Downhill running increases markers of muscle damage and impairs the maximal voluntary force production as well as the late phase of the rate of voluntary force development.

PURPOSE: To examined the time-course of the early and late phase of the rate of voluntary force development (RVFD) and muscle damage markers after downhill running. METHODS: Ten recreational runners performed a 30-min downhill run at 10 km h-1 and -20% (-11.3°) on a motorized treadmill. At baseline and each day up to 4 days RVFD, knee extensors maximum voluntary isometric force (MVIC), serum creatine kinase (CK) concentration, quadriceps swelling, and soreness were assessed. The early (0-50 ms) and late (100-200 ms) phase of the RVFD, as well as the force developed at 50 and 200 ms, were also determined. RESULTS: MVIC showed moderate decrements (p < 0.05) and recovered after 4 days (p > 0.05). Force at 50 ms and the early phase were not impaired (p > 0.05). Conversely, force at 200 ms and the late phase showed moderate decrements (p < 0.05) and recovered after 3 and 4 days, respectively (p > 0.05). CK concentration, quadriceps swelling, and soreness increased (p < 0.05) were overall fully resolved after 4 days (p > 0.05). CONCLUSION: Downhill running affected the knee extensors RVFD late but not early phase. The RVFD late phase may be used as an additional marker of muscle damage in trail running.

High Physical Activity Volume Is Associated With an Increase in the Calibre of the Lower Limb Veins Without Impact on Functional Discomfort: the VARISPORT Study.

OBJECTIVE: The relationship between physical activity and lower limb veins is complex. If a sedentary lifestyle is considered to be negative on lower limb veins, specific information on physical activity varicose vein volume is sparse, especially the effect of high physical activity volume. The main objective of the VARISPORT study was to evaluate lower limb veins (clinically, morphologically, and haemodynamically) and chronic venous disease symptoms in subjects exposed to high physical activity volume compared with a group of non-exposed subjects. METHODS: A cross sectional study compared a group of high exercise training volume volunteers (more than eight hours of uninterrupted vigorous intensity physical activity per week for more than six months: high physical activity volume group, HPAV group) with a volunteer control group matched for age, sex, and body mass index. Clinical examination was performed to determine the Clinical, Etiological, Anatomical, Pathophysiological (CEAP) classification of each subject and the Carpentier score was used to assess symptoms related to possible chronic venous disease. Duplex ultrasonography was used to assess vein diameters and reflux in the deep and superficial veins. RESULTS: One hundred and nineteen subjects were included in each group. The lower limb veins (deep and superficial) were significantly more dilated in the HPAV group. More reflux was found in the great saphenous veins and non-saphenous veins in the HPAV group. High physical activity volume was associated with a higher frequency of visible varicose veins (stage C2 of the CEAP classification), odds ratio 3.37 (95% confidence interval 1.66 - 7.25) without impact on functional discomfort (44 subjects with a Carpentier score ≥ 1 in each group). CONCLUSION: The VARISPORT study reported an increase in the calibre of the lower limb veins without impact on functional discomfort. Further studies are needed to determine whether these athletic veins are truly pathological varicose veins or simply an adaptation to high physical activity volumes.

Physically active men present a healthier cardiometabolic profile in response to a balanced meal compared to inactive men.

PURPOSE: Post-meal cardiometabolic responses are critical for health, and may be influenced by physical activity. The objective of this study was to investigate the effect of habitual physical activity level on the metabolic, autonomic nervous system and cardiovascular responses to a balanced meal in healthy men. METHODS: 12 active and 12 inactive healthy males, matched for age and body composition, attended the laboratory in fasting condition. Participants were asked to sit quietly and comfortably in an armchair for the whole duration of the experiment (~ 2h30). Metabolic, autonomic nervous system and cardiovascular measurements were performed in fasting conditions, and at regular intervals until one hour after the end of a balanced breakfast. RESULTS: No significant difference was observed between groups in glycaemia or energy expenditure throughout the experiment. Fat oxidation rate was significantly higher one-hour post-meal in active vs inactive men (Respiratory Quotient: 0.78 ± 0.04 vs 0.88 ± 0.03; p < 0.01). Heart rate was significantly lower in active compared to inactive individuals (p < 0.001) throughout the experiment and active participants displayed significantly enhanced vagal tone one-hour post-meal (square root of the sum of successive differences between adjacent normal R-R intervals squared: 72.4 ± 27.9 vs 46.4 ± 14.1 ms; p < 0.05). CONCLUSION: In healthy men, habitual physical activity level seems discriminant to decipher specific profiles in terms of cardiometabolic responses to a meal. Overall, it may suggest pre-signal cardiometabolic impairments in healthy inactive individuals and highlight the need to consider primary prevention in inactive subjects as a key factor for health management.

Cardiometabolic and neuromuscular analyses of the sit-to-stand transition to question its role in reducing sedentary patterns.

To counteract the detrimental health effect of sitting all day long, it has been suggested to regularly break sitting time by standing. However, while the difference in energy expenditure, neuromuscular and/or cardiovascular demand of various postures from lying, sitting, and standing is well documented, little is known regarding the dynamic changes occurring during the sit-to-stand transition itself. The aim of the present study was then to describe the cardiometabolic and neuromuscular responses from sitting to standing and specifically during the time-course of this transition. Twelve healthy young participants were asked to perform standardized raises from sitting posture, while cardiometabolic (cardiorespiratory and hemodynamic variables) and neuromuscular (calf muscles' myoelectrical activity, spinal and supraspinal excitabilities) parameters were monitored. As a result, while there was a rapid adaptation for all the systems after rising, the neuromuscular system displayed the faster adaptation (~ 10 s), then hemodynamic (~ 10 to 20 s) and finally the metabolic variables (~ 30 to 40 s). Oxygen uptake, energy expenditure, ventilation, and heart rate were significantly higher and stroke volume significantly lower during standing period compared to sitting one. In calf muscles, spinal excitability (H-reflexes), was lowered by the sit-to-stand condition, while supraspinal drive (V-wave) was similar, indicating different cortico-spinal balance from sitting to standing. Although very heterogenous among participants in terms of magnitude, the present results showed a rapid adaptation for all the systems after rising and the health benefit, notably in terms of energy expenditure, appears rather modest, even if non negligeable.

Downhill running affects the late but not the early phase of the rate of force development.

PURPOSE: This study aimed to evaluate the acute changes in the knee extensors maximum voluntary isometric contraction force (MVIC), rate of force development (RFD), and rate of EMG rise (RER) following a bout of downhill running. METHODS: MVIC and RFD at 0-50, 50-100, 100-200, and 0-200 ms were determined in thirteen men (22 ± 2 yr) before and after 30 min of downhill running (speed: 10 km h-1; slope: - 20%). Vastus lateralis maximum EMG (EMGmax) and RER at 0-30, 0-50, and 0-75 ms were also recorded. RESULTS: MVIC, RFD0-200, and EMGmax decreased by ~ 25% [Cohen's d = - 1.09 (95% confidence interval: - 1.88/- 0.24)], ~ 15% [d = - 0.50 (- 1.26/0.30)], and ~ 22% [d = - 0.37 (- 1.13/0.42)] (all P < 0.05), respectively. RFD100-200 was also reduced [- 25%; d = - 0.70 (- 1.47/0.11); P < 0.001]. No change was observed at 0-50 ms and 50-100 ms (P ≥ 0.05). RER values were similar at each time interval (all P > 0.05). CONCLUSION: Downhill running impairs the muscle capacity to produce maximum force and the overall ability to rapidly develop force. No change was observed for the early phase of the RFD and the absolute RER, suggesting no alterations in the neural mechanisms underlying RFD. RFD100-200 reduction suggests that impairments in the rapid force-generating capacity are located within the skeletal muscle, likely due to a reduction in muscle-tendon stiffness and/or impairments in the muscle contractile apparatus. These findings may help explain evidence of neuromuscular alterations in trail runners and following prolonged duration races wherein cumulative eccentric loading is high.

The Movesense Medical Sensor Chest Belt Device as Single Channel ECG for RR Interval Detection and HRV Analysis during Resting State and Incremental Exercise: A Cross-Sectional Validation Study.

The value of heart rate variability (HRV) in the fields of health, disease, and exercise science has been established through numerous investigations. The typical mobile-based HRV device simply records interbeat intervals, without differentiation between noise or arrythmia as can be done with an electrocardiogram (ECG). The intent of this report is to validate a new single channel ECG device, the Movesense Medical sensor, against a conventional 12 channel ECG. A heterogeneous group of 21 participants performed an incremental cycling ramp to failure with measurements of HRV, before (PRE), during (EX), and after (POST). Results showed excellent correlations between devices for linear indexes with Pearson's r between 0.98 to 1.0 for meanRR, SDNN, RMSSD, and 0.95 to 0.97 for the non-linear index DFA a1 during PRE, EX, and POST. There was no significant difference in device specific meanRR during PRE and POST. Bland-Altman analysis showed high agreement between devices (PRE and POST: meanRR bias of 0.0 and 0.4 ms, LOA of 1.9 to -1.8 ms and 2.3 to -1.5; EX: meanRR bias of 11.2 to 6.0 ms; LOA of 29.8 to -7.4 ms during low intensity exercise and 8.5 to 3.5 ms during high intensity exercise). The Movesense Medical device can be used in lieu of a reference ECG for the calculation of HRV with the potential to differentiate noise from atrial fibrillation and represents a significant advance in both a HR and HRV recording device in a chest belt form factor for lab-based or remote field-application.

Associations Between Heart Rate Variability-Derived Indexes and Training Load: Repeated Measures Correlation Approach Contribution.

ABSTRACT: Davletyarova, K, Vacher, P, Nicolas, M, Kapilevich, LV, and Mourot, L. Associations between heart rate variability-derived indexes and training load: repeated measures correlation approach contribution. J Strength Cond Res 36(7): 2005-2010, 2022-This study aimed to evaluate whether similar associations between indexes derived from heart rate variability (HRV) analyses and training load (TL) could be obtained by using the commonly used Pearson correlation technique and the repeated measures correlation (rmcorr). Fourteen well-trained swimmers (18.5 ± 1.6 years) participated. The training period lasted 4 weeks with a gradual increase in TL. Daily external TL (exTL) and internal TL (inTL) were summed to obtain a weekly TL, and HRV analyses were performed every Saturday morning. During the 4-week period, exTL and inTL increased (p < 0.05) together with a decrease (p < 0.05) in heart rate and an increase (p < 0.05) of cardiac parasympathetic indexes. No significant correlation was found using Pearson correlation while significant associations were found using rmcorr; considering exTL, positive (mean R-R interval [MeanRR], root mean square of differences between successive RR interval [RMSSD], low frequency [LF], high frequency [HF], instantaneous beat-to-beat variability [SD1], continuous beat-to-beat variability [SD2], SD1/SD2; r from 0.59 to 0.46, p value from <0.001 to 0.002) and negative (mean heart rate [meanHR]; r = -0.55, p < 0.001) associations were found. Considering inTL, positive (MeanRR, RMSSD, LF, HF, HFnu, SD1, SD2, SD1/SD2; r from 0.56 to 0.34, p-value from <0.001 to 0.025) and negative (meanHR, LFnu, LF/HF; r from -0.49 to -0.34, p value from 0.001 to 0.025) associations were found. The rmcorr statistical method was able to show associations between parasympathetic indexes and TL contrary to Pearson correlation analysis. Because rmcorr is specifically designed to investigate within-individual association for paired measures assessed on 2 or more occasions for multiple individuals, it should constitute a tool for future training monitoring researches based on a repeated-measures protocol.

[Prevention and management of running-related injuries]. / Prévention et prise en charge de la blessure liée à la course à pied.

Running related injury is a complex, multifactorial phenomenon that remains difficult to explain. However, there are available tools for clinicians allowing prevention (primary or tertiary) and rehabilitation optimization, thus reducing the consequences of the injury and time before returning to participation. These tools rely mainly on training load monitoring and clinical evaluation of stride biomechanical analysis. Unfortunately, they currently remain poorly known by practitioners, while allowing the opportunity to address the challenge of managing the injured runner, including a faster return to run, but also the prevention of a potential recurrence. It requires targeted intervention and education of the patient on the factors leading to the injury.

La blessure liée à la course à pied est un phénomène complexe, multifactoriel dont l'explication reste difficile. Cependant, des outils à disposition des cliniciens permettent d'agir de manière préventive (primaire ou tertiaire) et d'optimiser la rééducation afin de réduire les conséquences de la blessure et le délai avant la reprise de l'activité. Ces outils portent principalement sur le suivi de la charge d'entraînement et l'utilisation clinique de l'analyse biomécanique de la foulée. Ils sont toutefois aujourd'hui mal connus par les praticiens alors que leur utilisation permet de répondre à l'enjeu de la prise en charge du coureur comprenant un retour le plus rapide possible à la pratique, mais également la prévention d'une potentielle récidive. Cela sous-tend un travail ciblé et une éducation du patient sur les facteurs entraînant la blessure.

Post-exercise cardiac autonomic and cardiovascular responses to heart rate-matched and work rate-matched hypoxic exercise.

PURPOSE: This study investigated the effect of performing hypoxic exercise at the same heart rate (HR) or work rate (WR) as normoxic exercise on post-exercise autonomic and cardiovascular responses. METHODS: Thirteen men performed three interval-type exercise sessions (5 × 5-min; 1-min recovery): normoxic exercise at 80% of the WR at the first ventilatory threshold (N), hypoxic exercise (FiO2 = 14.2%) at the same WR as N (H-WR) and hypoxic exercise at the same HR as N (H-HR). Autonomic and cardiovascular assessments were conducted before and after exercise, both at rest and during active squat-stand manoeuvres (SS). RESULTS: Compared to N, H-WR elicited a higher HR response (≈ 83% vs ≈ 75%HRmax, p < 0.001) and H-HR a reduced exercise WR (- 21.1 ± 9.3%, p < 0.001). Cardiac parasympathetic indices were reduced 15 min after exercise and recovered within 60 min in N and H-HR, but not after H-WR (p < 0.05). H-WR altered cardiac baroreflex sensitivity (cBRS) both at rest and during SS (specifically in the control of blood pressure fall during standing phases) in the first 60 min after the exercise bout (p < 0.05). Post-exercise hypotension (PEH) did not occur in H-HR (p > 0.05) but lasted longer in H-WR than in N (p < 0.05). CONCLUSIONS: Moderate HR-matched hypoxic exercise mimicked post-exercise autonomic responses of normoxic exercise without resulting in significant PEH. This may relate to the reduced WR and the limited associated mechanical/metabolic strain. Conversely, WR-matched hypoxic exercise impacted upon post-exercise autonomic and cardiovascular responses, delaying cardiac autonomic recovery, temporarily decreasing cBRS and evoking prolonged PEH.

Influence of Artefact Correction and Recording Device Type on the Practical Application of a Non-Linear Heart Rate Variability Biomarker for Aerobic Threshold Determination.

Recent study points to the value of a non-linear heart rate variability (HRV) biomarker using detrended fluctuation analysis (DFA a1) for aerobic threshold determination (HRVT). Significance of recording artefact, correction methods and device bias on DFA a1 during exercise and HRVT is unclear. Gas exchange and HRV data were obtained from 17 participants during an incremental treadmill run using both ECG and Polar H7 as recording devices. First, artefacts were randomly placed in the ECG time series to equal 1, 3 and 6% missed beats with correction by Kubios software's automatic and medium threshold method. Based on linear regression, Bland Altman analysis and Wilcoxon paired testing, there was bias present with increasing artefact quantity. Regardless of artefact correction method, 1 to 3% missed beat artefact introduced small but discernible bias in raw DFA a1 measurements. At 6% artefact using medium correction, proportional bias was found (maximum 19%). Despite this bias, the mean HRVT determination was within 1 bpm across all artefact levels and correction modalities. Second, the HRVT ascertained from synchronous ECG vs. Polar H7 recordings did show an average bias of minus 4 bpm. Polar H7 results suggest that device related bias is possible but in the reverse direction as artefact related bias.

Match-Play Temporal and Position-Specific Physical and Physiological Demands of Senior Hurlers.

Young, D, Beato, M, Mourot, L, and Coratella, G. Match-play temporal and position-specific physical and physiological demands of senior hurlers. J Strength Cond Res 34(6): 1759-1768, 2020-The aims of the current study were to examine the temporal differences in match-running performances and heart rate (HR) in elite senior hurling players between halves of play and field positions. Global positioning systems (10 Hz) and HR monitors were used to collect data from 48 players over 18 games. Running performances (total distance [TD], relative distance, high-speed running [HSR], sprint efforts [SE], mean length of sprints, and sprint distance [SD]) and HR values (HRmean and HRpeak) were assessed. Decrements in TD (p = 0.009, effect size [ES] = -0.15), relative distance (p = 0.009, ES = -0.18), HSR (p = 0.001, ES = -0.28), SE (p = 0.001, ES = -0.23), SD (p = 0.001, ES = -0.24), HRmean (p < 0.001, ES = -0.38), and HRpeak (p < 0.001, ES = -0.21) were found between halves. Half backs showed between-half decrements in all metrics (p < 0.05) except SD (p = 0.130, ES = -0.26). Midfielders (p < 0.001, ES = -0.68) and half forwards (p < 0.001, ES = -0.79) experienced second-half decrements in HSR. No decrements (p > 0.05) in running performances were found between halves for full backs. HRmean was lower in full backs (p = 0.007, ES = -0.46) and half backs (p = 0.001, ES = -0.76) in the second half. Coaches should consider the specific HSR between-half temporal decrements in half backs, midfielders, and half forwards, and customize training program design to minimize these decrements.

Match-Play Demands of Elite U17 Hurlers During Competitive Matches.

Young, D, Mourot, L, Beato, M, and Coratella, G. Match-play demands of elite U17 hurlers during competitive matches. J Strength Cond Res 34(7): 1982-1989, 2020-The current study aimed to quantify the match-play workload in elite male under 17 hurlers, measuring the differences between the first and second halves and between positions. Global positioning system (10-Hz) and heart rate monitors were used to collect data from 76 players during 18 matches. Players' total distance (TD), relative distance (RD), high-speed running (HSR), the number and length of sprints, and the total sprint distance (TSD) was 6,483 ± 1,145 m, 108 ± 19 m·min, 583 ± 215 m, 18 ± 6, 15 ± 3 m, and 272 ± 77 m, respectively. Peak and mean heart rate were 194 ± 8 b·min and 167 ± 4 b·min, respectively. Decrements in TD (p < 0.001, effect size [ES] = 0.72), RD (p < 0.001, ES = 0.72), HSR (p < 0.001, ES = 0.55), the number of sprints (p < 0.001, ES = 0.57), mean length of sprint (p < 0.011, ES = 0.25), TSD (p < 0.001, ES = 0.69), mean heart rate (p < 0.001, ES = 0.35), and peak heart rate (p < 0.001, ES = 0.52) were found between halves. Largely-to-very largely greater TD, RD, and HSR were covered by midfielders, half-backs, and half-forwards compared with full-backs and full-forwards. No between-position difference was found in peak and mean heart rate. The current results are the first to highlight the differences in external and internal position-specific workload in elite male under 17 hurlers. Coaches need to consider the position-specific demands and between-half drop-off to prepare young hurlers appropriately to repeat the match-play performances of competition.

Identification of Maximal Running Intensities During Elite Hurling Match-Play.

Young, D, Malone, S, Beato, M, Mourot, L, and Coratella, G. Iidentification of maximal running intensities during elite hurling match-play. J Strength Cond Res 34(9): 2608-2617, 2020-The current study aimed to describe the duration-specific running intensities of elite hurling players during competition with respect to position using a rolling average method. Global positioning systems (10-Hz Viper; STATSport, Viper, Newry, Northern Ireland) were used to collect data from 36 elite hurling players across 2 seasons. Players were categorized according to playing positions (full-backs, half-backs, midfielders, half-forwards, and full-forwards). A total of 230 full match samples were obtained from 22 competitive games for analysis. The velocity-time curve was analyzed using a rolling average method, in which the maximum relative total distance (TD; m·min), high-speed running distance (HSR; m·min), and sprint distance (SD; m·min) intensities were calculated across 10 different rolling time durations (1-10 minutes) within each game. There were large to very large (effect sizes [ES] = 0.66-4.33) differences between 1 minute rolling averages and all other durations for TD, HSR, and SD. However, pairwise comparisons between 6 and 10 minutes for TD, HSR, and SD were smaller and more variable (ES = 0.07, trivial to ES = 0.85, moderate). Half-backs, midfielders, and half-forwards achieved a higher maximal relative TD and HSR in all duration-specific fields when compared with full-backs and full-forwards. No positional difference was observed in 1- and 2-minute durations for SD. Because the rolling average duration increased the maximum TD, HSR and SD running intensities decreased across all positions. These data provide knowledge of the peak running intensities of elite hurling competition and can be used to design training activities to sufficiently prepare players for these "worst-case scenarios."

The implications of time on the ground on running economy: less is not always better.

A lower duty factor (DF) reflects a greater relative contribution of leg swing versus ground contact time during the running step. Increasing time on the ground has been reported in the scientific literature to both increase and decrease the energy cost (EC) of running, with DF reported to be highly variable in runners. As increasing running speed aligns running kinematics more closely with spring-mass model behaviours and re-use of elastic energy, we compared the centre of mass (COM) displacement and EC between runners with a low (DFlow) and high (DFhigh) duty factor at typical endurance running speeds. Forty well-trained runners were divided in two groups based on their mean DF measured across a range of speeds. EC was measured from 4 min treadmill runs at 10, 12 and 14 km h-1 using indirect calorimetry. Temporal characteristics and COM displacement data of the running step were recorded from 30 s treadmill runs at 10, 12, 14, 16 and 18 km h-1 Across speeds, DFlow exhibited more symmetrical patterns between braking and propulsion phases in terms of time and vertical COM displacement than DFhigh DFhigh limited global vertical COM displacements in favour of horizontal progression during ground contact. Despite these running kinematics differences, no significant difference in EC was observed between groups. Therefore, both DF strategies seem energetically efficient at endurance running speeds.

Cardiorespiratory and Autonomic Nervous System Responses to Prolonged Eccentric Cycling.

Offering large muscle benefits despite low metabolic demand, continuous eccentric exercise appears to be an interesting alternative to concentric exercise. Nevertheless, further knowledge is needed about prolonged eccentric exercise. This work sought to investigate the cardiovascular responses to prolonged constant-load eccentric compared to concentric cycling. Ten healthy males performed two 45-min exercise sessions of either concentric or eccentric cycling separated by a month and matched for heart rate during the first 5 min of exercise. Cardiorespiratory, autonomic nervous system and vascular responses were assessed at rest, and during exercise and recovery. During cycling, oxygen uptake, cardiac output and systolic blood pressure were similar but heart rate and diastolic blood pressure were greater whereas stroke volume was lower during eccentric than concentric cycling (118±21 vs. 104±10 bpm; 77±9 vs. 65±8 mmHg; 122±12 vs. 135±13 mL). Baroreflex and noradrenaline concentration were altered during eccentric cycling, and after eccentric exercise, vascular tone was greater than after concentric cycling. We observed increased cardiovascular strain and altered baroreflex activity during eccentric compared with concentric exercise, suggesting eccentric cycling triggers greater sympathetic activity.

Cardiac Autonomic and Physiological Responses to Moderate- intensity Exercise in Hypoxia.

Exercise physiological responses can be markedly affected by acute hypoxia. We investigated cardiac autonomic and physiological responses to different hypoxic training protocols. Thirteen men performed three exercise sessions (5×5-min; 1-min passive recovery): normoxic exercise at 80% of the power output (PO) at the first ventilatory threshold (N), hypoxic exercise (FiO2=14.2%) with the same PO as N (HPO) and hypoxic exercise at the same heart rate (HR) as N (HHR). PO was lower in HHR (21.1±9.3%) compared to N and HPO. Mean HR was higher in HPO (154±11 bpm, p<0.01) than N and HHR (139±10 vs. 138±9 bpm; p=0.80). SpO2 was reduced (p<0.01) to a similar extent (p>0.05) in HPO and HHR compared to N. HR recovery (HRR) and HR variability indices were similar in N and HHR (p>0.05) but reduced in HPO (p<0.05), mirroring a delayed parasympathetic reactivation. Blood lactate and ventilation were similar in N and HHR (p>0.05) and increased in HPO (p<0.001). During recovery oxygen consumption and ventilation were similar in N and HHR (p>0.05) and increased in HPO (p<0.01). Moderate HR-matched hypoxic exercise triggers similar cardiac autonomic and physiological responses to normoxic exercise with a reduced mechanical load. On the contrary, the same absolute intensity exercise in hypoxia is associated with increased exercise-induced metabolic stress and delayed cardiac autonomic recovery.

Delayed parasympathetic reactivation and sympathetic withdrawal following maximal cardiopulmonary exercise testing (CPET) in hypoxia.

PURPOSE: This study investigated the effects of acute hypoxic exposure on post-exercise cardiac autonomic modulation following maximal cardiopulmonary exercise testing (CPET). METHODS: Thirteen healthy men performed CPET and recovery in normoxia (N) and normobaric hypoxia (H) (FiO2 = 13.4%, ≈ 3500 m). Post-exercise cardiac autonomic modulation was assessed during recovery (300 s) through the analysis of fast-phase and slow-phase heart rate recovery (HRR) and heart rate variability (HRV) indices. RESULTS: Both short-term, T30 (mean difference (MD) 60.0 s, 95% CI 18.2-101.8, p = 0.009, ES 1.01), and long-term, HRRt (MD 21.7 s, 95% CI 4.1-39.3, p = 0.020, ES 0.64), time constants of HRR were higher in H. Fast-phase (30 and 60 s) and slow-phase (300 s) HRR indices were reduced in H either when expressed in bpm or in percentage of HRpeak (p < 0.05). Chronotropic reserve recovery was lower in H than in N at 30 s (MD - 3.77%, 95% CI - 7.06 to - 0.49, p = 0.028, ES - 0.80) and at 60 s (MD - 7.23%, 95% CI - 11.45 to - 3.01, p = 0.003, ES - 0.81), but not at 300 s (p = 0.436). Concurrently, Ln-RMSSD was reduced in H at 60 and 90 s (p < 0.01) but not at other time points during recovery (p > 0.05). CONCLUSIONS: Affected fast-phase, slow-phase HRR and HRV indices suggested delayed parasympathetic reactivation and sympathetic withdrawal after maximal exercise in hypoxia. However, a similar cardiac autonomic recovery was re-established within 5 min after exercise cessation. These findings have several implications in cardiac autonomic recovery interpretation and in HR assessment in response to high-intensity hypoxic exercise.

Muscle Oxygenation Responses to Low-intensity Steady Rate Concentric and Eccentric Cycling.

Muscle deoxygenation responses provide information about the training impulse of an exercise session enabling adaptation to be predicted. Our aim was to investigate muscle oxygenation profiles during prolonged low-intensity eccentric and concentric cycling. Twelve healthy men performed two 45-min exercise sessions of concentric (CON) and eccentric (ECC) cycling, matched for the same heart rate at the start of each session. Mechanical power output during ECC was ~2.5 times that of CON (210±40 W vs. 82±16 W). Oxygen uptake, blood lactate, cardiac output and systolic arterial pressure responses did not differ between exercises. Heart rate was similar at 5 min of each exercise bout but progressively increased during ECC and was higher at 15, 30 and 45 min of ECC compared to CON (+10 bpm), with a trend for a lower stroke volume. Diastolic and mean blood pressures were higher during ECC. No significant differences were observed in muscle oxygenation profiles. Muscle oxygenation responses during prolonged low-intensity exercise were not affected by the type of muscle action at the same metabolic demand and cardiac output.

The Match Heart Rate and Running Profile of Elite Under-21 Hurlers During Competitive Match-Play.

Young, D, Mourot, L, Beato, M, and Coratella, G. The match heart rate and running profile of elite under-21 hurlers during competitive match-play. J Strength Cond Res 32(10): 2925-2933, 2018-The aims of the current study were to examine the physical and physiological demands of elite under-21 male hurling match-play across halves of play and between positions. Global positioning systems (10 Hz) and heart rate (HR) monitors were used to collect data from 95 players during 10 games. Total distance (TD), relative speed, high-speed running (HSR), sprint distance, total sprints, and mean length of sprint was 6,688 ± 942 m, 112 ± 16 m·min, 661 ± 203 m, 274 ± 111 m, 18 ± 8 m, and 16 ± 5 m, respectively. Players' mean HR (HRmean) and peak HR (HRpeak) was 165 ± 9 b·min and 190 ± 7 b·min, respectively. Decrements in TD (p < 0.05, effect size [ES] = 0.81), HSR (p < 0.05, ES = 0.69), and HRmean (p < 0.05, ES = 0.80) were found between halves. Full backs covered significantly less TD than half backs (p < 0.05, ES = -1.24), midfielders (p < 0.05, ES = -1.39), and half forwards (p < 0.05, ES = -1.85). Half forwards covered a greater TD than full forwards (p < 0.05, ES = 0.94), greater HSR than full backs (p < 0.05, ES = 1.13), and greater sprint distance than half backs (p < 0.05, ES = 1.41). Between-half decreases were evident in TD, HSR, and HRmean, with no significant positional differences observed in TD, HSR, number of sprints, length of sprint, HRpeak, and HRmean between half backs, midfielders, and half forwards. The current findings provide data that coaches should consider to customize training program design for under-21 hurlers.

Biomechanical Changes During a 50-minute Run in Different Footwear and on Various Slopes.

The effects of footwear and inclination on running biomechanics over short intervals are well documented. Although recognized that exercise duration can impact running biomechanics, it remains unclear how biomechanics change over time when running in minimalist shoes and on slopes. Our aims were to describe these biomechanical changes during a 50-minute run and compare them to those observed in standard shoes. Thirteen trained recreational male runners ran 50 minutes at 65% of their maximal aerobic velocity on a treadmill, once in minimalist shoes and once in standard shoes, 1 week apart in a random order. The 50-minute trial was divided into 5-minute segments of running at 0%, +5%, and -5% of treadmill incline sequentially. Data were collected using photocells, high-speed video cameras, and plantar-pressure insoles. At 0% incline, runners exhibited reduced leg stiffness and plantar flexion angles at foot strike and lower plantar pressure at the forefoot and toes in minimalist shoes from minute 34 of the protocol onward. However, only reduced plantar pressure at the toes was observed in standard shoes. Overall, similar biomechanical changes with increased exercise time were observed on the uphill and downhill inclines. The results might be due to the unfamiliarity of subjects to running in minimalist shoes.