Weekly Fluctuations in Salivary Hormone Responses and Their Relationships With Load and Well-Being in Semiprofessional, Male Basketball Players During a Congested In-Season Phase.

PURPOSE: To assess weekly fluctuations in hormonal responses and their relationships with load and well-being during a congested in-season phase in basketball players. METHODS: Ten semiprofessional, male basketball players were monitored during 4 congested in-season phase weeks consisting of 3 weekly matches. Salivary hormone variables (testosterone [T], cortisol [C], and T:C ratio) were measured weekly, and external load (PlayerLoad™ and PlayerLoad per minute), internal load session rating of perceived exertion, percentage of maximum heart rate (HR), summated HR zones, and well-being were assessed for each training session and match. RESULTS: Significant (P < .05) moderate to large decreases in T were found in the third and fourth weeks compared with the first week. Nonsignificant moderate to large decreases in C were apparent in the last 2 weeks compared with previous weeks. Summated HR zones and perceived sleep significantly (P < .05) decreased in the fourth week compared with the first week; whereas, percentage of maximum HR significantly (P < .05) decreased in the fourth week compared with the second week. No significant relationships were found between weekly changes in hormonal responses and weekly changes in load and overall wellness. CONCLUSIONS: A congested schedule during the in-season negatively impacted the hormonal responses of players, suggesting that T and C measurements may be useful to detect fluctuations in hormone balance in such scenarios. The nonsignificant relationships between weekly changes in hormonal responses and changes in load and well-being indicate that other factors might induce hormonal changes across congested periods in basketball players.

Investigation of readiness and perceived workload in junior female basketball players during a congested match schedule.

This study aimed to: a) investigate the differences in workload and readiness between two junior female national basketball teams competing at different European Championships (EC); b) compare workload, readiness and match performance for players with longer and shorter playing times, and; c) examine the relationship between workload, readiness and match performance variables. Under-18 (U18) (n = 10, height = 179.9 ± 6.6 cm, body mass = 70.2 ± 5.1 kg) and under-20 (U20) female national basketball teams (n = 11, height = 178.4 ± 8.8 cm, body mass = 73.0 ± 9.7 kg) were monitored during congested match schedules encompassing 7 matches within 9 days. Daily workload was determined via the session rating of perceived exertion (sRPE workload); readiness was measured by heart-rate variability (HRV) and well-being (WB); and match performance was assessed using the efficiency statistic and playing time. Analysis of workload and readiness during the EC showed no statistically significant between-team differences in any variables except WB for the U18 team, which was lower on Day 8 compared to the U20 team (p = 0.03; effect size [ES] = large). Players accumulating longer playing time showed a higher sRPE workload (p = 0.01, ES = moderate) and efficiency statistic (p = 0.04, ES = moderate) while no readiness variable differed significantly (p > 0.05) compared to players with shorter playing time. Trivial-to-small correlations were observed between workload, readiness and match performance variables. The study shows that junior female basketball players were able to cope with a congested schedule of 7 matches in 9 days irrespective of the competition context or individual differences in workload. Finally, combining objective and subjective methods to assess workload and readiness is recommended due to the weak relationships observed between these methods.

Vitamin C and E Treatment Blocks Changes in Kynurenine Metabolism Triggered by Three Weeks of Sprint Interval Training in Recreationally Active Elderly Humans.

The kynurenine pathway (KP) is gaining attention in several clinical fields. Recent studies show that physical exercise offers a therapeutic way to improve ratios of neurotoxic to neuroprotective KP metabolites. Antioxidant supplementation can blunt beneficial responses to physical exercise. We here studied the effects of endurance training in the form of sprint interval training (SIT; three sessions of 4-6 × 30 s cycling sprints per week for three weeks) in elderly (~65 years) men exposed to either placebo (n = 9) or the antioxidants vitamin C (1 g/day) and E (235 mg/day) (n = 11). Blood samples and muscle biopsies were taken under resting conditions in association with the first (untrained state) and last (trained state) SIT sessions. In the placebo group, the blood plasma level of the neurotoxic quinolinic acid was lower (~30%) and the neuroprotective kynurenic acid to quinolinic acid ratio was higher (~50%) in the trained than in the untrained state. Moreover, muscle biopsies showed a training-induced increase in kynurenine aminotransferase (KAT) III in the placebo group. All these training effects were absent in the vitamin-treated group. In conclusion, KP metabolism was shifted towards neuroprotection after three weeks of SIT in elderly men and this shift was blocked by antioxidant treatment.

Residual effects of short-term whole-body cold-water immersion on the cytokine profile, white blood cell count, and blood markers of stress.

Background: One of the most challenging environmental extremes is immersion in cold/icy water, and consequent common assumption is that even a brief exposure to cold can lead to cold-related illnesses. The increase in the concentrations of the stress hormones cortisol, epinephrine (Epi), and norepinephrine (NE) in response to acute cold stress are thought to suppress the release of proinflammatory cytokines. No previous study has explored the residual consequences of whole-body short-term cold-water immersion (CWI; 14 °C for 10 min) on the immune response in healthy non-acclimated young adult men (aged 20-30 years).Materials and methods: In the current study, we tested the hypothesis that short-term acute whole-body CWI would induce high blood levels of cortisol, NE, and Epi, which in turn would increase circulating leukocyte numbers and delay the production of proinflammatory cytokines (tumor necrosis factor α (TNF-α), interleukin 1ß (IL-1ß), and IL-6). Results: Short-term whole-body CWI produced a stressful physiological reaction, as manifested by hyperventilation and increased muscle shivering, metabolic heat production, and heart rate. CWI also induced the marked release of the stress hormones Epi, NE, and cortisol. The change in IL-6 concentration after CWI was delayed and TNF-α production was decreased, but IL-1ß was not affected within 48 h after CWI. A delayed increase in neutrophil percentage and decrease in lymphocyte percentage occurred after CWI.Conclusion: These findings suggest that, even though CWI caused changes in stress and immune markers, the participants showed no predisposition to symptoms of the common cold within 48 h after CWI.

Recovering body temperature from acute cold stress is associated with delayed proinflammatory cytokine production in vivo.

A poor outcome of whole-body hypothermia often results from a late complication, rather than from acute effects of hypothermia. A low body (cell) temperature or the increase in the concentrations of the stress hormones cortisol, epinephrine, and norepinephrine in response to acute cold stress have been proposed as potent proinflammatory cytokine suppressant. In the current study, we tested the hypothesis that the recovery of body temperature from a whole-body intermittent cold-water immersion (CWI, at 13-14 °C for a total 170 min) is associated with a delayed response of proinflammatory cytokines in young healthy men. Our results revealed a delay in the increase in the proinflammatory interleukin 6 and interleukin 1ß cytokines after the CWI, which paralleled the changes in cortisol, epinephrine, norepinephrine, and body temperature. CWI decreased tumor necrosis factor α (TNF-α) immediately and 1 h after the CWI. Although TNF-α had recovered to the pre-immersion level at 2 h after CWI, its natural circadian cycle kinetics was disrupted until 12 h after the CWI. Furthermore, we showed that CWI strongly modified the white blood cell counts, with changes reaching a peak between 1 and 2 h after the CWI.

Loss of α-actinin-3 during human evolution provides superior cold resilience and muscle heat generation.

The protein α-actinin-3 expressed in fast-twitch skeletal muscle fiber is absent in 1.5 billion people worldwide due to homozygosity for a nonsense polymorphism in ACTN3 (R577X). The prevalence of the 577X allele increased as modern humans moved to colder climates, suggesting a link between α-actinin-3 deficiency and improved cold tolerance. Here, we show that humans lacking α-actinin-3 (XX) are superior in maintaining core body temperature during cold-water immersion due to changes in skeletal muscle thermogenesis. Muscles of XX individuals displayed a shift toward more slow-twitch isoforms of myosin heavy chain (MyHC) and sarcoplasmic reticulum (SR) proteins, accompanied by altered neuronal muscle activation resulting in increased tone rather than overt shivering. Experiments on Actn3 knockout mice showed no alterations in brown adipose tissue (BAT) properties that could explain the improved cold tolerance in XX individuals. Thus, this study provides a mechanism for the positive selection of the ACTN3 X-allele in cold climates and supports a key thermogenic role of skeletal muscle during cold exposure in humans.

Workload and well-being across games played on consecutive days during in-season phase in basketball players.

BACKGROUND: This study aimed to quantify and compare workload and well-being across basketball games played on consecutive days during the in-season phase. METHODS: Seven players (mean [SD]: age, 20.8 [1.6] y; stature, 195.0 [5.4] cm; body mass, 88.3 [4.2] kg; training experience, 11.6 [3.7] y) competing in the second-tier Lithuanian league were recruited. Changes in workload and well-being were monitored across six NKL games in three separate weeks during the in-season phase, with two games per week played on Friday (Day 1) and Saturday (Day 2). External workload was determined as PlayerLoad (PL) and PL per minute (PL/min) via microsensors. Internal workload was determined as percentage of maximum heart rate (%HRmax), summated heart rate zones (SHRZ) workload, and session-rating of perceived exertion (sRPE) workload. Well-being was evaluated using questionnaires assessing fatigue, sleep quality, general muscle soreness, stress levels and mood. Linear mixed models and effect size analyses were used to compare workload and well-being between Day 1 and Day 2. RESULTS: Significantly lower PL/min (P=0.029; ES=0.26, small), greater perception of fatigue (P<0.001; ES=1.31, large) and lower total well-being score (P<0.001; ES=0.59, small) were observed for basketball games played on Day 2 compared to games played on Day 1. CONCLUSIONS: Two games played on consecutive days elicited similar game workloads with higher perceived fatigue and lower well-being in the second game day. These findings suggest basketball coaches using recovery strategies to optimize player well-being during congested game schedules.

Local knee heating increases spinal and supraspinal excitability and enhances plantar flexion and dorsiflexion torque production of the ankle in older adults.

PURPOSE: Aging is associated with progressive loss of active muscle mass and consequent decreases in resting metabolic rate and body temperature, and slowing of nerve conduction velocities and muscle contractility. These effectors compromise the ability of the elderly to maintain an upright posture during sudden balance perturbation, increase the risk of falls, and lead to self-imposed reduction in physical activity. Short-term superficial acute heating can modulate the neural drive transmission to exercising muscles without any marked change in deep-muscle temperature. METHODS: To determine whether the short-term (5 min) application of local passive knee-surface heating (next-to-skin temperature, ~ 44 °C) in healthy older subjects of both sexes (64-74 years; eight men/eight women) enhances reflex excitability, we compared the voluntarily and electrically induced ankle muscle torque production and contractile properties with those of healthy younger subjects of both sexes (21-35 years, 10 men/10 women). RESULTS: The application of local heating (vs. control) increased the maximal Hoffman reflex (Hmax), the maximal volitional wave (Vsup) amplitude, and the Hmax/Mmax amplitude ratio, and decreased Vsup latency only in older adults. In the older adults (vs. younger adults), the application of local heating (vs. control trial) was accompanied by a significant increase in maximal voluntary peak torque, rate of torque development, and isokinetic peak torque of plantar flexion/dorsiflexion muscle contraction. CONCLUSION: The spinal and supraspinal reflex excitability of older adults increased during local knee-heating application. The improved motor drive transmission observed in older adults was accompanied by increased voluntarily induced torque production of the ankle muscles during isometric/isokinetic contractions.

Investigating the workload, readiness and physical performance changes during intensified 3-week preparation periods in female national Under18 and Under20 basketball teams.

This study aimed to investigate between- and within-team changes in workload [PlayerLoad (PL), training impulse (TRIMP) and session rate of perceived exertion training load (sRPE-TL)], readiness [heart rate variability (HRV)], and physical performance [20-m sprint test (including 10-m split time), countermovement jump (CMJ) and yo-yo intermittent recovery test level 1 (YYIR1)] during 3-week intensified preparation periods in female, national Under18 (n = 12, age = 18.0 ± 0.5y, stature = 180.4 ± 7.5 cm, body mass = 72.7 ± 9.3 kg) and Under20 (n = 12, age = 19.6 ± 0.8y, stature = 178.6 ± 6.4 cm, body mass = 68.0 ± 5.9 kg) basketball teams. Under18 team revealed small-to-moderate statistically significantly higher values in workload [PL: p = 0.010; ES = Small; TRIMP: p = 0.004; ES = Moderate; sRPE-TL: p < 0.001; ES = Moderate] and moderately lower readiness values (p = 0.023; ES = Moderate) compared to Under20. Within-team analysis showed no differences in workload in Under20 and statistically significant reduction (p < 0.05) in Week3 (taper period) in Under18. Pre- and post-preparation changes showed Under18 increasing only YYIR1 performance (p < 0.001; ES = Very large). Differently, Under20 statistically improved in 10-m split time (p = 0.003; ES = Moderate), CMJ (p = 0.025; ES = Moderate) and YYIR1 (p < 0.001; ES = Large). A constant adequate workload positively benefits players' readiness and physical performances during short intensified preparation periods. Conversely, using high workload with periodization strategies encompassing short overload and taper phases induced positive changes on players' aerobic performance, lower readiness values and no changes in anaerobic performances.

Technical-tactical profile, perceived exertion, mental demands and enjoyment of different tactical tasks and training regimes in basketball small-sided games.

This study aimed to evaluate the technical-tactical, perceptual and mental demands of basketball small-sided games (SSGs). Twelve male semi-professional players participated in four half-court 3vs3 SSGs characterized by different tactical tasks (offensive; defensive) and training regimes (long-intermittent; short-intermittent). The SSGs were video-recorded to perform notational analysis of technical-tactical parameters. Ratings of perceived exertion (RPE, CR-100 scale), mental effort (ME) and e njoyment were collected after completion of each SSG. Before and after the SSGs, players reported their perceived mental fatigue (MF); for this indicator, the difference between post- and pre-SSG values was calculated (ΔMF). Notational analysis evidenced a higher volume of play (ball possessions, ball possessions per minute) [large effect size (ES)], dribbles and shot attempts (moderate ES) in short-intermittent regimes compared to long-intermittent. Two-way (tactical task; training regime) repeated-measures ANOVA showed an interaction effect for RPE (moderate ES). Players reported that playing the offensive task required higher mental effort compared to playing defence (moderate ES), while no differences for mental effort were found between regimes. Enjoyment did not differ between tasks or regimes. No effects were found for ΔMF, while this indicator was significantly correlated with RPE scores (r= 0.50, large). This study suggests that, in basketball SSGs, shorter regimes induce higher technical demands, while tactical tasks influence perceived exertion responses and mental effort. Furthermore, perceived exertion appears significantly associated with variations of mental fatigue induced by training drills.

Monitoring Workload in Elite Female Basketball Players During the In-Season Phase: Weekly Fluctuations and Effect of Playing Time.

PURPOSE: To assess the weekly fluctuations in workload and differences in workload according to playing time in elite female basketball. METHODS: Twenty-nine female basketball players (mean ± standard deviation, age: 21±5yr; stature: 181±7cm; body mass: 71±7kg; and playing experience: 12±5yr) belonging to the 7 female basketball teams competing in the first division Lithuanian Women's Basketball League (LMKL) were recruited. Individualized training loads (TL) and game loads (GL) were assessed using the session-RPE following each training session and game during the entire in-season phase (24 weeks). Percentage (%) changes in total weekly TL (weekly TL+GL), weekly TL, weekly GL, chronic workload, acute:chronic workload ratio (ACWR), training monotony, and training strain were calculated. Mixed linear models were used to assess differences for each dependent variable, with playing time (low vs high) used as fixed factor and subject, week, and team as random factors. RESULTS: The highest changes in total weekly TL, weekly TL, and ACWR were evident in week 13 (47%, 120%, and 49% respectively). Chronic workload showed weekly changes ≤10%, while monotony and training strain registered highest fluctuations in weeks 17 (34%) and 15 (59%), respectively. A statistically significant difference in GL was evident between players completing low and high playing times (p=0.026, moderate), while no significant differences (p>0.05) were found for all other dependent variables. CONCLUSIONS: Coaches of elite female basketball teams should monitor weekly changes in workload during the in-season phase to identify weeks that may predispose players to unwanted spikes and adjust player workload according to playing time.

Motor performance is preserved in healthy aged adults following severe whole-body hyperthermia.

Healthy aging is associated with a progressive decline in motor performance and thermoregulatory efficiency. Functional consequences of severe whole-body hyperthermia on neurophysiological functions in healthy aged men have not been investigated. To determine whether severe whole-body hyperthermia (increase in rectal temperature of about 2.5 °C) induced by lower-body heating in older men (64-80 years, n = 9) would suppress excitability of reflexes, voluntarily and electrically induced ankle plantar flexor contractile properties were compared with those in young men (19-21 years, n = 11). Though no aging effect on hyperthermia-induced reflex amplitudes was observed, a decrease in maximal H-reflex and V-wave latencies was found to be greater in older than in young men. In older men, lower-body heating was accompanied by a significant increase in twitch and tetani test torque in parallel with a greater decrease in muscle contraction time. There was no temperature-depended aging effect on the voluntary activation and maximal voluntary torque production. Despite delayed and weakened thermoregulation and age-related decline in neuromuscular function, motor performance in whole-body severe hyperthermia is apparently preserved in healthy aging.

Three different motor task strategies to assess neuromuscular adjustments during fatiguing muscle contractions in young and older men.

Healthy aging is associated with a marked decline in motor performance. The functional consequences of applying varying novel or unexpected motor stimuli during intermittent isometric prolonged (fatiguing) motor tasks for lower limb neuromuscular fatigability and steadiness, perception of effort, and blood markers of stress in healthy aged men compared with young men have not been investigated. The participants in this study were 15 young men (aged 22 ± 4 years) and 10 older men (aged 67 ± 6 years). They performed 100 intermittent isometric knee extensions under three experimental conditions involving intermittent isometric contraction tasks according to constant, predictable, and unpredictable torque target sequences. The variability in maximal voluntary contraction averaged 50%, and was 25, 50, and 75% for the three strategies. All included a 5-s contraction and 20-s rest. The main variables were measured before exercise, after 100 repetitions, and 1 h after exercise. In all experimental trials, the decreases in the maximal voluntary contraction and central activation ratio, and the increases in effort sensation and muscle temperature, were smaller in older men than in younger men. The coefficient of variation during the motor performance did not differ between age groups. However, in all three strategies, the dopamine concentration was significantly higher in older than in younger men. The prolactin concentration did not differ significantly between age groups or conditions, although its decrease during loading correlated negatively with the central activation ratio.

Heat transfer and loss by whole-body hyperthermia during severe lower-body heating are impaired in healthy older men.

Most studies demonstrate that aging is associated with a weakened thermoregulation. However, it remains unclear whether heat transfer (for heat loss) from the lower (uncompensable) to the upper (compensable) body during passively-induced severe lower-body heating is delayed or attenuated with aging. Therefore, the main purpose of this study was to investigate heat transfer from uncompensable to compensable body areas in young men and healthy older men during passively-induced whole-body hyperthermia with a demonstrated post-heating change in core body (rectal; Tre) temperature. Nine healthy older men and eleven healthy young men (69±6 vs. 21±1 years old, mean±SD, P<0.05) participated in passively-induced severe lower-body heating in water at approximately 43°C. Despite a similar increment in Tre (approximately 2.5°C) in both groups, the heating rate was significantly lower in older men than in young men (1.69±0.12 vs. 2.47±0.29°C/h, respectively; P<0.05). The temperature increase in calf muscle and calf skin (uncompensable areas) was significantly higher in older men than in young men (5.10±0.18 vs. 3.99±0.14°C; P<0.05 and 9.92±0.22 vs. 7.65±0.33°C; P<0.05, respectively). However, the temperature increase in back skin and forearm skin (compensable areas) was significantly lower in older men than in young men (0.76±0.63 vs. 2.83±0.68°C; P<0.05 and 0.39±0.76 vs. 2.73±0.5°C; P<0.05, respectively). Furthermore, a post-warming increase in Tre of approximately 0.2°C was observed only in older men (P<0.05). In conclusion, older men whose lower extremities were immersed showed greater accumulation and storage of heat in the skin and deep muscles than young men, and this was associated with a greater heat-transfer delay and subsequent inertia in the increased core body (Tre) temperature.

Brief Rewarming Blunts Hypothermia-Induced Alterations in Sensation, Motor Drive and Cognition.

Background: It is well known that cold exposure experienced during occupational or recreational activities may adversely affect motor, cognitive performance, and health. Most research has used prolonged passive external rewarming modalities and focused on the direct effects on the kinetics of physiological and psychological responses in hypothermic subjects. However, the brief whole body rewarming effects on physiological and psychological responses in parallel with functional consequences on cognitive and neurophysiological functions have not been investigated. This study explores these effects in 12 healthy young men. Methods: Subjects (20 ± 1 years) participated in 4 randomized trials, which were designed to compare the effects of whole-body brief (5-min) rewarming in 37°C water with rewarming for the same duration in 24°C (air) thermoneutral environment in mildly hypothermic subjects. After each rewarming, indicators of neuromuscular function (reflexes, central activation ratio, electromyography of exercising muscle, and contractile properties of calf muscles) and cognitive function (attention, simple motor speed, and information processing speed) were assessed. Results: Compared to rewarming in thermoneutral environment, after brief rewarming in 37°C water, significantly lower metabolic heat production (MHP) (206 ± 33.4 vs. 121.9 ± 24.3 W·m2, P < 0.01), heart rate (76 ± 16 vs. 60 ± 12 b·min-1, P < 0.01), cold strain (6.4 ± 3.1 vs. 5.3 ± 2.7, P < 0.01), improved thermal comfort and induced cessation of shivering were found. Electrically induced maximum torque amplitudes increased (P100, 102.8 ± 21.3 vs. 109.2 ± 17.5 Nm and PTT100, 83.1 ± 17.1 vs. 92.7 ± 16.0 Nm, P < 0.05), contraction half-relaxation time decreased (599.0 ± 53.8 vs. 589.0 ± 56.3 ms, P < 0.05), and Mmax-wave latency shortened (17.5 ± 2.2 vs. 15.6 ± 2.0 ms, P < 0.05) after 37°C water rewarming. Unlike rewarming in thermoneutral environment, 37°C water rewarming blunted the hypothermia-induced alterations in neural drive transmission (4.3 ± 0.5 vs. 3.4 ± 0.8 mV H-reflex and 4.9 ± 0.2 vs. 4.4 ± 0.4 mV V-wave, P < 0.05), which increased central fatigue during a 2-min maximum load (P < 0.05). Furthermore, only in brief warm water rewarming cerebral alterations were restored to the control level and it was indicated by shortened reaction times (P < 0.05). Conclusions: Brief rewarming in warm water rather than the same duration rewarming in thermoneutral environment blunted the hypothermia-induced alterations for sensation, motor drive, and cognition, despite the fact that rectal and deep muscle temperature remained lowered.

Two strategies for the acute response to cold exposure but one strategy for the response to heat stress.

PURPOSE: The main aim of this study was to compare physiological and psychological reactions to heat stress between people who exhibited fast cooling (FC, n = 20) or slow cooling (SC; n = 20) responses to 14 °C cold water immersion. METHODS: Forty healthy young men (19-25 years old) were recruited to this study based on their tolerance to cold exposure (FC versus SC). The heat stress was induced using immersion in bath water at 43-44 °C. Motor and cognitive performance, immune variables, markers of hypothalamic-pituitary-adrenal axis activity (i.e. stress hormone concentrations), and autonomic nervous system activity were monitored. RESULTS: In the FC group, time to warm the body from a resting rectal temperature (Tre) of 37.1 ± 0.2 °C before warming to 39.5 °C was 63.7 ± 22.4 min. In the SC group, the time to warm the body from a Tre 37.1 ± 0.3 °C before warming to 39.5 °C was 67.2 ± 13.8 min (p > 0.05 between groups). The physiological stress index (PSI) after warming was 8.0 ± 0.6 and 8.2 ± 1.0 in the FC and SC groups, respectively (p > 0.05 between groups). During warming, the changes in subjective indicators of heat stress did not differ significantly between the FC (7.4 ± 0.5) and SC (7.1 ± 1.1) groups, respectively. CONCLUSION: The increase in cortisol, epinephrine, norepinephrine, and corticosterone concentrations after passive body heating did not differ between the FC and SC groups. Heat stress did not change indicators of innate and specific immunity in the FC or the SC group. An interesting finding was that heat stress did not affect motor and cognitive function in either group, although central fatigue during 1-min maximal voluntary contraction increased after heat stress in both groups.