Disparities in physical activity between sexual minority and heterosexual women: A systematic review and meta-analysis.

Research examining potential differences in physical activity (PA) between sexual minority women (SMW) and heterosexual women have yielded inconsistent results. OBJECTIVE: Therefore, the purpose of this systematic review and meta-analysis is to examine potential differences in PA between SMW and heterosexual women and to identify potential moderators that may partially explain observed differences in PA. METHODS: All studies were peer reviewed, published in English, and included a continuous measure of PA for SMW and heterosexual women. A standardized mean difference effect size (ES) was used to compare groups, with random effects models used to estimate a mean ES and 95% CI using a 3-level meta-analysis model to adjust for the correlation between effects nested within studies. RESULTS: The cumulative results of 24 effects gathered from 7 studies indicated there was no difference in PA between SMW (n = 1619) and heterosexual women (n = 103,295) (ES = -0.038, 95%CI -0.179 to 0.102, p = 0.576). Despite no mean differences, moderate-high heterogeneity was observed, indicating that the results were not consistent across effects (I2 = 64.8%, Q23 = 36.7, p = 0.035). The difference in PA was associated with age (ß = -0.018, 95%CI -0.034 to -0.003, p = 0.022) and BMI (ß = -0.145, 95%CI -0.228 to -0.061, p = 0.002), with a quadratic relationship observed for both variables. CONCLUSIONS: Although the results of the current analysis did not indicate significant differences in PA behaviors between SMW and heterosexual women, age and BMI modify the association and are curvilinear in nature; such that smaller differences in PA were observed between SMW and heterosexual women when samples were middle-aged and overweight.

Repeated cold-water immersion improves autonomic cardiac modulation following five sessions of high-intensity interval exercise.

PURPOSE: The study aimed to investigate the effect of repeated cold-water immersion (CWI) after high-intensity interval exercise sessions on cardiac-autonomic modulation, neuromuscular performance, muscle damage markers, and session internal load. METHODS: Twenty-one participants underwent five sessions of high-intensity interval exercise (6-7 bouts of 2 min; pause of 2 min) over a two-week period. Participants were allocated randomly into either a group that underwent CWI (11-min; 11 °C) or a group that performed passive recovery after each exercise session. Before the exercise sessions were performed, countermovement jump (CMJ) and heart rate variability were recorded (i.e., rMSSD, low and high frequency power and its ratio, SD1 and SD2). Exercise heart rate was calculated by recording the area under the curve (AUC) response. Internal session load was evaluated 30 min after each session. Blood concentrations of creatine kinase and lactate dehydrogenase were analyzed before the first visit and 24 h after the last sessions. RESULTS: The CWI group presented higher rMSSD than the control group at each time point (group-effect P = 0.037). The SD1 was higher in CWI group when compared to the control group following the last exercise session (interaction P = 0.038). SD2 was higher in CWI group compared to the control group at each time point (group-effect P = 0.030). Both groups presented equal CMJ performance (P > 0.05), internal load (group-effect P = 0.702; interaction P = 0.062), heart rate AUC (group-effect P = 0.169; interaction P = 0.663), and creatine kinase and lactate dehydrogenase blood concentrations (P > 0.05). CONCLUSION: Repeated post-exercise CWI improves cardiac-autonomic modulation. However, no differences in neuromuscular performance, muscle damage markers, or session internal load were demonstrated between the groups.

Agreement Between A 2-Dimensional Digital Image-Based 3-Compartment Body Composition Model and Dual Energy X-Ray Absorptiometry for The Estimation of Relative Adiposity.

The purpose of this study was to compare relative adiposity (%Fat) derived from a 2-dimensional image-based 3-component (3C) model (%Fat3C-IMAGE) and dual-energy X-ray absorptiometry (DXA) (%FatDXA) against a 5-component (5C) laboratory criterion (%Fat5C). 57 participants were included (63.2% male, 84.2% White/Caucasian, 22.5±4.7 yrs., 23.9±2.8 kg/m2). For each participant, body mass and standing height were measured to the nearest 0.1 kg and 0.1 cm, respectively. A digital image of each participant was taken using a 9.7 inch, 16g iPad Air 2 and analyzed using a commercially available application (version 1.1.2, made Health and Fitness, USA) for the estimation of body volume (BV) and inclusion in %Fat3C-IMAGE . %Fat3C-IMAGE and %Fat5C included measures of total body water derived from bioimpedance spectroscopy. The criterion %Fat5C included BV estimates derived from underwater weighing and bone mineral content measures via DXA. %FatDXA estimates were calculated from a whole-body DXA scan. A standardized mean effect size (ES) assessed the magnitude of differences between models with values of 0.2, 0.5, and 0.8 for small, moderate, and large differences, respectively. Data are presented as mean ± standard deviation. A strong correlation (r = 0.94, p <.001) and small mean difference (ES = 0.24, p <.001) was observed between %Fat3C-IMAGE (19.20±5.80) and %Fat5C (17.69±6.20) whereas a strong correlation (r = 0.87, p <.001) and moderate-large mean difference (ES = 0.70, p <.001) was observed between %FatDXA (22.01±6.81) and %Fat5C. Furthermore, %Fat3C-IMAGE (SEE = 2.20 %Fat, TE= 2.6) exhibited smaller SEE and TE than %FatDXA (SEE = 3.14 %Fat, TE = 5.5). The 3C image-based model performed slightly better in our sample of young adults than the DXA 3C model. Thus, the 2D image analysis program provides an accurate and non-invasive estimate of %Fat within a 3C model in young adults. Compared to DXA, the 3C image-based model allows for a more cost-effective and portable method of body composition assessment, potentially increasing accessibility to multi-component methods.

Tracking the Fatigue Status after a Resistance Exercise through Different Parameters.

The purpose of the study was to investigate the sensitivity of back squat bar velocity, isometric mid-thigh pull, heart rate variability parameters, perceived recovery scale and step counts for tracking the muscular fatigue time-course (reduction in countermovement jump [CMJ] performance) after strenuous acute lower limb resistance exercise. Sixteen healthy men performed heart rate variability assessment, perceived recovery scale, CMJ, back squat bar velocity, isometric mid-thigh pull, and daily step counts before and 24 h, 48 h and 72 h post a strenuous acute lower limb resistance exercise (8×10 repetitions). The CMJ height decreased at 24 and 48 h after exercise session (p≤0.017), evidencing the muscular fatigue. The perceived recovery scale presented lower values compared to baseline until 72 h after exercise session (p<0.001 for all). The heart rate variability parameters and step counts were not significantly different across time. At 24 h post, only mean force of mid-thigh pull was decreased (p=0.044), while at 48 h post, only peak force of mid-thigh pull was decreased (p=0.020). On the last day (72 h), only bar velocity (mean) presented reduction (p=0.022). Therefore, the perceived recovery scale was the only variable sensible to tracking muscular fatigue, i. e. presenting a similar time-course to CMJ height.

Effect of Competitive Status and Experience on Heart Rate Variability Profiles in Collegiate Sprint-Swimmers.

ABSTRACT: Flatt, AA, Hornikel, B, Nakamura, FY, and Esco, MR. Effect of competitive status and experience on heart rate variability profiles in collegiate sprint-swimmers. J Strength Cond Res 36(10): 2898-2904, 2022-Interindividual differences in training history may be a determinant of heart rate variability (HRV) profiles in collegiate sprint-swimmers and may account for differences observed between elite and subelite athletes. We therefore compared HRV profiles among national-level and conference-level sprint-swimmers while accounting for individual swim-training history. Twenty-eight short-distance swimmers (18 men and 10 women) recorded postwaking HRV throughout a 4-week standardized training period. The 4-week mean (M) and coefficient of variation (CV, a marker of daily fluctuation) were calculated for resting heart rate (RHR) and the natural logarithm of the root mean square of successive differences (LnRMSSD). Swimmers were categorized as national-level (n = 12) or conference-level (n = 16) competitors. Years of competitive experience was documented for each individual to index training history. p < 0.05 was considered statistically significant. No sex-related differences were observed for any variables (p > 0.05). LnRMSSDM (effect size [ES] = 0.95), LnRMSSDCV (ES = -1.18), RHRCV (ES = -1.05), and competitive experience (ES = 1.23) differed between status groups (p < 0.05). Accounting for multicollinearity between competitive experience and LnRMSSD variables (p < 0.05), competitive experience remained associated with LnRMSSDM (r = 0.44, p = 0.02). With competitive experience included as a covariate, differences in LnRMSSDM between status groups disappeared (p > 0.05, ES = 0.31). National-level swimmers exhibit higher and more stable LnRMSSD than that of their conference-level teammates throughout standardized training. Differences in trend characteristics were attributed to training age. This information may assist practitioners with interpreting interindividual differences in HRV profiles throughout training periods among a mixed roster of athletes.

Examining Race-Related Error in Two-Compartment Models of Body Composition Assessment: A Systematic Review and Meta-Analysis.

BACKGROUND: The Brozek and Siri formulas estimate relative adiposity (%Fat) from total body density (Db) using a 2-compartment (2C) model. Racial/ethnic differences in Db have been reported, along with subsequent errors in estimated %Fat. OBJECTIVE: The primary aim of this systematic review and meta-analysis was to examine potential race/ethnic differences in the accuracy of the Brozek and Siri 2C formulas using aggregate-level data. METHODS: Peer-reviewed studies available in English that provided 2C and 4C estimates of %Fat were located using searches of the PubMed (n = 150), Scopus (n = 170), and Web of Science (n = 138) online electronic databases. Random-effects models were used to determine potential differences between racial groups using a mean ES and 95% confidence intervals. RESULTS: The cumulative results from 78 effects indicate that the relative accuracy of the Brozek equation did not vary between racial groups (between group p = 0.053). In contrast, the Siri equation slightly underestimated %Fat for Asian adults (ESWMD = -1.40%, 95%CI -2.33% to -0.46%; p = 0.004) and Black adults (ESWMD = -1.10%, 95%CI -2.11% to -0.08%; p = 0.034), with no significant differences observed in Hispanic adults (ESWMD = 0.64%, 95%CI -1.02% to 2.31%; p = 0.448) and White adults (ESWMD = 0.08%, 95%CI -0.42% to 0.57%; p = 0.766) (between group p = 0.019). CONCLUSION: Small, but statistically significant, error was found between racial groups when estimating %Fat using the 2C Siri equation when compared to 4C models. However, the observed error due to race/ethnicity appears to be of little clinical or practical significance when using either equation.

Validity of Wearable Electromyographical Compression Shorts to Predict Lactate Threshold During Incremental Exercise in Healthy Subjects.

ABSTRACT: Snarr, RL, Tolusso, DV, Hallmark, AV, and Esco, MR. Validity of wearable electromyographical compression shorts to predict lactate threshold during incremental exercise in healthy subjects. J Strength Cond Res 35(3): 702-708, 2021-Determination of lactate threshold (LT) is an important variable in improving cardiovascular endurance and performance. Unfortunately, monitoring LT during exercise uses a costly, invasive blood analysis. Recently, electromyography (EMG) has been deemed a potential method of monitoring exercise intensity and may provide a noninvasive technique to monitor lactate during exercise. The purpose of this investigation was to determine if wearable surface EMG technology, acquired from specialized compression shorts, could estimate the LT work rate during incremental cycling. Thirteen men (n = 9) and women (n = 4) completed a maximal exercise test on a cycle ergometer. Blood lactate was measured every minute, whereas EMG was recorded throughout at the site of the vastus lateralis. Lactate and EMG thresholds were calculated using the Dmax method and compared using a Wilcoxon matched-pairs signed-rank test. Results demonstrated no significant differences between lactate and EMG thresholds in regards to work output (p = 0.83), percent maximal heart rate (p = 0.13; Cohen's d = 0.43), or percent peak oxygen consumption (p = 0.64; Cohen's d = 0.09). This confirms that both lactate and EMG exhibit similar properties (i.e., increasing exponential values) during incremental exercise. A possible mechanism includes the rise in blood lactate concentration, which increases motor unit recruitment in an attempt to maintain proper cadence and force output during incremental exercise. Thus, a coincidental, exponential increase in EMG amplitude may occur. Therefore, wearable EMG compression gear may provide a viable field tool for monitoring training intensity and predicting LT work rates.

Development of a dual-energy X-ray absorptiometry-derived body volume equation in Hispanic adults for administering a four-compartment model.

The purpose of the present study was: (1) to develop a new dual-energy X-ray absorptiometry (DXA)-derived body volume (BV) equation with the GE-Lunar prodigy while utilising underwater weighing (UWW) as a criterion and (2) to cross-validate the novel DXA-derived BV equation (4C-DXANickerson), Wilson DXA-derived BV equation (4C-DXAWilson) and air displacement plethysmography (ADP)-derived BV (4C-ADP) in Hispanic adults. A total of 191 Hispanic adults (18-45 years) participated in the present study. The development sample consisted of 120 females and males (50 % females), whereas the cross-validation sample comprised of forty-one females and thirty males (n 71). Criterion body fat percentage (BF %) and fat-free mass (FFM) were determined using a four-compartment (4C) model with UWW as a criterion for BV (4C-UWW). 4C-DXANickerson, 4C-DXAWilson and 4C-ADP were compared against 4C-UWW in the cross-validation sample. 4C-DXANickerson, 4C-DXAWilson and 4C-ADP all produced similar validity statistics when compared with 4C-UWW in Hispanic males (all P > 0·05). 4C-DXANickerson also yielded similar BF % and FFM values as 4C-UWW when evaluating the mean differences (constant error (CE)) in Hispanic females (CE = -0·79 % and 0·38 kg; P = 0·060 and 0·174, respectively). However, 4C-DXAWilson produced significantly different BF % and FFM values (CE = 3·22 % and -2·20 kg, respectively; both P < 0·001). Additionally, 4C-DXAWilson yielded significant proportional bias when estimating BF % (P < 0·001), whereas 4C-ADP produced significant proportional bias for BF % and FFM (both P < 0·05) when evaluated in Hispanic females. The present study findings demonstrate that 4C-DXANickerson is a valid measure of BV in Hispanics and is recommended for use in clinics, where DXA is the main body composition assessment technique.

Celiac Disease and Bone Health in Children and Adolescents: A Systematic Review and Meta-Analysis.

CONTEXT: Celiac disease is characterized by deficits in bone mineral accrual and longitudinal growth. OBJECTIVE: The purpose of this study was to determine the differences in bone health and stature among children and adolescents with celiac disease versus healthy controls. DATA SOURCES: Articles published before February 27, 2018 were located using searches of the Physical Education Index (n = 186), PubMed (n = 180), Scopus (n = 3), SPORTDiscus (n = 3), and Web of Science (n = 4). STUDY SELECTION: Bone mineral content (BMC) and areal bone mineral density (aBMD) were assessed via dual-energy X-ray absorptiometry, and height was measured using a stadiometer. DATA EXTRACTION: Effect sizes (ES) were calculated as follows: the mean difference of the celiac disease group and healthy control group, divided by the pooled standard deviation. The inverse variance weight was used to calculate the overall mean ES. Random-effects models were used to aggregate a mean ES, 95% confidence intervals (CIs) and to identify potential moderators. RESULTS: The results of 30 effects gathered from 12 studies published between 1996 and 2017 indicated BMC (ES = -0.54, 95% CI: -0.69 to -0.40; p < 0.0001) and aBMD (ES = 0.72, 95% CI: -0.96 to -0.47; p < 0.0001) were lower in youth with celiac disease. LIMITATIONS: These results were limited to only cross-sectional and baseline data from longitudinal studies reporting BMC and BMD, however did not assess changes in bone health over time. CONCLUSION: Children and adolescents with celiac disease have suboptimal bone health and shorter stature.

Heart Rate Variability in College Football Players throughout Preseason Camp in the Heat.

We aimed to characterize cardiac-autonomic responses to a 13-day preseason camp in the heat among an American college football team. Players were categorized as linemen (n=10) and non-linemen (n=18). RHR, natural logarithm of the root-mean square of successive differences multiplied by twenty (LnRMSSD), and subjective wellbeing (LnWellness) were acquired daily. Effect sizes±90% confidence interval showed that for linemen, LnRMSSD decreased (moderate) on day 2 (71.2±10.4) and increased (moderate) on day 12 (87.1±11.2) relative to day 1 (77.9±11.2) while RHR decreased (small-moderate) on days 6, 7, and 12 (67.7±9.3-70.4±5.5 b∙min-1) relative to day 1 (77.1±10.1 b∙min-1). For non-linemen, LnRMSSD increased (small-large) on days 3-5, 7, 12, and 13 (83.4±6.8-87.6±8.5) relative to day 1 (80.0±6.5) while RHR decreased (small-large) on days 3-9, 12, and 13 (62.1±5.2-67.9±8.1 b∙min-1) relative to day 1 (70.8±6.2 b∙min-1). Decrements in LnWellness were observed on days 4-10 and 13 for linemen (moderate) and on days 6-9, 12, and 13 for non-linemen (small-moderate). Despite reductions in LnWellness, cardiac-autonomic parameters demonstrated responses consistent with heat-acclimation, which possibly attenuated fatigue-related decrements.

Validity of Smartphone Heart Rate Variability Pre- and Post-Resistance Exercise.

The aim was to examine the validity of heart rate variability (HRV) measurements from photoplethysmography (PPG) via a smartphone application pre- and post-resistance exercise (RE) and to examine the intraday and interday reliability of the smartphone PPG method. Thirty-one adults underwent two simultaneous ultrashort-term electrocardiograph (ECG) and PPG measurements followed by 1-repetition maximum testing for back squats, bench presses, and bent-over rows. The participants then performed RE, where simultaneous ultrashort-term ECG and PPG measurements were taken: two pre- and one post-exercise. The natural logarithm of the root mean square of successive normal-to-normal (R-R) differences (LnRMSSD) values were compared with paired-sample t-tests, Pearson product correlations, Cohen's d effect sizes (ESs), and Bland-Altman analysis. Intra-class correlations (ICC) were determined between PPG LnRMSSDs. Significant, small-moderate differences were found for all measurements between ECG and PPG: BasePre1 (ES = 0.42), BasePre2 (0.30), REPre1 (0.26), REPre2 (0.36), and REPost (1.14). The correlations ranged from moderate to very large: BasePre1 (r = 0.59), BasePre2 (r = 0.63), REPre1 (r = 0.63), REPre2 (r = 0.76), and REPost (r = 0.41)-all p < 0.05. The agreement for all the measurements was "moderate" (0.10-0.16). The PPG LnRMSSD exhibited "nearly-perfect" intraday reliability (ICC = 0.91) and "very large" interday reliability (0.88). The smartphone PPG was comparable to the ECG for measuring HRV at rest, but with larger error after resistance exercise.

Bench Press Load-Velocity Profiles and Strength After Overload and Taper Microcyles in Male Powerlifters.

Williams, TD, Esco, MR, Fedewa, MV, and Bishop, PA. Bench press load-velocity profiles and strength after overload and taper microcyles in male powerlifters. J Strength Cond Res 34(12): 3338-3345, 2020-The purpose of this study was to quantify the effect of an overload microcycle and taper on bench press velocity and to determine if the load-velocity relationship could accurately predict 1-repetition maximum (1RM). Twelve male powerlifters participated in resistance training structured into an introduction microcycle, overload microcycle (PostOL), and taper (PostTP). At the end of each microcycle, subjects completed a bench press for 1RM assessment consisting of warm-up sets at 40, 55, 70, and 85% of a previously established 1RM. The mean concentric velocity (MCV) was recorded during each warm-up set. A predicted 1RM (p1RM) was calculated using an individualized load-velocity profile (LVP). The average MCV decreased after PostOL (0.66 ± 0.07 m·s) compared with baseline (BL) (p = 0.003; 0.60 ± 0.11 m·s) but increased after PostTP (0.67 ± 0.09 m·s). One-repetition maximum increased from PostOL (146.7 ± 19.8 kg) to PostTP (p = 0.002; 156.1 ± 21.0 kg), with no differences observed between other test sessions (p > 0.05). Bland-Altman analysis indicated that p1RM was consistently higher than measured 1RM (3.4-7.8 kg), and the limits of agreement were extremely wide. However, very large to near perfect correlations (r = 0.89 to 0.96) were observed between p1RM and 1RM during BL, PostOL, and PostTP. The load-velocity relationship established from submaximal sets did not accurately predict 1RM, but MCV was affected by changes in weekly training loads. Velocity-based measurements seem to be more sensitive to changes in training loads than maximal strength.

Heart Rate Variability Changes From Traditional vs. Ultra-Short-Term Recordings in Relation to Preseason Training Load and Performance in Futsal Players.

Nakamura, FY, Antunes, P, Nunes, C, Costa, JA, Esco, MR, and Travassos, B. Heart rate variability changes from traditional vs. ultra-short-term recordings in relation to preseason training load and performance in futsal players. J Strength Cond Res 34(10): 2974-2981, 2020-The aims of this study were to analyze heart rate variability (HRV) changes in futsal players during preseason training using both "criterion" (10-minute) and ultra-shortened (2-minute) measures, and to determine whether they were related to changes in the Yo-Yo Intermittent Recovery Test, level 1 (Yo-Yo IR1) performance and accumulated training load (TL). Eleven male competitive futsal players (age = 25.19 ± 4.70 years; body mass = 73.15 ± 11.70 kg; and height = 176.90 ± 5.01 cm) volunteered for the study. Data collection took place during the first to the fourth weeks of preseason training. Training load was monitored with session ratings of perceived exertion. The total distance (TD) covered during the Yo-Yo IR1 was recorded during week 1 and week 4. Heart rate variability was measured through the log-transformed root mean square of successive normal-to-normal interval differences using the ultra-short analysis, with its weekly mean (lnRMSSDM) and coefficient of variation (lnRMSSDCV) recorded, and by means of the criterion method (weeks 1 and 4). lnRMSSDM was likely higher at week 4 compared with week 1 using both criterion and ultra-short recordings. Moderate-to-large correlations were found between changes in the lnRMSSDM and lnRMSSDCV values and changes in TL and TD (r values ranged from -0.48 to 0.65). Changes in ultra-short HRV measures (i.e., increase in lnRMSSDM and decrease in lnRMSSDCV) during futsal preseason were associated with increased performance. The players who accumulated higher perceived TLs displayed smaller improvements in the Yo-Yo IR1 performance and HRV.

Cardiac-Autonomic Responses to In-Season Training Among Division-1 College Football Players.

Flatt, AA, Esco, MR, Allen, JR, Robinson, JB, Bragg, A, Keith, CM, Fedewa, MV, and Earley, RL. Cardiac-autonomic responses to in-season training among Division-1 college football players. J Strength Cond Res 34(6): 1649-1656, 2020-Despite having to endure a rigorous in-season training schedule, research evaluating daily physiological recovery status markers among American football players is limited. The purpose of this study was to determine whether recovery of cardiac-autonomic activity to resting values occurs between consecutive-day, in-season training sessions among college football players. Subjects (n = 29) were divided into groups based on position: receivers and defensive backs (SKILL, n = 10); running backs, linebackers, and tight-ends (MID-SKILL, n = 11) and linemen (LINEMEN, n = 8). Resting heart rate (RHR) and the natural logarithm of the root mean square of successive differences multiplied by 20 (LnRMSSD) were acquired at rest in the seated position before Tuesday and Wednesday training sessions and repeated over 3 weeks during the first month of the competitive season. A position × time interaction was observed for LnRMSSD (p = 0.04), but not for the RHR (p = 0.33). No differences in LnRMSSD between days was observed for SKILL (Tuesday = 82.8 ± 9.3, Wednesday = 81.9 ± 8.7, p > 0.05). Small reductions in LnRMSSD were observed for MID-SKILL (Tuesday = 79.2 ± 9.4, Wednesday = 76.2 ± 9.5, p ≤ 0.05) and LINEMEN (Tuesday = 79.4 ± 10.5, Wednesday = 74.5 ± 11.5, p ≤ 0.05). The individually averaged changes in LnRMSSD from Tuesday to Wednesday were related to PlayerLoad (r = 0.46, p = 0.02) and body mass (r = -0.39, p = 0.04). Cardiac-parasympathetic activity did not return to resting values for LINEMEN or MID-SKILL before the next training session. Larger reductions in LnRMSSD tended to occur in players with greater body mass despite having performed lower workloads, although some individual variability was observed. These findings may have implications for how coaches and support staff address training and recovery interventions for players demonstrating inadequate cardiovascular recovery between sessions.

Effects of Seasonal Training Load on Performance and Illness Symptoms in Water Polo.

Brisola, GMP, Claus, GM, Dutra, YM, Malta, ES, de Poli, RAB, Esco, MR, and Zagatto, AM. Effects of seasonal training load on performance and illness symptoms in water polo. J Strength Cond Res 34(2): 406-413, 2020-The purpose of the study was to describe the training load distribution of a young female water polo team in different cycles of the season and verify its subsequent effects on specific fitness measured by the repeated sprints ability (RSA) test, aerobic endurance measured by the lactate minimum test, incidence and severity of upper respiratory tract infection (URTI) symptoms, and muscle damage markers. The training load (i.e., rating of perceived exertion × session duration) of 20 young female water polo players (mean ± SD: age = 15.65 ± 1.3 years; body mass = 60.93 ± 11.0 kg; height = 1.62 ± 0.1 m) was monitored, and the incidence and severity of URTI was assessed during part of the season. In addition, we assessed the lactate minimum speed (LMS), RSA, creatine kinase (CK), and lactate dehydrogenase (LDH) blood concentration during the season. The level of significance set was p < 0.05. The training loads were higher in the specific period (p < 0.01), whereas a high incidence of URTI was observed in the general cycle. The LMS was greater in the general cycle (p < 0.05), whereas total time and best time in the RSA test were greater in the competitive cycle (p < 0.05). The CK and LDH concentrations were significantly lower during the competitive cycle (p < 0.01). The general cycle of a female water polo team is critical regarding URTI and muscle damage, even with smaller training loads than the specific period.

Changes in Heart Rate Variability and Fatigue Measures Following Moderate Load Resistance Exercise.

The purpose of this study was to determine the relationship between changes in heart rate variability (HRV), neuromuscular performance, and fatigue biomarkers in response to a resistance exercise bout. The root mean square of successive RR interval differences (RMSSD), neuromuscular performance - isometric handgrip (IHG), countermovement jump (CMJ), mean propulsive velocity (MPV) - metabolic stress (lactate [Lac]) and inflammation (interleukin-6 [IL-6]) were measured in 30 subjects who performed 6×10 back squat (BS), 3×10 bench press (BP), and 3×10 bent-over rows (BR) at 70% of 1-repetition maximum (1RM). The RMSSD, neuromuscular performance, and biomarkers were measured 10 min pre-exercise and 30 min post-exercise (Post30); HRV and Lac were also measured immediately post-exercise (Post0). Pre- versus post-exercise differences were evaluated using paired-samples t-tests. Pearson's correlations were used to determine the association between changes. With the exception of IL-6 (P=0.296) and MPVBP (P=0.678), LnRMSSD, neuromuscular performance, and metabolic stress were different post- compared to pre-exercise. We observed moderate associations between ΔLnRMSSD Post0 and ΔLac Post0 (r = -0.44) and ΔLac Post30 (r = -0.55), respectively. Practitioners should use multiple training load indicators to gain an accurate depiction of recovery.

Effect of Postactivation Potentiation on Explosive Vertical Jump: A Systematic Review and Meta-Analysis.

Dobbs, WC, Tolusso, DV, Fedewa, MV, and Esco, MR. Effect of postactivation potentiation on explosive vertical jump: a systematic review and meta-analysis. J Strength Cond Res 33(7): 2009-2018, 2019-The primary aim of this systematic review and meta-analysis was to quantify the magnitude of the effect of postactivation potentiation (PAP) on explosive vertical power while accounting for the nesting of multiple effects within each study. This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Statement (PRISMA). Original research articles published by January 18, 2018, were located using an electronic search of 4 databases and yielded 759 original publications. Data were extracted and independently coded by 2 authors (W.C.D. and D.V.T.). The standardized mean effect size (ES) was calculated by subtracting the pre-treatment mean from the post-treatment mean and dividing by the pooled SD, adjusting for small sample bias. Multilevel random-effects model was used to aggregate a mean ES and 95% confidence interval (CI) for PAP on vertical jump performance. The cumulative results of 179 effects gathered from 36 studies indicate that PAP does not improve vertical jump performance (ES = 0.08, 95% CI -0.04 to 0.21, p = 0.197), with moderate heterogeneity. Moderator analysis indicated that rest intervals between 3 and 7 minutes provided favorable performance outcomes (ES = 0.18, 95% CI 0.05 to 0.31, p = 0.007). Conversely, rest intervals less than 3 minutes (ES = -0.15, 95% CI -0.31 to 0.01, p = 0.052) or performing isometric contractions (ES = -0.52, 95% CI -0.89 to -0.14, p = 0.007) may be detrimental to performance. Meta-regression indicated that rest interval was the only moderator significantly associated with ES (ß = -0.04, 95% CI -0.57 to -0.02, R = 14.31%, p < 0.001). When appropriate PAP guidelines are followed, an increase in vertical jump performance may be achieved.

Comparison of Lactate and Electromyographical Thresholds After an Exercise Bout.

Snarr, RL, Esco, MR, Tolusso, DV, Hallmark, AV, Earley, RL, Higginbotham, JC, Fedewa, MV, and Bishop, P. Comparison of lactate and electromyographical thresholds after an exercise bout. J Strength Cond Res 33(12): 3322-3331, 2019-The electromyographical threshold (EMGT) has been previously validated as a means to predict the work rate at which lactate threshold (LT) occurs. The reliability of these measures has yet to be examined after a bout of exercise. The purpose was to determine the agreement between electromyography (EMG) and LT after a 30-minute bout of steady-state aerobic exercise. Participants completed 2 graded exercise tests (GXT) on a cycle ergometer separated by 30 minutes of steady-state exercise. Blood lactate was measured the last 45 seconds of each stage during both GXTs, whereas EMG of the vastus lateralis was monitored continuously. Individual agreement demonstrated that pre-exercise and post-exercise LT occurred at the same work rate in 2 of 10 participants, whereas EMGT occurred at the same work rate in 6 of 10 participants. Results showed no mean difference between work rates for LT or EMG threshold for the pre-exercise GXT, but LT was significantly lower (p < 0.01) than EMGT during the post-exercise GXT. Post-GXT LT work rates were also determined to be significantly lower than pre-GXT LT (p = 0.034), whereas no differences existed in EMG thresholds. Although both LT and EMGT testing may display similar properties, they are not interchangeable. The physiological responses to increasing exercise intensity between La and EMG signaling seem to be associated, and their interaction may not be cause-effect. Because of poor individual agreement, caution should be used when determining LT through the use of EMG. Further research is needed to determine the ability of these 2 metrics to prescribe training intensities.

Ultra-shortened time-domain HRV parameters at rest and following exercise in athletes: an alternative to frequency computation of sympathovagal balance.

PURPOSE: The primary purpose of this study was to determine the accuracy of the standard deviation of normal-to-normal intervals (SDNN) to root mean square of successive normal-to-normal interval differences (RMSSD) ratio from 1-min recordings (SDNN:RMSSD1-min) compared to criterion recordings, as well as its relationship to low-frequency-to-high-frequency ratio (LF:HF) at rest and following maximal exercise in a group of collegiate athletes. METHOD: Twenty athletes participated in the study. Heart rate variability (HRV) data were measured for 5 min before and at 5-10 and 25-30 min following a maximal exercise test. From each 5-min segment, the frequency-domain measures of HF, LF, and LF:HF ratio were analyzed. Time-domain measures of SDNN, RMSSD, and SDNN:RMSSD ratio were also analyzed from each 5-min segment, as well as from randomly selected 1-min recordings. RESULT: The 1-min values of SDNN, RMSSD, and SDNN:RMSSD provided no significant differences and nearly perfect intra-class correlations (ICCs ranged from 0.97 to 1.00, p < 0.001 for all) to the criterion measures from 5-min recordings. In addition, SDNN, RMSSD, and SDNN:RMSSD from the 1-min segments provided very large to nearly perfect correlations (r values ranged from 0.71 to 0.97, p < 0.001 for all) to LF, HF, and LF:HF, respectively, at each time point. CONCLUSION: The findings of the study suggest that ultra-shortened time-domain markers may be useful surrogates of the frequency-domain parameters for tracking changes in sympathovagal activity in athletes.

Age-Predicted Maximal Heart Rate Equations Are Inaccurate for Use in Youth Male Soccer Players.

PURPOSE: The purpose of this study was to compare the differences between measured (MHRobt) and predicted (MHRpred) maximal heart rate (MHR) in youth athletes. METHODS: In total, 30 male soccer players [14.6 (0.6) y] volunteered to participate in this study. MHRobt was determined via maximal-effort graded exercise test. Age-predicted MHR (MHRpred) was calculated for each participant using equations by Fox, Tanaka, Shargal, and Nikolaidis. Mean differences were compared using Friedman's 2-way analysis of variance and post hoc pairwise comparisons. Agreement between MHRobt and MHRpred values was calculated using the Bland-Altman method. RESULTS: There were no significant differences between MHRobt and MHRpred from the Fox (P = .777) and Nikolaidis (P = .037) equations. The Tanaka and Shargal equations significantly underestimated MHRobt (P < .001). All 4 equations produced 95% limits of agreement of ±15.0 beats per minute around the constant error. CONCLUSIONS: The results show that the Fox and Nikolaidis equations produced the smallest mean difference in predicting MHRobt. However, the wide limits of agreement suggests that none of the equations adequately account for individual variability in MHRobt. Practitioners should avoid applying these equations in youth athletes and utilize a lab or field testing protocol to obtain MHR.