Acute Effects of Single Versus Combined Inhaled ß2-Agonists Salbutamol and Formoterol on Time Trial Performance, Lung Function, Metabolic and Endocrine Variables.

BACKGROUND: High prevalence rates of ß2-agonist use among athletes in competitive sports makes it tempting to speculate that illegitimate use of ß2-agonists boosts performance. However, data regarding the potential performance-enhancing effects of inhaled ß2-agonists and its underlying molecular basis are scarce. METHODS: In total, 24 competitive endurance athletes (12f/12m) participated in a clinical double-blinded balanced four-way block cross-over trial to investigate single versus combined effects of ß2-agonists salbutamol (SAL) and formoterol (FOR), to evaluate the potential performance enhancement of SAL (1200 µg, Cyclocaps, Pb Pharma GmbH), FOR (36 µg, Sandoz, HEXAL AG) and SAL + FOR (1200 µg + 36 µg) compared to placebo (PLA, Gelatine capsules containing lactose monohydrate, Pharmacy of the University Hospital Ulm). Measurements included skeletal muscle gene and protein expression, endocrine regulation, urinary/serum ß2-agonist concentrations, cardiac markers, cardiopulmonary and lung function testing and the 10-min time trial (TT) performance on a bicycle ergometer as outcome variables. Blood and urine samples were collected pre-, post-, 3 h post- and 24 h post-TT. RESULTS: Mean power output during TT was not different between study arms. Treatment effects regarding lung function (p < 0.001), echocardiographic (left ventricular end-systolic volume p = 0.037; endocardial global longitudinal strain p < 0.001) and metabolic variables (e.g. NR4A2 and ATF3 pathway) were observed without any influence on performance. In female athletes, total serum ß2-agonist concentrations for SAL and FOR were higher. Microarray muscle gene analysis showed a treatment effect for target genes in energy metabolism with strongest effect by SAL + FOR (NR4A2; p = 0.001). Of endocrine variables, follicle-stimulating hormone (3 h Post-Post-TT), luteinizing hormone (3 h Post-Pre-TT) and insulin (Post-Pre-TT) concentrations showed a treatment effect (all p < 0.05). CONCLUSIONS: No endurance performance-enhancing effect for SAL, FOR or SAL + FOR within the permitted dosages compared to PLA was found despite an acute effect on lung and cardiac function as well as endocrine and metabolic variables in healthy participants. The impact of combined ß2-agonists on performance and sex-specific thresholds on the molecular and cardiac level and their potential long-term performance enhancing or health effects have still to be determined. TRIAL REGISTRATION: Registered at Eudra CT with the number: 2015-005598-19 (09.12.2015) and DRKS with number DRKS00010574 (16.11.2021, retrospectively registered).

High Energetic Demand of Elite Rowing - Implications for Training and Nutrition.

Purpose: Elite rowers have large body dimensions, a high metabolic capacity, and they realize high training loads. These factors suggest a high total energy requirement (TER), due to high exercise energy expenditure (EEE) and additional energetic needs. We aimed to study EEE and intensity related substrate utilization (SU) of elite rowers during rowing (EEEROW) and other (EEENON-ROW) training. Methods: We obtained indirect calorimetry data during incremental (N = 174) and ramp test (N = 42) ergometer rowing in 14 elite open-class male rowers (body mass 91.8 kg, 95% CI [87.7, 95.9]). Then we calculated EEEROW and SU within a three-intensity-zone model. To estimate EEENON-ROW, appropriate estimates of metabolic equivalents of task were applied. Based on these data, EEE, SU, and TER were approximated for prototypical high-volume, high-intensity, and tapering training weeks. Data are arithmetic mean and 95% confidence interval (95% CI). Results: EEEROW for zone 1 to 3 ranged from 15.6 kcal·min-1, 95% CI [14.8, 16.3] to 49.8 kcal·min-1, 95% CI [48.1, 51.6], with carbohydrate utilization contributing from 46.4%, 95% CI [42.0, 50.8] to 100.0%, 95% CI [100.0, 100.0]. During a high-volume, a high-intensity, or a taper week, TER was estimated to 6,775 kcal·day-1, 95% CI [6,651, 6,898], 5,772 kcal·day-1, 95% CI [5,644, 5,900], or 4,626 kcal∙day-1, 95% CI [4,481, 4,771], respectively. Conclusion: EEE in elite open-class male rowers is remarkably high already during zone 1 training and carbohydrates are dominantly utilized, indicating relatively high metabolic stress even during low intensity rowing training. In high-volume training weeks, TER is presumably at the upper end of the sustainable total energy expenditure. Periodized nutrition seems warranted for rowers to avoid low energy availability, which might negatively impact performance, training, and health.

The ELSA trial: single versus combinatory effects of non-prohibited beta-2 agonists on skeletal muscle metabolism, cardio-pulmonary function and endurance performance-study protocol for a randomized 4-way balanced cross-over trial.

BACKGROUND: Asthma and/or airway hyper-responsiveness (AHR) are common in elite endurance athletes with a high prevalence rate of beta-2 adrenoreceptor (beta-2) agonists use. Nevertheless, there are data on dose-dependent ergogenic effects of beta-2 agonists suggesting increased muscle strength, endurance and neuromuscular performance. Therefore, most beta-2 agonists belong to the World Anti Doping Agency (WADA) list of prohibited substances and it is tempting to speculate that illegitimate use of beta-2 agonists might be a common practice to boost performance in competitive sports. It is currently unknown whether or not inhaled beta-2 agonists enhance performance by stimulatory effects in skeletal and cardiac muscle. METHODS: The ELSA trial is a double-blinded, placebo-controlled, randomized, balanced, four-way cross-over study. Study participants (n=24, 12 ♀, 12 ♂) complete four study arms (i.e. periods with treatment A, placebo; B, salbutamol; C, formoterol; D, formoterol + salbutamol) in random order after an initial preliminary testing session. Participants inhale the study medication 20 min before the 10-min time trial (TT; exercise performance test), where participants cycle 10 min at the highest possible workload. Cardiac output is measured continuously. A skeletal muscle biopsy is collected 3 h after the TT. Study endpoints include measures of skeletal muscle expression of nuclear receptors, hormones and cytokine levels, urinary and plasma concentrations of salbutamol and formoterol, circulating cardiac markers, cardiopulmonary function and exercise performance (average power and peak power during the TT). Blood and urine are collected and respiratory testing is performed 24 h post TT. This clinical trial evaluates the potential performance-enhancing effects of non-prohibited, not medically indicated inhaled short- and long-acting beta-2 agonists on skeletal muscle gene expression, endocrine regulation, cardiac biomarkers, cardiopulmonary function and acute endurance exercise performance. These data will be used by WADA to adapt the annually published list of prohibited substances (WADA 2021) and will be published in scientific journals. TRIAL REGISTRATION: The trial is registered at the European Clinical Trials Database (Eudra CT) with the number: 2015-005598-19 as well as at the German register for clinical studies (DRKS number 00010574 ).

Effects of Training Status and Exercise Mode on Global Gene Expression in Skeletal Muscle.

The aim of this study was to investigate differences in skeletal muscle gene expression of highly trained endurance and strength athletes in comparison to untrained individuals at rest and in response to either an acute bout of endurance or strength exercise. Endurance (ET, n = 8, VO2max 67 ± 9 mL/kg/min) and strength athletes (ST, n = 8, 5.8 ± 3.0 training years) as well as untrained controls (E-UT and S-UT, each n = 8) performed an acute endurance or strength exercise test. One day before testing (Pre), 30 min (30'Post) and 3 h (180'Post) afterwards, a skeletal muscle biopsy was obtained from the m. vastus lateralis. Skeletal muscle mRNA was isolated and analyzed by Affymetrix-microarray technology. Pathway analyses were performed to evaluate the effects of training status (trained vs. untrained) and exercise mode-specific (ET vs. ST) transcriptional responses. Differences in global skeletal muscle gene expression between trained and untrained were smaller compared to differences in exercise mode. Maximum differences between ET and ST were found between Pre and 180'Post. Pathway analyses showed increased expression of exercise-related genes, such as nuclear transcription factors (NR4A family), metabolism and vascularization (PGC1-α and VEGF-A), and muscle growth/structure (myostatin, IRS1/2 and HIF1-α. The most upregulated genes in response to acute endurance or strength exercise were the NR4A genes (NR4A1, NR4A2, NR4A3). The mode of acute exercise had a significant effect on transcriptional regulation Pre vs. 180'Post. In contrast, the effect of training status on human skeletal muscle gene expression profiles was negligible compared to strength or endurance specialization. The highest variability in gene expression, especially for the NR4A-family, was observed in trained individuals at 180'Post. Assessment of these receptors might be suitable to obtain a deeper understanding of skeletal muscle adaptive processes to develop optimized training strategies.

The integration of training and off-training activities substantially alters training volume and load analysis in elite rowers.

Training studies in elite athletes traditionally focus on the relationship between scheduled training (TRAIN) and performance. Here, we added activities outside of scheduled training i.e., off-training (OFF) contributing to total training (TOTAL) to evaluate the contribution of OFF on performance. Eight elite rowers recorded OFF and TRAIN during waking hours for one season (30-45 weeks) with multisensory smartwatches. Changes in performance were assessed via rowing ergometer testing and maximum oxygen uptake ([Formula: see text]O2max). Based on 1-Hz-sampling of heart rate data during TRAIN and OFF (> 60% maximum heart rate (HRmax), the volume, session count, intensity, training impulse (TRIMP), and training intensity distribution were calculated. OFF altered volume, TRIMP, and session count by 19 ± 13%, 13 ± 9%, and 41 ± 67% (p < 0.001). On an individual level, training intensity distribution changed in 3% of the valid weeks. Athletes exercised 31% of their weekly volume below 60% HRmax. Low to moderate intensities dominated during OFF with 87% (95% CI [79, 95]); however, in some weeks high-intensity activities > 89% HRmax during OFF amounted to 21 min·week-1 (95% CI [4, 45]). No effect of OFF on changes of performance surrogates was found (0.072 > p > 0.604). The integration of OFF substantially altered volume, TRIMP, and session count. However, no effect on performance was found.

Differences in V˙O2max Measurements Between Breath-by-Breath and Mixing-Chamber Mode in the COSMED K5.

PURPOSE: Automated metabolic analyzers are frequently utilized to measure maximal oxygen consumption (V˙O2max). However, in portable devices, the results may be influenced by the analyzer's technological approach, being either breath-by-breath (BBB) or dynamic micro mixing chamber mode (DMC). The portable metabolic analyzer K5 (COSMED, Rome, Italy) provides both technologies within one device, and the authors aimed to evaluate differences in V˙O2max between modes in endurance athletes. METHODS: Sixteen trained male participants performed an incremental test to voluntary exhaustion on a cycle ergometer, while ventilation and gas exchange were measured by 2 structurally identical COSMED K5 metabolic analyzers synchronously, one operating in BBB and the other in DMC mode. Except for the flow signal, which was measured by 1 sensor and transmitted to both devices, the devices operated independently. V˙O2max was defined as the highest 30-second average. RESULTS: V˙O2max and V˙CO2@V˙O2max were significantly lower in BBB compared with DMC mode (-4.44% and -2.71%), with effect sizes being large to moderate (ES, Cohen d = 0.82 and 1.87). Small differences were obtained for respiratory frequency (0.94%, ES = 0.36), minute ventilation (0.29%, ES = 0.20), and respiratory exchange ratio (1.74%, ES = 0.57). CONCLUSION: V˙O2max was substantially lower in BBB than in DMC mode. Considering previous studies that also indicated lower V˙O2 values in BBB at high intensities and a superior validity of the K5 in DMC mode, the authors conclude that the DMC mode should be selected to measure V˙O2max in athletes.

Differences in Immune Response During Competition and Preparation Phase in Elite Rowers.

Background: Metabolic stress is high during training and competition of Olympic rowers, but there is a lack of biomedical markers allowing to quantify training load on the molecular level. We aimed to identify such markers applying a complex approach involving inflammatory and immunologic variables. Methods: Eleven international elite male rowers (age 22.7 ± 2.4 yrs.; VO2max 71 ± 5 ml·min-1·kg-1) of the German National Rowing team were monitored at competition phase (COMP) vs. preparation phase (PREP), representing high vs. low load. Perceived stress and recovery were assessed by a Recovery Stress Questionnaire for Athletes (RESTQ-76 Sport). Immune cell activation (dendritic cell (DC)/macrophage/monocytes/T-cells) was evaluated via fluorescent activated cell sorting. Cytokines, High-Mobility Group Protein B1 (HMGB1), cell-free DNA (cfDNA), creatine kinase (CK), uric acid (UA), and kynurenine (KYN) were measured in venous blood. Results: Rowers experienced more general stress and less recovery during COMP, but sports-related stress and recovery did not differ from PREP. During COMP, DC/macrophage/monocyte and T-regulatory cells (Treg-cell) increased (p = 0.001 and 0.010). HMGB1 and cfDNA increased in most athletes during COMP (p = 0.001 and 0.048), while CK, UA, and KYN remained unaltered (p = 0.053, 0.304, and 0.211). Pro-inflammatory cytokines IL-1ß (p = 0.002), TNF-α (p < 0.001), and the chemokine IL-8 (p = 0.001) were elevated during COMP, while anti-inflammatory Il-10 was lower (p = 0.002). Conclusion: COMP resulted in an increase in biomarkers reflecting tissue damage, with plausible evidence of immune cell activation that appeared to be compensated by anti-inflammatory mechanisms, such as Treg-cell proliferation. We suggest an anti-inflammatory and immunological matrix approach to optimize training load quantification in elite athletes.

Initial Evaluation of the Concept-2 Rowing Ergometer's Accuracy Using a Motorized Test Rig.

INTRODUCTION: The Concept 2 (C2) rowing ergometer is used worldwide for home-based training, official competitions, and performance assessment in sports and science. Previous studies reported a disparate underestimation of mechanical power output positively related to an unclearly defined stroke variability. The aim of this study was to quantify the accuracy of the C2 while controlling for the potentially influencing variables of the rowing stroke by using a test rig for air-braked rowing ergometers and thus excluding biological variability. METHODS: A unique motorized test rig for rowing ergometers was employed. Accuracy was assessed as the difference in mechanical power output between C2 and a reference system during steady (i.e., minimal variations of stroke power within a series of 50 spacemark, no -strokes) and unsteady simulated rowing (i.e., persistent variations during measurement series) while manipulating the stroke variables shape, force, or rate. RESULTS: During steady simulated rowing, differences between C2 and the reference system ranged 2.9-4.3%. Differences were not significantly affected by stroke shapes (P = 0.153), but by stroke rates ranging 22-28 min-1 (P < 0.001). During unsteady simulated rowing with alterations of stroke force and rate, mean differences of 2.5-3.9% were similar as during steady simulated rowing, but the random error increased up to 18-fold. C2 underestimated mechanical power output of the first five strokes by 10-70%. Their exclusion reduced mean differences to 0.2-1.9%. CONCLUSION: Due to the enormous underestimation of the start strokes, the nominal accuracy of the C2 depends on the total number of strokes considered. It ranges 0.2-1.9%, once the flywheel has been sufficiently accelerated. Inaccuracy increases with uneven rowing, but the stroke shape has a marginal impact. Hence, rowers should row as even as possible and prefer higher stroke rates to optimize C2 readings. We recommend external reference systems for scientific and high-performance assessments, especially for short tests designs where the start strokes will have a major impact.

Inter- and intra-unit reliability of the COSMED K5: Implications for multicentric and longitudinal testing.

PURPOSE: To evaluate the intra-unit (RELINTRA) and inter-unit reliability (RELINTER) of two structurally identical units of the metabolic analyser K5 (COSMED, Rome, Italy) that allows to utilize either breath-by-breath (BBB) or dynamic mixing chamber (DMC) technology. METHODS: Identical flow- and gas-signals were transmitted to both K5s that always operated simultaneously either in BBB- or DMC-mode. To assess RELINTRA and RELINTER, a metabolic simulator was applied to simulate four graded levels of respiration. RELINTRA and RELINTER were expressed as typical error (TE%) and Intraclass Correlation Coefficient (ICC). To assess also inter-unit differences via natural respiratory signals, 12 male athletes performed one incremental bike step test each in BBB- and DMC-mode. Inter-unit differences within biological testing were expressed as percentages. RESULTS: In BBB, TE% of RELINTRA ranged 0.30-0.67 vs. RELINTER 0.16-1.39 and ICC ranged 0.57-1.00 vs. 0.09-1.00. In DMC, TE% of RELINTRA ranged 0.38-0.90 vs. RELINTER 0.03-0.86 and ICC ranged 0.22-1.00 vs. 0.52-1.00. Mean inter-unit differences ranged -2.30-2.20% (Cohen's ds (ds) 0.13-1.52) for BBB- and -0.55-0.61% (ds 0.00-0.65) for DMC-mode, respectively. Inter-unit differences for [Formula: see text] and RER were significant (p < 0.05) at each step. CONCLUSION: Two structurally identical K5-units demonstrated accurate RELINTRA with TE < 2.0% and similar RELINTER during metabolic simulation. During biological testing, inter-unit differences for [Formula: see text] and RER in BBB-mode were higher than 2% with partially large ES in BBB. Hence, the K5 should be allocated personally wherever possible. Otherwise, e.g. in multicenter studies, a decrease in total reliability needs to be considered especially when the BBB-mode is applied.

The mechanical rower: Construction, validity, and reliability of a test rig for wind braked rowing ergometers.

Wind braked rowing ergometers are used worldwide for training and testing of rowers, but data on validity and reliability of the calculated mechanical power output are scarce. Studies published so far are based on data generated by human rowers, inevitably adding biological variability without any option to clamp particular variables like stroke structure or force. To this end, we developed a test rig for rowing ergometers aiming to generate valid and reliable stroke structures (i.e. force-displacement curves). Briefly, the rig consists out of a frame connected to the ergometer. The handlebar of the rowing ergometer is attached to a sledge that can be displaced on a linear drive by a motor that is controlled by torque curves which are derived from elite rowers. A load cell between handlebar and chain and an incremental linear transducer allow criterion measures of force and distance of displacement to calculate mechanical power output. To evaluate the validity of the machine generated force-displacement curves, three different stroke structures were compared to the respective human reference curves. To evaluate reliability, series of 50 consecutive strokes were performed for 10 times. Validity of the curves was indicated by small differences in stroke-force, -distance, and -work (≤ |-7.8|%) between machine generated and human generated curves. Mean power output of the test series was 445 ± 1 W with a coefficient of variation of 0.53% between series. Hence, the test rig allows to generate valid and reliable rowing strokes on wind braked rowing ergometers.

The COSMED K5 in Breath-by-Breath and Mixing Chamber Mode at Low to High Intensities.

PURPOSE: The portable metabolic analyzer COSMED K5 (Rome, Italy) allows for switching between breath-by-breath (BBB) and dynamic micro-mixing chamber (DMC) modes. This study aimed to evaluate the reliability and validity of the K5 in BBB and DMC at low, moderate, and high metabolic rates. METHODS: Two K5 simultaneously operated in BBB or DMC, whereas (i) a metabolic simulator (MS) produced four different metabolic rates (repeated eight times), and (ii) 12 endurance-trained participants performed bike exercise at 30%, 40%, 50%, and 85% of their individual power output at V˙O2max (repeated three times). K5 data were compared with predicted simulated values and consecutive Douglas bag measurements. RESULTS: Reliability did not differ significantly between BBB and DMC, whereas the typical error and intraclass correlation coefficients for oxygen uptake (V˙O2), carbon dioxide output (V˙CO2), and minute ventilation (V˙E) ranged from 0.27% to 6.18% and from 0.32 to 1.00 within four metabolic rates, respectively. Validity indicated by mean differences ranged between 0.61% and -2.05% for V˙O2, 2.99% to -11.04% for V˙CO2, and 0.93% to -6.76% for V˙E compared with MS and Douglas bag at low to moderate metabolic rates and was generally similar for MS and bike exercise. At high rates, mean differences for V˙O2 amounted to -4.63% to -7.27% in BBB and -0.38% to -3.81% in DMC, indicating a significantly larger difference of BBB at the highest metabolic rate. CONCLUSION: The K5 demonstrated accurate to acceptable reliability in BBB and DMC at all metabolic rates. Validity was accurate at low and moderate metabolic rates. At high metabolic rates, BBB underestimated V˙O2, whereas DMC showed superior validity. To test endurance athletes at high workloads, the DMC mode is recommended.

The Polarization-Index: A Simple Calculation to Distinguish Polarized From Non-polarized Training Intensity Distributions.

The training intensity distribution (TID) of endurance athletes has retrieved substantial scientific interest since it reflects a vital component of training prescription: (i) the intensity of exercise and its distribution over time are essential components for adaptation to endurance training and (ii) the training volume (at least for most endurance disciplines) is already near or at maximum, so optimization of training procedures including TID have become paramount for success. This paper aims to elaborate the polarization-index (PI) which is calculated as log10(Zone 1/Zone 2∗Zone 3∗100), where Zones 1-3 refer to aggregated volume (time or distance) spent with low, mid, or high intensity training. PI allows to distinguish between non-polarized and polarized TID using a cut-off > 2.00 a.U. and to quantify the level of a polarized TID. Within this hypothesis paper, examples from the literature illustrating the usefulness of PI-calculation are discussed as well as its limitations. Further it is elucidated how the PI may contribute to a more precise definition of TID descriptors.

Increased Hepcidin Levels During a Period of High Training Load Do Not Alter Iron Status in Male Elite Junior Rowers.

The liver-derived hormone hepcidin plays a key role in iron metabolism by mediating the degradation of the iron export protein ferroportin 1 (FPN1). Circulating levels of hepcidin and the iron storage protein ferritin are elevated during the recovery period after acute endurance exercise, which can be interpreted as an acute phase reaction to intense exercise with far-reaching consequences for iron metabolism and homeostasis. Since absolute and functional iron deficiency (ID) potentially lead to a loss of performance and well-being, it is surprising that the cumulative effects of training stress on hepcidin levels and its interplay with cellular iron availability are not well described. Therefore, the aim of this study was to determine serum levels of hepcidin at six time points during a 4-week training camp of junior world elite rowers preparing for the world championships and to relate the alterations in training load to overall iron status determined by serum ferritin, transferrin, iron, and soluble transferrin receptor (sTfR). Serum hepcidin levels increased significantly (p = 0.02) during the initial increase in training load (23.24 ± 2.43 ng/ml) at day 7 compared to the start of training camp (11.47 ± 3.92 ng/ml) and turned back on day 13 (09.51 ± 3.59 ng/ml) already, meeting well the entrance level of hepcidin at day 0. Serum ferritin was significantly higher at day 7 compared to all other timepoints with exception of the subsequent time point at day 13 reflecting well the time course pattern of hepcidin. Non-significant changes between training phases were found for serum iron, transferrin, and sTfR levels as well as for transferrin saturation, and ferritin-index (sTfR/log ferritin). Our findings indicate that hepcidin as well as ferritin, both representing acute phase proteins, are sensitive to initial increases in training load. Erythropoiesis was unaffected by iron compartmentalization through hepcidin. We conclude that hepcidin is sensitive to rigorous changes in training load in junior world elite rowers without causing short-term alterations in functional iron homeostasis.

Anthropometric profiles are associated with long-term career attainment in elite junior rowers: A retrospective analysis covering 23 years.

INTRODUCTION: Successful rowers are heavier and taller than their opponents, but the effect of these variables on long-term career attainment in juniors has not been examined. We therefore analysed this in a large sample of elite German junior rowers. METHODS: Former German Junior National Team rowers (N = 910; 399 females) were grouped according to their highest career attainment, i.e., participation in U19-, U23-, Senior World Championships or Olympic Games (OG). Differences in standing height (SH), body mass (BM) and body mass index (BMI) between groups were analysed using unpaired t-tests and magnitude-based inferences (MBI), effects of anthropometrics on career attainment were analysed with a proportional odds model. Interquartile ranges of the OG group were used to define normative data ranges. RESULTS: SH and BMI very likely differed between career attainment in females. The same was found in males for SH and BM. BM (odds ratio (OR) = 0.958, P = .0171) and BMI (OR = 0.787, P = .0004) had a significant effect on career attainment in females as SH (OR = 1.072, P = .0002) and BM (OR = 1.049, P = .0004) had in males. Interquartile ranges of SH and BM were 178-184 cm and 68-73 kg in females, 190-196 cm and 84-93 kg in males. CONCLUSION: Anthropometric characteristics at junior age affect long-term career attainment even within elite U19 National Team rowers, underlining the relevance of anthropometric assessments and their consideration for talent identification and development programmes in rowing. We provide evidence-based normative data that rule out an anthropometric limitation of junior rowers for career progression to Olympic level.

Speckle tracking-derived bi-atrial strain before and after eleven weeks of training in elite rowers.

The left (LA) and right (RA) atria undergo adaptive remodeling in response to hemodynamic stress not only induced by endurance exercise but also as part of several cardiovascular diseases thereby confounding differential diagnosis. Echocardiographic assessment of the atria with novel speckle tracking (STE)-derived variables broadens the diagnostic spectrum compared to conventional analyses and has the potential to differentiate physiologic from pathologic changes. The purpose of this study was to assess and categorize baseline values of bi-atrial structure and function in elite rowers according to recommended cutoffs, and to assess the cardiac changes occurring with endurance training. Therefore, fifteen elite rowers underwent 2D-echocardiographic analysis of established variables of cardiac structure and function as well as STE-derived variables of bi-atrial function. Measurements were performed at baseline and after eleven weeks of extensive training. 40% of athletes displayed mildly enlarged LA and 47% mildly enlarged RA at baseline, whereas no athlete fell below the lower reference values of LA and RA reservoir strain. Average power during a 2000 m ergometer rowing test (P2000 m) improved from 426 ± 39 W to 442 ± 34 W (p = 0.010) but there were no changes of echocardiographic variables following training. In elite rowers, longitudinal bi-atrial strain assessment indicates normal resting function of structurally enlarged atria and thereby may assist to differentiate between exercise-induced versus disease-associated structural cardiac changes in which function is commonly impaired.

Computer-Aided Stroke-by-Stroke Visualization of Actual and Target Power Allows for Continuously Increasing Ramp Tests on Wind-Braked Rowing Ergometers.

PURPOSE: Ramp tests are continuously increasing exercise tests used for the determination of maximal oxygen uptake ( V ˙ O 2 max ), which is identifiable by a plateau in oxygen uptake despite increasing mechanical power output (LOAD). On wind-braked rowing ergometers (RowErg), it is hardly feasible to ensure a continuous increase in LOAD until test termination, as neither resistance nor stroke frequency is externally adjustable but depends on the rower. To enable ramp tests on RowErg, the authors produced visual stroke-by-stroke feedback showing target and actual LOAD to the rower. The software supports automatic test termination (TERMauto) if LOAD ceases to increase. The authors aimed to evaluate linearity of the LOAD increment and calculate the difference between TERMauto and test duration at subjective exhaustion. MATERIALS: Twenty-eight highly trained male rowers performed a ramp test until subjective exhaustion on RowErg, targeting an increment of 35 W·min-1. LOAD was measured as work per time via external force and position sensors and visualized on a computer screen. TERMauto was deactivated, but all data were logged. Test duration at subjective exhaustion was subsequently compared with virtual test duration at TERMauto calculated from the log files. RESULTS: Regression between time and LOAD was y = 167 + 34.6 W (r = .99). Individual correlations ranged from .97 to 1.0. TERMauto caused 12- to 35-s-shorter test durations than subjective exhaustion in 4 rowers, leading to an underestimation in V ˙ O 2 max not higher than 1.2% or 3.7%. CONCLUSION: This setup allows one to perform ramp tests on RowErg with continuously increasing LOAD until TERMauto. In particular cases V ˙ O 2 max might be slightly underestimated at TERMauto.

Sedentary Behavior among National Elite Rowers during Off-Training-A Pilot Study.

The aim of this pilot study was to analyze the off-training physical activity (PA) profile in national elite German U23 rowers during 31 days of their preparation period. The hours spent in each PA category (i.e., sedentary: <1.5 metabolic equivalents (MET); light physical activity: 1.5-3 MET; moderate physical activity: 3-6 MET and vigorous intense physical activity: >6 MET) were calculated for every valid day (i.e., >480 min of wear time). The off-training PA during 21 weekdays and 10 weekend days of the final 11-week preparation period was assessed by the wrist-worn multisensory device Microsoft Band II (MSBII). A total of 11 rowers provided valid data (i.e., >480 min/day) for 11.6 week days and 4.8 weekend days during the 31 days observation period. The average sedentary time was 11.63 ± 1.25 h per day during the week and 12.49 ± 1.10 h per day on the weekend, with a tendency to be higher on the weekend compared to weekdays (p = 0.06; d = 0.73). The average time in light, moderate and vigorous PA during the weekdays was 1.27 ± 1.15, 0.76 ± 0.37, 0.51 ± 0.44 h per day, and 0.67 ± 0.43, 0.59 ± 0.37, 0.53 ± 0.32 h per weekend day. Light physical activity was higher during weekdays compared to the weekend (p = 0.04; d = 0.69). Based on our pilot study of 11 national elite rowers we conclude that rowers display a considerable sedentary off-training behavior of more than 11.5 h/day.

Eleven-Week Preparation Involving Polarized Intensity Distribution Is Not Superior to Pyramidal Distribution in National Elite Rowers.

Polarized (POL) training intensity distribution (TID) emphasizes high-volume low-intensity exercise in zone (Z)1 (< first lactate threshold) with a greater proportion of high-intensity Z3 (>second lactate threshold) compared to Z2 (between first and second lactate threshold). In highly trained rowers there is a lack of prospective controlled evidence whether POL is superior to pyramidal (PYR; i.e., greater volume in Z1 vs. Z2 vs. Z3) TID. The aim of the study was to compare the effect of POL vs. PYR TID in rowers during an 11-wk preparation period. Fourteen national elite male rowers participated (age: 20 ± 2 years, maximal oxygen uptake ([Formula: see text]O2max): 66 ± 5 mL/min/kg). The sample was split into PYR and POL by varying the percentage spent in Z2 and Z3 while Z1 was clamped to ~93% and matched for total and rowing volume. Actual TIDs were based on time within heart rate zones (Z1 and Z2) and duration of Z3-intervals. The main outcome variables were average power in 2,000 m ergometer-test (P2,000 m), power associated with 4 mmol/L [blood lactate] (P4[BLa]), and [Formula: see text]O2max. To quantify the level of polarization, we calculated a Polarization-Index as log (%Z1 × %Z3 / %Z2). PYR and POL did not significantly differ regarding rowing or total volume, but POL had a higher percentage of Z3 intensities (6 ± 3 vs. 2 ± 1%; p < 0.005) while Z2 was lower (1 ± 1 vs. 3 ± 2%; p < 0.05) and Z1 was similar (94 ± 3 vs. 93 ± 2%, p = 0.37). Consequently, Polarization-Index was significantly higher in POL (3.0 ± 0.7 vs. 1.9 ± 0.4 a.u.; p < 0.01). P2,000 m did not significantly change with PYR (1.5 ± 1.7%, p = 0.06) nor POL (1.5 ± 2.6%, p = 0.26). [Formula: see text]2max did not change (1.7 ± 5.6%, p = 0.52 or 0.6 ± 2.6, p = 0.67) and a small increase in P4[BLa] was observed in PYR only (1.9 ± 4.8%, p = 0.37 or -0.5 ± 4.1%, p = 0.77). Changes from pre to post were not significantly different between groups in any performance measure. POL did not prove to be superior to PYR, possibly due to the high and very similar percentage of Z1 in this study.

The effect of westward travel across five time zones on sleep and subjective jet-lag ratings in athletes before and during the 2015's World Rowing Junior Championships.

This study examined sleep-wake habits and subjective jet-lag ratings of 55 German junior rowers (n = 30 male, 17.8 ± 0.5 years) before and during the World Rowing Junior Championships 2015 in Rio de Janeiro, Brazil. Athletes answered sleep logs every morning, and Liverpool John Moore's University Jet-Lag Questionnaires each evening and morning. Following an 11-h westward flight with 5-h time shift, advanced bedtimes (-1 h, P < .001, ηp2 = 0.68), reduced sleep onset latency (P = .002, ηp2 = 0.53) and increased sleep duration (P < .001, ηp2 = 0.60) were reported for the first two nights. Jet-lag symptoms peaked upon arrival but were still present after 6 days. Sleep quality improved (P < .001, ηp2 = 0.31) as well as some scales of the Recovery-Stress Questionnaire for Athletes. Participation was successful as indicated by 11 of 13 top 3 placings. Overall, the initial desynchronisation did not indicate negative impacts on competition performance. As travel fatigue probably had a major effect on perceptual decrements, sleep during travel and time to recover upon arrival should be emphasised. Coaches and practitioners should consider higher sleep propensity in the early evening by scheduling training sessions and meetings until the late afternoon.