. Before and after the intervention period, the skiers were tested for 1.5-km time-trial performance on roller skis outdoors in the skating technique. Maximal oxygen uptake (VO2max) and oxygen uptake at the ventilatory threshold (VO2VT) were measured during treadmill running. VO2max and VO2VT were closely related to sprint performance (r = ~0.75, both p < 0.008). The IG improved sprint performance, VO2max, and VO2VT from pre to posttesting and improved sprint performance and VO2VT when compared to the CG (all p < 0.01). This study shows a close relationship between aerobic power and sprint performance in cross-country skiing and highlights the positive effects of high-intensity endurance training in level terrain.

Cross-sectional associations between accelerometry-measured physical activity, left atrial size, and indices of left ventricular diastolic dysfunction: The Tromsø Study.

Whereas left atrial (LA) enlargement is an independent predictor for adverse cardiovascular events and all-cause mortality, this is regarded a physiological adaption of exercise. Paradoxically, LA size in athletes may overlap the enlargement observed in patients with cardiac pathology. Current knowledge is mainly derived from studies of athletes, and little is known about cardiac adaptations to physical activity (PA) in the general population. We explored the association between objectively measured PA and LA volume index (LAVi), and between LAVi enlargement and indices of diastolic dysfunction stratified by PA-level. Our study included 1573 participants from the population-based Tromsø Study (2015-16). PA was assessed with an ActiGraph wGT3X-BT accelerometer. Echocardiography was performed according to current guidelines. The associations between PA and LAVi, and between LAVi enlargement and indices of diastolic dysfunction were estimated by univariable and multivariable linear regression analyses, adjusted for sex, age, and cardiovascular risk factors. Our multiple adjusted analyses showed significant linear associations between PA and LAVi in ages < 70 years, and between PA and LAVi in participants with normal diastolic function. No associations were seen in ages ≥ 70 years or for participants with abnormal diastolic function. In those 40-54 years, the most active participants had larger LAVi (4.45 mL/m2, p = 0.016) than the least active. LAVi enlargement was only associated with indices of diastolic dysfunction in the most inactive participants. In conclusion, higher levels of PA associate with greater LAVi in participants < 70 years with normal diastolic function. LAVi enlargement is only associated with diastolic dysfunction in the most inactive participants.

Maximal Strength, Sprint, and Jump Performance in High-Level Female Football Players Are Maintained With a Customized Training Program During the COVID-19 Lockdown.

INTRODUCTION: The COVID-19 outbreak with partial lockdown has inevitably led to an alteration in training routines for football players worldwide. Thus, coaches had to face with the novel challenge of minimizing the potential decline in fitness during this period of training disruption. METHODS: In this observational pre- to posttest study involving Norwegian female football players (18.8 ± 1.9 years, height 1.68 ± 0.4 m, mass 61.3 ± 3.7 kg), we investigated the effects of a prescribed home-based and group-based intervention, implemented during the COVID-19 lockdown, on maximal muscular force production and high velocity variables. Specifically, maximal partial squat strength one repetition maximum (1RM), counter movement jump (CMJ) and 15 m sprint time were assessed 1 week prior to the lockdown and 12 weeks after the onset of lockdown. We also collected training content and volume from the prescribed training program and self-reported perceived training quality and motivation toward training. RESULTS: We observed no change in 1RM [pretest: 104 ± 12 kg, posttest: 101 ± 11 kg (P = 0.28)], CMJ height [pretest: 28.1 ± 2.3 cm, posttest: 26.8 ± 1.9 (P = 0.09)], and 15 m sprint time [pretest: 2.60 ± 0.08 s, posttest: 2.61 ± 0.07 s (P = 0.52)]. CONCLUSION: Our findings suggest that a prescribed home-based and group-based intervention with increased training time devoted to strength, jump, and sprint ability, and regulated to obtain a sufficient infection control level is feasible and effective to preserve strength, jumping, and sprinting abilities of high-level female football players during a ∼ 3-month period of a pandemic-induced lockdown.

Acute Post-Exercise Blood Pressure Responses in Middle-Aged Persons with Elevated Blood Pressure/Stage 1 Hypertension following Moderate and High-Intensity Isoenergetic Endurance Exercise.

This study investigated the acute post-exercise hypotension (PEH) response in persons with elevated blood pressure or stage 1 hypertension following moderate and high-intensity isoenergetic endurance exercise. Twelve middle-aged persons (six females), with resting systolic and diastolic BP of 130±6 and 84±7 mmHg, participated in three bicycle ergometer bouts: 1) Testing of peak aerobic capacity (VO2peak), 2) Moderate intensity exercise (MOD) at 66% of VO2peak, 3) High-intensity exercise (INT) at 80% of VO2peak. All variables were recorded pre-exercise, during exercise and 0, 5, 10, and 30 minutes post-exercise. The total duration of exercise was 26% longer during MOD than INT (p <0.001), while total energy expenditure (TEE) was similar between exercise conditions (359 ± 69 kcal). Oxygen consumption, heart rate, power output and ratings of perceived exertion was 21, 13, 21 and 26% higher during INT than MOD exercise, respectively (0.05 ≤ p ≤ 0.001). Compared to pre-exercise, systolic BP was significantly lower at 30 min post-exercise following both INT (p < 0.05) and MOD (p < 0.01) exercise, and there was no difference between INT and MOD conditions. Other variables were similar to pre-exercise values at 30 min post-exercise. Linear regression shows that the largest post-exercise reductions in systolic BP was found for the persons with the highest pre-exercise systolic BP (r = 0.58 r2 = 0.33, p < 0.003). In conclusion, this study shows that endurance exercise with different intensities and durations, but similar TEE is equally effective in eliciting reductions in the post-exercise systolic BP. Furthermore, the magnitude of PEH response is partly dependent on the individuals' resting blood pressure.

Effect of Sex, Body Mass Index and Physical Activity Level on Peak Oxygen Uptake Among 14-19 Years Old Adolescents.

The aim was to describe longitudinal trends in peak oxygen uptake (VO2peak) among 14- to 19-year-old adolescents in Norway, and to examine effects of sex, body mass index (BMI), and physical activity (PA) level on VO2peak during adolescence. Of 124 invited students from two lower secondary schools in Norway, 116 eighth-grade students (61 boys and 55 girls; 14 years old at baseline) volunteered to participate. The study has a longitudinal design with 6 yearly repeated measures of body height and mass, VO2peak and PA level. VO2peak allometrically scaled to body mass raised to the power of 0.67 was measured using a walking or running incremental test on a treadmill, whereas PA level was self-reported. Among 696 possible observations, 555 (79.7%) were valid. Multiple linear regression and linear mixed model analyses were used to examine the associations between age, sex, BMI, PA level and VO2peak. VO2peak showed a non-linear pattern from age 14 to 19, with a distinct increase for boys peaking at age 17, while the results provide a flatter and more stable curve for girls. Sex, BMI and PA level together explained 43-71% of the variance in VO2peak at the different age levels. Sex and PA level contributed independently to explain a significant proportion of the variance in VO2peak at all measurement occasions, while BMI did not. Adjusted sex differences in VO2peak increased over time, from 26.5 ml·kg-0.67·min-1 at age 14 to 55.5 ml·kg-0.67·min-1 at age 19. The independent contribution from PA level to the variance in VO2peak increased from age 14 to 16 and then decreased. While PA level explained 32.5% of the total variance in VO2peak for 16-year-olds, this number was 14% in 19-year-olds. In conclusion, aerobic power showed a non-linear pattern during adolescence, peaking at age 17. Sex and PA level explained a large proportion of the variance in VO2peak, each of them being an independent contributor to VO2peak. Aerobic power is linked to improved health and seems to depend largely on sex and PA level in adolescents, emphasizing the importance of maintaining a sufficient PA level during adolescence.