Comparative Study of the Long-Term Impact of the COVID-19 Pandemic on Mental Health and Nutritional Practices Among International Elite and Sub-Elite Athletes: A Sample of 1420 Participants from 14 Countries.

BACKGROUND: Although several studies have shown that the Coronavirus Disease 2019 (COVID-19) lockdown has had negative impacts on mental health and eating behaviors among the general population and athletes, few studies have examined the long-term effects on elite and sub-elite athletes. The present study aimed to investigate the long-term impact of COVID-19 lockdown on mental health and eating behaviors in elite versus sub-elite athletes two years into the pandemic. A cross-sectional comparative study was conducted between March and April 2022, involving athletes from 14 countries, using a convenient non-probabilistic and snowball sampling method. A total of 1420 athletes (24.5 ± 7.9 years old, 569 elites, 35% women, and 851 sub-elites, 45% women) completed an online survey-based questionnaire. The questionnaire included a sociodemographic survey, information about the COVID-19 pandemic, the Depression, Anxiety and Stress Scale-21 Items (DASS-21) for mental health assessment, and the Rapid Eating Assessment for Participants (REAP-S) for assessing eating behavior. RESULTS: The results showed that compared to sub-elite athletes, elite athletes had lower scores on the DASS-21 (p = .001) and its subscales of depression (p = .003), anxiety (p = .007), and stress (p < .001), as well as a lower REAP-S score indicating lower diet quality (p = .013). CONCLUSION: In conclusion, two years into the pandemic, elite athletes were likelier to have better mental health profiles than sub-elite athletes but surprisingly had lower diet quality.

Effectiveness of Vertical versus Horizontal Plyometric Training on Stretch-Shortening Cycle Performance Enhancement in Adolescent Soccer Players.

Plyometric exercise is a major tool for improving explosive actions. This study aimed to compare the efficacy of a vertical and horizontal plyometric training program on stretch-shortening performance variables in adolescent soccer players. Thirty-two male soccer players (aged 12.09 ± 0.89 years, with soccer experience 5.37 ± 1.58 years) were divided into horizontal plyometric, vertical plyometric, or control groups. The horizontal and vertical plyometric groups participated in a 6-week training program that was performed twice per week, with a 48-h interval, in conjunction with regular soccer training. The control group participated only in regular soccer training. Vertical jump height, reactive strength index, leg stiffness, ground contact time, standing long jump distance, agility, and 10 and 20 m sprint performances were tested as stretch-shortening performance variables of the participants. Stretch-shortening performance variables were assessed before and after completion of the training program. The results showed that either horizontal or vertical plyometric training had no effect on VJH, RSI, GCT, or Kleg performance (F = 2.14, 1.32, 0.66, 1.03; p > 0.05). Furthermore, there was no effect on SLJ, 10 m sprint, 20 m sprint, or agility performance (F = 2.06, 0.14, 0.06, 0.27; p > 0.05). A 6-week horizontal or vertical plyometric intervention was found to be insufficient to elicit stretch-shortening performance enhancement in adolescent male soccer players. Although there was no performance change in any group, it was observed that the players enjoyed plyometric training. Therefore, coaches could safely use plyometric exercises to design enjoyable training programs.

Effects of home confinement on physical activity, nutrition, and sleep quality during the COVID-19 outbreak in amateur and elite athletes.

Introduction: Despite the progress in the management of the pandemic caused by COVID-19, it is necessary to continue exploring and explaining how this situation affected the athlete population around the world to improve their circumstances and reduce the negative impact of changes in their lifestyle conditions that were necessitated due to the pandemic. The aim of this study was to analyze the moderating influence of physical activity (PA) and dietary habits on the impact of the COVID-19 pandemic experience on sleep quality in elite and amateur athletes. Materials and methods: A total of 1,420 elite (40.1%) and amateur (59.9%) athletes (41% women; 59% men) from 14 different countries participated in a cross-sectional design study. Data were collected using a battery of questionnaires that identified sociodemographic data, sleep quality index, PA levels, dietary habits, and the athletes' perception of their experience during the COVID-19 pandemic. Means and standard deviations were calculated for each variable. The analysis of variances and the correlation between variables were carried out with non-parametric statistics. A simple moderation effect was calculated to analyze the interaction between PA or dietary habits on the perception of the COVID-19 experience effect on sleep quality in elite and amateur athletes. Results: The PA level of elite athletes was higher than amateur athletes during COVID-19 (p < 0.001). However, the PA level of both categories of athletes was lower during COVID-19 than pre-COVID-19 (p < 0.01). In addition, amateurs had a higher diet quality than elite athletes during the pandemic (p = 0.014). The perception of the COVID-19 experience as controllable was significantly higher (p = 0.020) among elite athletes. In addition, two moderating effects had significant interactions. For amateur athletes, the PA level moderated the effect of controllable COVID-19 experience on sleep quality [F (3,777) = 3.05; p = 0.028], while for elite athletes, the same effect was moderated by dietary habits [F (3,506) = 4.47, p = 0.004]. Conclusion: Elite athletes had different lifestyle behaviors compared to amateurs during the COVID-19 lockdown. Furthermore, the relevance of maintaining high levels of PA for amateurs and good quality dietary habits by elite athletes was noted by the moderating effect that both variables had on the influence of the controllable experience during the COVID-19 pandemic on sleep quality.

Effects of traditional stretching versus self-myofascial release warm-up on physical performance in well-trained female athletes.

OBJECTIVE: The purpose of this study was to compare the acute effects of self-myofascial release (SMR) versus traditional stretching used as a part of warm-up on physical performance in well-trained female athletes. METHODS: Twenty-three participants (age, 21.8±1.73 years; experience in sport, 114.8±30.5 months) were recruited. Isokinetic peak torque and muscle endurance ratio were measured during knee extension and flexion at 60°/s and 180°/s. Jump height, reactive strength index, and leg stiffness were measured using a jump mat during a counter-movement jump. Hamstring flexibility was measured using a sit-and-reach test. Three interventions were performed by all athletes randomly within 72 hours intervals. RESULTS: The jump height and hamstring flexibility test scores improved significantly more after dynamic stretching (DS) as compared to SMR and static stretching (SS). The DS and SMR exercises were more effective than the SS exercises in terms of right and left knee muscle isokinetic strength both at 60°/s, and 180°/s. With regard to keeping muscular endurance ratio (%), SS exercises were found more effective than DS and SMR exercises for only the right knee at 180°/s, but not left knee muscle. CONCLUSION: Dynamic stretching and SMR showed better flexibility, strength, and jump performance than SS. Trainers and players may replace SS with DS and SMR to acutely improve muscle power, strength, and flexibility.

The effect of static and dynamic core exercises on dynamic balance, spinal stability, and hip mobility in female office workers.

OBJECTIVES: This study aims to compare the effect of static and dynamic core exercises in terms of dynamic balance, spinal stability, and hip mobility in female office workers. PATIENTS AND METHODS: Between May 2018 and June 2018, a total of 34 women (mean age 36.4±6.5 years; range, 28 to 54 years) who worked for a bank and exercised in the fitness center of the work place were recruited. The women were divided into two groups including 17 women in each as static and dynamic core groups and administered sessions of 20 to 30 min twice a week for six weeks. Both groups were tested for dynamic balance (Y-balance test), spinal stability (functional reach test), and hip mobility (active flexion and extension) before and after six weeks of exercise. RESULTS: A statistically significant improvement was found in both groups between the pre- and post-test results in terms of spinal stability, hip mobility, and dynamic balance (p<0.05). The only exception was the right and left leg anterior balance in the static core group. Dynamic core exercises seemed to be more effective than static core exercises in improving the right and left leg anterior balance. There were no statistically significant differences between the groups in terms of spinal stability, hip mobility, and dynamic balance according to the mean absolute change (p>0.05). CONCLUSION: Our study results indicate that both types of exercises are effective in improving dynamic balance, spinal stability, and hip mobility in female office workers. Therefore, the expected benefits from core exercises are to enhance dynamic balance, spinal stability, and hip mobility. Female workers can perform both types of exercises safely and effectively.

Postactivation potentiation effects of Back Squat and Barbell Hip Thrust exercise on vertical jump and sprinting performance.

BACKGROUND: This study aimed to determine and compare the post-activation potentiation (PAP) effects of the Back Squat (SQ-PAP) and Hip Thrust (HT-PAP) exercises in terms of vertical jump height (VJ), 20-yard dash and 40-yard dash time in physically active university students. Considering the Force-vector theory, it was hypothesized that HT-PAP would induce greater potentiation for 40-yard dash than SQ-PAP whereas SQ-PAP would induce greater potentiation for 20-yard dash and VJ than HT-PAP. METHODS: Seventeen kinesiology and exercise science students (8 male and 9 female) who resistance train at least 3 times/week (age, 21.71±1.49 years; body mass, 75.58±11.89 kg; height, 173.98±11.88 cm and training experience 5.47±2.00 years) joined this study. They performed three experimental sessions namely; baseline (BL), SQ-PAP loading session and HT-PAP loading session with 48 hours interval with a randomized open crossover study design. BL session was also accepted as control and familiarization session. SQ-PAP and HT-PAP exercises were performed roughly at 90% of 1 Repetition maximum (1 RM) of the subjects with three repetitions. Subjects were tested for vertical jump height (VJ), 20-yard dash and 40-yard dash time before and 8 minutes after each PAP loading exercise. RESULTS: Statistical analysis revealed that the potentiation effects of SQ-PAP and HT-PAP exercises on VJ height, 20-yard and 40-yard dash were similar that none of the loading exercises with 8 min rest interval had any increasing or detrimental performance effect on VJ (P=0.923), 20-yard dash (P=0.133) as well 40-yard dash time (P=0.570). CONCLUSIONS: These findings demonstrate that none of the loading protocols with above mentioned exercises have any detrimental or improving effects on VJ height, 20-yard dash and 40-yard dash time for physically active university students who joined this study. Although no acute potentiation effect has been found, this study also shows that SQ-PAP, HT-PAP exercises can be used interchangeably and safely to avoid training monotony during longer training periods for chronic adaptations.

Side-to-side asymmetry in lower limb strength and hamstring-quadriceps strength ratio among collegiate American football players.

[Purpose] The present study aimed to investigate the lower limbs injury risk factors that are based on conventional Hamstring to Quadriceps ratio and limb asymmetry index in varsity American football players. [Participants and Methods] Twenty-six varsity American football players aged 19-27 years and with 2.31 ± 1.29 years of American football experience from Dogu Akdeniz University volunteered to undergo measurements of average peak torque for isokinetic flexion and extension of dominant limb and non-dominant limb at 60°·s-1 and 300°·s-1. Hamstring to Quadriceps ratio and limb asymmetry index were also calculated for Hamstring and Quadriceps muscles. [Results] Statistical analysis revealed that dominant Quadriceps is stronger than non-dominant Quadriceps at 60°·s-1 speed. No statistical difference was found between dominant and non-dominant Hamstring peak torque at 60°·s-1 . Hamstring to Quadriceps ratio determined as normal both for 60°·s-1 and 300°·s-1according to the currently reported cut off value (H:Q ratio >60). Hamstring and Quadriceps limb asymmetry index also determined as normal (cut off value for LSI 10%) at 60°·s-1. However, for both Hamstring and Quadriceps, side- to- side strength asymmetry at 300°·s-1 was observed. [Conclusion] To prevent possible lower limb injury and to increase performance, varsity American football players who are actively training and competing might consider taking strength asymmetry into account to tailor their strength training program accordingly.

Kinanthropometric attributes of young male combat sports athletes.

Although there are enough studies concerning the kinanthropometric attributes of players of sports such as football, basketball, or volleyball in Turkey, there are not enough studies on the same for combat sports. Hence, our aim is to assess the kinanthropometric attributes of different combat sports like karate, taekwondo, judo and kickboxing. The present study included 48 national level male athletes from four different combat sports (age, 20.3 (3.19) years; number of years playing the sport, 8.33 (4.59); height, 174.3 (7.15) cm; weight, 67.35 (10.55 kg). Skinfold thickness was measured with a skinfold caliper (Holtain Ltd., UK), and Yuhazs formula was used to calculate the body fat percentage. Somatotype assessment was carried out with a computer program (Sweat Technology Trial Version, South Australia). Width measurements were obtained with a slide caliper (HLT-100, Holtain Ltd.), and girth measurements were obtained with a non-flexible tape measure. The data obtained were analyzed with the computer program SPSS 17.0 in terms of the SD. The findings were as follows: body mass index (BMI), 22.00 (2.66) kg/m2; body fat percentage, 12.20% (3.07%); endomorphic component, 2.9 (1.30); mesomorphic component, 4.25 (1.30); and ectomorphic component, 3.10 (1.30). The cormic index was 51.99% (1.88%); Monourier index, 92.39% (4.47%); Acromio-iliac index, 60.87% (6.61%); Martine index, 6.29% (0.70%); Biacromial index, 22.58% (0.99%); and hip index, 13.91% (0.86%). The mesomorphic component was found to be dominant in our study. Although BMIs were found to be normal, body fat percentages were low. According to body proportions, the athletes who participated in this study had wide shoulders, narrow hips, and medium-sized trunks.

Anxiety of young female athletes with disordered eating behaviors.

The aim of this study was to investigate the prevalence rate of disordered eating behaviors in young female athletes and to compare the anxiety levels of the athletes with or without disordered eating behaviors. Female athletes (n=243) of 15 to 25 years old from the city, Edirne, in Turkey participated our study. Disordered eating behaviors and anxiety levels of participants were evaluated by the Eating Attitudes Test (EAT-40) and State-Trait Anxiety Inventory. Disordered eating behaviors was reported as 40 (16.7%) among all athletes. Both state and trait anxiety scores were higher in athletes with disordered eating behaviors than the athletes without disordered eating behaviors (p=0.01). The athletes who engage in leanness and non leanness sports were reported as having similar EAT-40 scores and anxiety scores. In conclusion, athletes with disordered eating behaviors have higher state and trait anxiety scores.

Sleep deprivation induced anxiety and anaerobic performance.

The aim of this study was to investigate the effects of sleep deprivation induced anxiety on anaerobic performance. Thirteen volunteer male physical education students completed the Turkish version of State Anxiety Inventory and performed Wingate anaerobic test for three times: (1) following a full-night of habitual sleep (baseline measurements), (2) following 30 hours of sleep deprivation, and (3) following partial-night sleep deprivation. Baseline measurements were performed the day before total sleep deprivation. Measurements following partial sleep deprivation were made 2 weeks later than total sleep deprivation measurements. State anxiety was measured prior to each Wingate test. The mean state anxiety following total sleep deprivation was higher than the baseline measurement (44.9 ± 12.9 vs. 27.6 ± 4.2, respectively, p = 0.02) whereas anaerobic performance parameters remained unchanged. Neither anaerobic parameters nor state anxiety levels were affected by one night partial sleep deprivation. Our results suggest that 30 hours continuous wakefulness may increase anxiety level without impairing anaerobic performance, whereas one night of partial sleep deprivation was ineffective on both state anxiety and anaerobic performance. Key pointsShort time total sleep deprivation (30 hours) increases state anxiety without any competition stress.Anaerobic performance parameters such as peak power, mean power and minimum power may not show a distinctive difference from anaerobic performance in a normal sleep day despite the high anxiety level induced by short time sleep deprivation.Partial sleep deprivation does not affect anxiety level and anaerobic performance of the next day.

Prevalence of the female athlete triad in edirne, Turkey.

The aim of this study was to determine the prevalence of the female athlete triad, which is a clinical condition defined as the simultaneous occurrence of disordered eating, amenorrhea, and osteopenia and/or osteoporosis in female athletes. A total number of 224 female athletes from Edirne city participated in our study. Eating attitudes test (EAT 40) and a self-administered questionnaire were used to assess disordered eating behavior and menstrual status respectively. The participants having both disordered eating and amenorrhea were performed dual energy x-ray absorptiometry to evaluate bone mineral density. Thirty seven subjects (16.8%) had disordered eating behavior and 22 subjects (9.8%) were reported to have amenorrhea. Six athletes (2.7%) met two criteria (disordered eating and amenorrhea) of the triad. Of these, only three athletes met all components of the triad. We have found that the prevalence rate of female athlete triad was 1.36% among young Turkish female athletes. Female athletes have under considerable risk for the disordered eating and amenorrhea components of the triad. Key PointsThe prevalence rate of the occurrence of whole criteria of the female athlete triad was 1.36 % in young Turkish athletes in Edirne.Female athletes who met whole criteria of female athlete triad are more prone to the eating disorders.The occurrence of disordered eating behavior was higher in female athletes according to general population.Amenorrhea prevalence was significantly higher in female athletes who had disordered eating.