Fully Integrated Wearable Device for Continuous Sweat Lactate Monitoring in Sports.

The chemical digitalization of sweat using wearable sensing interfaces is an attractive alternative to traditional blood-based protocols in sports. Although sweat lactate has been claimed to be a relevant biomarker in sports, an analytically validated wearable system to prove that has not yet been developed. We present a fully integrated sweat lactate sensing system applicable to in situ perspiration analysis. The device can be conveniently worn in the skin to monitor real-time sweat lactate during sports, such as cycling and kayaking. The novelty of the system is threefold: advanced microfluidics design for sweat collection and analysis, an analytically validated lactate biosensor based on a rational design of an outer diffusion-limiting membrane, and an integrated circuit for signal processing with a custom smartphone application. The sensor covering the range expected for lactate in sweat (1-20 mM), with appropriate sensitivity (-12.5 ± 0.53 nA mM-1), shows an acceptable response time (<90 s), and the influence of changes in pH, temperature, and flow rate are neglectable. Also, the sensor is analytically suitable with regard to reversibility, resilience, and reproducibility. The sensing device is validated through a relatively high number of on-body tests performed with elite athletes cycling and kayaking in controlled environments. Correlation outcomes between sweat lactate and other physiological indicators typically accessible in sports laboratories (blood lactate, perceived exhaustion, heart rate, blood glucose, respiratory quotient) are also presented and discussed in relation to the sport performance monitoring capability of continuous sweat lactate.

The Modern Double-Poling Technique Is Not More Energy Efficient Than the Old-Fashioned Double-Poling Technique at a Submaximal Work Intensity.

The purpose of the study was to investigate whether there are energy-efficiency differences between the execution of the old-fashioned double-poling technique (DPOLD) and the modern double-poling technique (DPMOD) at a submaximal work intensity among elite male cross-country skiers. Fifteen elite male cross-country skiers completed two 4-min tests at a constant mechanical work rate (MWR) using the DPMOD and DPOLD. During the last minute of each test, the mean oxygen uptake (VO2) and respiratory exchange ratio (RER) were analyzed, from which the metabolic rate (MR) and gross efficiency (GE) were calculated. In addition, the difference between pretest and posttest blood-lactate concentrations (BLadiff) was determined. For each technique, skiers' joint angles (i.e., heel, ankle, knee, hip, shoulder, and elbow) were analyzed at the highest and lowest positions during the double-poling cycle. Paired-samples t-tests were used to investigate differences between DPMOD and DPOLD outcomes. There were no significant differences in either VO2mean, MR, GE, or BLadiff (all P > 0.05) between the DPMOD and DPOLD tests. DPMOD execution was associated with a higher RER (P < 0.05). Significant technique-specific differences were found in either the highest and/or the lowest position for all six analyzed joint angles (all P < 0.001). Hence, despite decades of double-poling technique development, which is reflected in the significant biomechanical differences between DPOLD and DPMOD execution, at submaximal work intensity, the modern technique is not more energy efficient than the old-fashioned technique.

Effect of sub-technique transitions on energy expenditure and physiological load in the classical-style technique among elite male cross-country skiers.

PURPOSE: To investigate whether sub-technique transitions in the classical-style technique are associated with increased energy expenditure and/or metabolic stress among elite male cross-country skiers. METHODS: Fifteen elite male skiers completed three 10-min treadmill roller-skiing tests, each of which consisted of 5 min using the diagonal-stride technique (DS) and 5 min using the double-poling technique (DP), combined in three various modes all ensuring comparable mechanical workload, at an inclination of 2.5° and a speed of 13 km/h. In the first and third tests, the participants used 5 min continuous DS followed by 5 min continuous DP, or vice versa (no transition (NT) test), whereas in the second test, they made transitions between DS and DP every 6 s (repeated transition (RT) test). The last 3 min of each 5-min stage was used to calculate the mean values of oxygen uptake ([Formula: see text]), respiratory exchange ratio (RER), metabolic rate (MR), mechanical work rate (MWR), and gross efficiency (GE). In addition, the pre-post-difference in blood lactate concentration (Ladiff) was determined for each test. Paired-samples t tests were used to investigate differences between tests. RESULTS: There were no significant differences between NT and RT tests regarding V̇O2, MR, MWR, or GE. Conversely, significant differences were found in RER and Ladiff, where the NT test was associated with higher RER and Ladiff values. CONCLUSIONS: Roller skiing with repeated sub-technique transitions is not associated with an additional aerobic energy contribution; instead, the anaerobic energy contribution was lower compared to that under continuous use of DS and DP.

Differences in nitric oxide airway diffusion after maximum oxygen uptake test in asthmatic and nonasthmatic elite junior cross-country skiers.

Asthma is common in cross-country skiers and is often treated with ß2-agonists and inhaled corticosteroids (ICS). Exhaled nitric oxide (NO) is often used to guide ICS treatment in asthma. This study investigated the change in pulmonary NO dynamics before and after a maximum oxygen uptake (V'O2 max) test. An extended NO analysis was performed among Swedish elite junior cross-country skiers (n=25), with and without declared asthma, before and after a V'O2 max test using roller skis. Asthma was declared by six boys and two girls among whom five occasionally used ICSs. There were no differences in baseline NO parameters between those with and without declared asthma. The median (interquartile range) diffusion capacity over airway wall (D awNO) was 21 (17-25) mL·s-1, which is much increased for this age group. After the V'O2 max test, there were statistically significant differences from the baseline fraction of exhaled NO (F ENO50 ), NO flux from airways, D awNO and alveolar NO values; but not in the NO content in airway wall (C awNO) for all subjects together as one group. However, in the asthma group, differences were only seen in F ENO50 and C awNO. Interestingly, a majority of the subjects had an increase in the D awNO. An increase in D awNO has been found with allergic asthma together with elevated C awNO. The skiers did not have elevated C awNO, which indicates an absence of inflammation in the airway wall. Modelling of lung NO production clearly shows that the asthma among our skiers is distinct from the allergic asthma in nonathletes.

The effects of strength training versus ski-ergometer training on double-poling capacity of elite junior cross-country skiers.

PURPOSE: To compare the effects of strength training versus ski-ergometer training on double-poling gross efficiency (GE), maximal speed (V max), peak oxygen uptake ([Formula: see text]) for elite male and female junior cross-country skiers. METHODS: Thirty-three elite junior cross-country skiers completed a 6-week training-intervention period with two additional 40-min training sessions per week. The participants were matched in pairs and within each pair randomly assigned to either a strength-training group (STR) or a ski-ergometer-training group (ERG). Before and after the intervention, the participants completed three treadmill roller-skiing tests to determine GE, V max, and [Formula: see text]. Mixed between-within subjects analysis of variance (ANOVA) was conducted to evaluate differences between and within groups. Paired samples t tests were used as post hoc tests to investigate within-group differences. RESULTS: Both groups improved their V max and [Formula: see text] expressed absolutely (all P < 0.01). For the gender-specific sub-groups, it was found that the female skiers in both groups improved both V max and [Formula: see text] expressed absolutely (all P < 0.05), whereas the only within-group differences found for the men were improvements of V max in the STR group. No between-group differences were found for any of the investigated variables. CONCLUSIONS: Physiological and performance-related variables of importance for skiers were improved for both training regimes. The results demonstrate that the female skiers' physiological adaptations to training, in general, were greater than those of the men. The magnitude of the physiological adaptations was similar for both training regimes.

Physiological Demands of Competitive Sprint and Distance Performance in Elite Female Cross-Country Skiing.

Carlsson, M, Carlsson, T, Wedholm, L, Nilsson, M, Malm, C, and Tonkonogi, M. Physiological demands of competitive sprint and distance performance in elite female cross-country skiing. J Strength Cond Res 30(8): 2138-2144, 2016-The purpose was to investigate the relationship between elite females' competitive performance capability in sprint and distance cross-country skiing and the variables of gross efficiency (GE), work rate at the onset of blood-lactate accumulation (OBLA4mmol), maximal oxygen uptake (V[Combining Dot Above]O2max), maximal speed (Vmax), and peak upper-body oxygen uptake (V[Combining Dot Above]O2peak). Ten elite female cross-country skiers (age 24.5 ± 2.8 years) completed treadmill roller-skiing tests to determine GE, OBLA4mmol, and V[Combining Dot Above]O2max using the diagonal-stride technique as well as Vmax and V[Combining Dot Above]O2peak using the double-poling technique. International Ski Federations ranking points for sprint (FISsprint) and distance (FISdist) races were used as competitive performance data. There were correlations between the FISsprint and the V[Combining Dot Above]O2max expressed absolutely (p = 0.0040), Vmax (p = 0.012), and V[Combining Dot Above]O2peak expressed absolutely (p < 0.001) and as a simple ratio-standard (p = 0.049). The FISdist were correlated with OBLA4mmol (p = 0.048), V[Combining Dot Above]O2max expressed absolutely (L·min) (p = 0.015) and as a simple ratio-standard (p = 0.046), and V[Combining Dot Above]O2peak expressed absolutely (p = 0.036) and as a simple ratio-standard (ml·min·kg) (p = 0.040). The results demonstrate that the physiological abilities reflected by V[Combining Dot Above]O2max and V[Combining Dot Above]O2peak are indicators of competitive sprint and distance performance in elite female cross-country skiing. In addition, the ability to generate a high Vmax indicates the performance in sprint races, whereas the skier's OBLA4mmol reflects the performance capability in distance races. Based on the results, when evaluating the performance capacity of elite female cross-country skiers, it is recommended to use physiological variables that reflect competitive performance.