Reliability, validity, usefulness, and sensitivity of a submaximal test of performing burpees in 3 minutes, in assessing and detecting changes in aerobic fitness of athletes during future prolonged self-isolation in a confined environment.

BACKGROUND: During a prolonged quarantine, there is a need to monitor aerobic fitness levels of trained individuals who are isolated with a simple fitness test that can be performed in confined space of their own homes. This study examined the reliability, validity, usefulness and sensitivity of a novel 3-min submaximal heart rate burpees test (or SubHR3-MBT) to assess and monitor changes in aerobic fitness, of trained athletes. In the SubHR3-MBT, male and female athletes performed 48 and 39 burpees respectively, within 3 min by following a constant beeping pace. The performance criterion of the SubHR3-MBT is the highest heart rate attained (or exercise HRpeak) at the end of 3-min (wherein a lower exercise HRpeak indicates a higher level of aerobic fitness). METHODS: A total of 40 male and female national athletes from various sports volunteered for the study. RESULTS: For reliability (Part 1), the SubHR3-MBT showed good relative and excellent reliability, with intraclass correlation coefficient 0.90 and coefficient of variation 2.6%, respectively. For validity (Part II), there was significant negative correlation between relative exercise HRpeak with respiratory gas-measured VO2max (r=-0.51, large; P<0.001). The test's technical error of measurement of 2.3 is slightly greater than its smallest worthwhile change of 1.5. For sensitivity (Part III), the athletes were tested twice for their SubHR3-MBT and VO2max, once at baseline and another at a followed-up test after >10 weeks. There was a significant correlation between the % change in relative exercise HRpeak with the % change in VO2max (r=-0.66, large; P<0.001). CONCLUSIONS: The SubHR3-MBT is a reliable, valid, marginally useful test and may be able to track changes in aerobic fitness in trained athletes with moderate levels of sensitivity, in case of future isolation due to pandemic occurrence.

Precooling via immersion in CO2-enriched water at 25°C decreased core body temperature but did not improve 10-km cycling time trial in the heat.

This study compared the effects of precooling via whole-body immersion in 25°C CO2-enriched water (CO2WI), 25°C unenriched water (WI) or no cooling (CON) on 10-km cycling time trial (TT) performance. After 30 min of precooling (CO2WI, CON, WI) in a randomized, crossover manner, 11 male cyclists/triathletes completed 30-min submaximal cycling (65%VO2peak), followed by 10-km TT in the heat (35°C, 65% relative humidity). Average power output and performance time during TT were similar between conditions (p = 0.387 to 0.833). Decreases in core temperature (Tcore) were greater in CO2WI (-0.54 ± 0.25°C) than in CON (-0.32 ± 0.09°C) and WI (-0.29 ± 0.20°C, p = 0.011 to 0.022). Lower Tcore in CO2WI versus CON was observed at 15th min of exercise (p = 0.050). Skin temperature was lower in CO2WI and WI than in CON during the exercise (p < 0.001 to 0.031). Only CO2WI (1029 ± 305 mL) decreased whole-body sweat loss compared with CON (1304 ± 246 mL, p = 0.029). Muscle oxygenation by near-infrared spectroscopy (NIRS), thermal sensation, and thermal comfort were lower in CO2WI and WI versus CON only during precooling (p < 0.001 to 0.041). NIRS-derived blood volume was significantly lower in CO2WI and WI versus CON during exercise (p < 0.001 to 0.022). Heart rate (p = 0.998) and rating of perceived exertion (p = 0.924) did not differ between conditions throughout the experiment. These results suggested that CO2WI maybe more effective than WI for enhanced core body cooling and minimized sweat losses.

Effect of regular precooling on adaptation to training in the heat.

PURPOSE: This study investigated whether regular precooling would help to maintain day-to-day training intensity and improve 20-km cycling time trial (TT) performed in the heat. Twenty males cycled for 10 day × 60 min at perceived exertion equivalent to 15 in the heat (35 °C, 50% relative humidity), preceded by no cooling (CON, n = 10) or 30-min water immersion at 22 °C (PRECOOL, n = 10). METHODS: 19 participants (n = 9 and 10 for CON and PRECOOL, respectively) completed heat stress tests (25-min at 60% [Formula: see text] and 20-km TT) before and after heat acclimation. RESULTS: Changes in mean power output (∆MPO, P = 0.024) and heart rate (∆HR, P = 0.029) during heat acclimation were lower for CON (∆MPO - 2.6 ± 8.1%, ∆HR - 7 ± 7 bpm), compared with PRECOOL (∆MPO + 2.9 ± 6.6%, ∆HR - 1 ± 8 bpm). HR during constant-paced cycling was decreased from the pre-acclimation test in both groups (P < 0.001). Only PRECOOL demonstrated lower rectal temperature (Tre) during constant-paced cycling (P = 0.002) and lower Tre threshold for sweating (P = 0.042). However, skin perfusion and total sweat output did not change in either CON or PRECOOL (all P > 0.05). MPO (P = 0.016) and finish time (P = 0.013) for the 20-km TT were improved in PRECOOL but did not change in CON (P = 0.052 for MPO, P = 0.140 for finish time). CONCLUSION: Precooling maintains day-to-day training intensity and does not appear to attenuate adaptation to training in the heat.

Isolated ingestion of caffeine and sodium bicarbonate on repeated sprint performance: A systematic review and meta-analysis.

OBJECTIVES: This study is a systematic review and meta-analysis aimed at investigating the isolated effects of caffeine and sodium bicarbonate (NaHCO3) ingestion on repeated sprint ability (RSA). METHODS: Following a search through PubMed and Scopus, 13 studies (7 with caffeine and 6 with NaHCO3) were found to meet inclusion criteria. Random-effects of standardized mean difference (SMD) for total work and best sprint performance was examined. Study quality was assessed using QualSyst. RESULTS: The meta-analysis indicated that caffeine ingestion did not improve the total work done (weighted average effect size Hedges's g = -0.01, 95%CI: -0.32 to 0.31, p = 0.97), best sprint (weighted average effect size Hedges's g = -0.02, 95% CI: -0.32 to 0.27; p = 0.87) or last sprint performance (weighed average effect size Hedge's g = -0.27, 95%CI: -0.68 to 0.14; p = 0.20), when compared with a placebo condition. Similarly, NaHCO3 ingestion did not improve the total work done (weighted average effect size Hedges's g = 0.43, 95% CI: -0.11 to 0.97, p = 0.12), best sprint (weighted average effect size Hedges's g = 0.02, 95% CI -0.30 to 0.34; p = 0.90) or last sprint performance (weighted average effect size Hedge's g = 0.20, 95%CI: -0.13 to 0.52, p = 0.14), compared with a placebo condition. Quality assessment of selected articles was classified as strong. CONCLUSION: This meta-analysis provides evidence that repeated sprint ability is not affected by acute ingestion of caffeine or NaHCO3.

Effect of ice slushy ingestion and cold water immersion on thermoregulatory behavior.

Two studies were conducted to examine the effects of ice slushy ingestion (ICE) and cold water immersion (CWI) on thermoregulatory and sweat responses during constant (study 1) and self-paced (study 2) exercise. In study 1, 11 men cycled at 40-50% of peak aerobic power for 60 min (33.2 ± 0.3°C, 45.9 ± 0.5% relative humidity, RH). In study 2, 11 men cycled for 60 min at perceived exertion (RPE) equivalent to 15 (33.9 ± 0.2°C and 42.5 ± 3.9%RH). In both studies, each trial was preceded by 30 min of CWI (~22°C), ICE or no cooling (CON). Rectal temperature (Tre), skin temperature (Tsk), thermal sensation, and sweat responses were measured. In study 1, ICE decreased Tre-Tsk gradient versus CON (p = 0.005) during first 5 min of exercise, while CWI increased Tre-Tsk gradient versus CON and ICE for up to 20 min during the exercise (p<0.05). In study 2, thermal sensation was lower in CWI versus CON and ICE for up to 35-40 min during the exercise (p<0.05). ICE reduced thermal sensation versus CON during the first 20 min of exercise (p<0.05). In study 2, CWI improved mean power output (MPO) by ~8 W, compared with CON only (p = 0.024). In both studies, CWI (p<0.001) and ICE (p = 0.019) delayed sweating by 1-5 min but did not change the body temperature sweating threshold, compared with CON (both p>0.05). Increased Tre-Tsk gradient by CWI improved MPO while ICE reduced Tre but did not confer any ergogenic effect. Both precooling treatments attenuated the thermal efferent signals until a specific body temperature threshold was reached.

Peripheral blood flow changes in response to postexercise cold water immersion.

This study compared the effect of postexercise water immersion (WI) at different temperatures on common femoral artery blood flow (CFA), muscle (total haemoglobin; tHb) and skin perfusion (cutaneous vascular conductance; CVC), assessed by Doppler ultrasound, near-infrared spectroscopy (NIRS) and laser Doppler flowmetry, respectively. Given that heat stress may influence the vascular response during cooling, nine men cycled for 25 min at the first ventilatory threshold followed by intermittent 30-s cycling at 90% peak power until exhaustion at 32·8 ± 0·4°C and 32 ± 5% RH. They then received 5-min WI at 8·6 ± 0·2°C (WI9 ), 14·6 ± 0·3°C (WI15 ), 35·0 ± 0·4°C (WI35 ) or passive rest (CON) in a randomized, crossover manner. Heart rate (HR), mean arterial pressure (MAP), muscle (Tmu ), thigh skin (Tthigh ), rectal (Tre ) and mean body (Tbody ) temperatures were assessed. At 60 min postimmersion, decreases in Tre after WI35 (-0·6 ± 0·3°C) and CON (-0·6 ± 0·3°C) were different from WI15 (-1·0 ± 0·3°C; P<0·05), but not from WI9 (-1·0 ± 0·3°C; P = 0·074-0·092). WI9 and WI15 had reduced Tbody , Tthigh and Tmu compared with WI35 and CON (P <0·05). CFA, tHb and CVC were lower in WI9 and WI15 compared with CON (P<0·05). tHb following WI9 remained lower than CON (P = 0·044) at 30 min postimmersion. CVC correlated with tHb during non-cooling (WI35 and CON) (r2  = 0·532; P<0·001) and cooling recovery (WI9 and WI15 ) (r2  = 0·19; P = 0·035). WI9 resulted in prolonged reduction in muscle perfusion. This suggests that CWI below 10°C should not be used for short-term (i.e. <60 min) recovery after exercise.

Ergogenic effects of precooling with cold water immersion and ice ingestion: A meta-analysis.

This review evaluated the effects of precooling via cold water immersion (CWI) and ingestion of ice slurry/slushy or crushed ice (ICE) on endurance performance measures (e.g. time-to-exhaustion and time trials) and psychophysiological parameters (core [Tcore] and skin [Tskin] temperatures, whole body sweat [WBS] response, heart rate [HR], thermal sensation [TS], and perceived exertion [RPE]). Twenty-two studies were included in the meta-analysis based on the following criteria: (i) cooling was performed before exercise with ICE or CWI; (ii) exercise longer than 6 min was performed in ambient temperature ≥26°C; and (iii) crossover study design with a non-cooling passive control condition. CWI improved performance measures (weighted average effect size in Hedges' g [95% confidence interval] + 0.53 [0.28; 0.77]) and resulted in greater increase (ΔEX) in Tskin (+4.15 [3.1; 5.21]) during exercise, while lower peak Tcore (-0.93 [-1.18; -0.67]), WBS (-0.74 [-1.18; -0.3]), and TS (-0.5 [-0.8; -0.19]) were observed without concomitant changes in ΔEX-Tcore (+0.19 [-0.22; 0.6]), peak Tskin (-0.67 [-1.52; 0.18]), peak HR (-0.14 [-0.38; 0.11]), and RPE (-0.14 [-0.39; 0.12]). ICE had no clear effect on performance measures (+0.2 [-0.07; 0.46]) but resulted in greater ΔEX-Tcore (+1.02 [0.59; 1.45]) and ΔEX-Tskin (+0.34 [0.02; 0.67]) without concomitant changes in peak Tcore (-0.1 [-0.48; 0.28]), peak Tskin (+0.1 [-0.22; 0.41]), peak HR (+0.08 [-0.19; 0.35]), WBS (-0.12 [-0.42; 0.18]), TS (-0.2 [-0.49; 0.1]), and RPE (-0.01 [-0.33; 0.31]). From both ergogenic and thermoregulatory perspectives, CWI may be more effective than ICE as a precooling treatment prior to exercise in the heat.

Reliability of laser Doppler, near-infrared spectroscopy and Doppler ultrasound for peripheral blood flow measurements during and after exercise in the heat.

This study examined the test-retest reliability of near-infrared spectroscopy (NIRS), laser Doppler flowmetry (LDF) and Doppler ultrasound to assess exercise-induced haemodynamics. Nine men completed two identical trials consisting of 25-min submaximal cycling at first ventilatory threshold followed by repeated 30-s bouts of high-intensity (90% of peak power) cycling in 32.8 ± 0.4°C and 32 ± 5% relative humidity (RH). NIRS (tissue oxygenation index [TOI] and total haemoglobin [tHb]) and LDF (perfusion units [PU]) signals were monitored continuously during exercise, and leg blood flow was assessed by Doppler ultrasound at baseline and after exercise. Cutaneous vascular conductance (CVC; PU/mean arterial pressure (MAP)) was expressed as the percentage change from baseline (%CVCBL). Coefficients of variation (CVs) as indicators of absolute reliability were 18.7-28.4%, 20.2-33.1%, 42.5-59.8%, 7.8-12.4% and 22.2-30.3% for PU, CVC, %CVCBL, TOI and tHb, respectively. CVs for these variables improved as exercise continued beyond 10 min. CVs for baseline and post-exercise leg blood flow were 17.8% and 10.5%, respectively. CVs for PU, tHb (r2 = 0.062) and TOI (r2 = 0.002) were not correlated (P > 0.05). Most variables demonstrated CVs lower than the expected changes (35%) induced by training or heat stress; however, minimum of 10 min exercise is recommended for more reliable measurements.