Search

Objectives: To evaluate the electrocardiographic (ECG) characteristics of West-Asian, black and Caucasian male athletes competing in Qatar using the 2010 recommendations for 12-lead ECG interpretation by the European Society of Cardiology (ESC).Design: Cardiovascular screening with resting 12-lead ECG analysis of 1220 national level athletes (800 West-Asian, 300 black and 120 Caucasian) and 135 West-Asian controls was performed.Results: Ten per cent of athletes presented with 'uncommon' ECG findings. Black African descent was an independent predictor of 'uncommon' ECG changes when compared with West-Asian and Caucasian athletes (p<0.001). Black athletes also demonstrated a significantly greater prevalence of lateral T-wave inversions than both West-Asian and Caucasian athletes (6.1% vs 1.6% and 0%, p<0.05). The rate of 'uncommon' ECG changes between West-Asian and Caucasian athletes was comparable (7.9% vs 5.8%, p>0.05). Seven athletes (0.6%) were identified with a disease associated with sudden death; this prevalence was two times higher in black athletes than in West-Asian athletes (1% vs 0.5%), and no cases were reported in Caucasian athletes and West-Asian controls. Eighteen West-Asian and black athletes were identified with repolarisation abnormalities suggestive of a cardiomyopathy, but ultimately, none were diagnosed with a cardiac disease.Conclusion: West-Asian and Caucasian athletes demonstrate comparable rates of ECG findings. Black African ethnicity is positively associated with increased frequencies of 'uncommon' ECG traits. Future work should examine the genetic mechanisms behind ECG and myocardial adaptations in athletes of diverse ethnicity, aiding in the clinical differentiation between physiological remodelling and potential cardiomyopathy or ion channel disorders. [ABSTRACT FROM AUTHOR]

Background: In confined waters, ships run a high risk of groundings, contact, sinkings and near misses. In such waters the maritime traffic is dense, the waterway is narrow, the depth is limited, and tides and currents are constantly changing., Materials and Methods: From 2009-2019, 75 accidents were investigated in the estuary of the Seine. Weather conditions and perceived fatigue were studied. From May to June 2020, 114 seafarers, 34 pilots and 80 captains, responded to a questionnaire focusing on the use of Pilot Portable Units (PPU) and Electronic Chart Display Information Systems (ECDIS)., Results: The 75 accidents corresponded to an average of 6.8 ± 3.2 accidents per year. Groundings were the most frequent accidents (35%, n = 26) followed by contact accidents with the quayside (25%, n = 19), between ships or tugs while manoeuvring (8%, n = 6) or while sailing (1%, n = 1). There was no loss of vessels nor fatalities of crew members. In poor weather conditions, there were 76% more accidents than in normal conditions (4.4 ± 2.5 accidents/10,000 movements versus 2.5 ± 1.9 accidents/10,000 movements, p < 0.03). Almost all the accidents (96%) were related to human errors of judgment (81%), or negligence (53%), or both (39). Perceived fatigue was probably in cause in 6 accidents. Only 3 accidents were related to mechanical causes. Through the questionnaires, 69% of the pilots complained of difficulties in mastering the devices and software. They felt distracted by alarms which affected their attention while navigating. They requested training on a simulator. Concerning ship captains, 83% felt comfortable with ECDIS devices yet only 20% were able to configure the ECDIS correctly., Conclusions: In the Seine estuary, 75 accidents occurred within the 11 year-study. Risk factors were poor weather conditions and human error. PPU and ECDIS were considered as useful tools in the prevention of accidents. However, pilots and captains requested more thorough training in their use.

Background: During cruises, the management of coronavirus disease 2019 (COVID-19) infections poses serious organizational problems such as those encountered in 2020 by the Zaandam, the aircraft carrier Charles de Gaulle or the Diamond Princess. In French Polynesia, the mixed cargo ship Aranui 5 transports both tourists and freight to the Marquesas Islands. The purpose of this article is to show how COVID-19 infections were diagnosed and contained before and after passengers boarded a cruise., Materials and Methods: On October 15, 2020, 161 passengers including 80 crew members embarked for a 13-day voyage from Papeete to the Marquesas Islands. Prior to boarding, all passengers underwent a reverse transcriptase-polymerase chain reaction (RT-PCR) test; the tests results were all negative. On Day 0, 3, 5, 8 and 11, Biosynex® rapid antigen diagnostic tests were carried out on all or some of the crew members and tourists who may have had contact with new positive cases. Each day, forehead or temporal temperatures were measured using an infrared thermometer and questions were asked concerning the subjects' health status. When a subject was positive, the person and their contacts were isolated in individual cabins. The infected person then left the vessel to be received in a communal reception centre on the nearest island., Results: A total of 9 positive cases were observed, including two before departure (a tourist and a crew member). During the trip, 7 crew members tested positive. The patients and their contacts were isolated and then disembarked at the earliest opportunity. At the time of sampling, the subjects were asymptomatic. The patients and their contacts all became symptomatic within 24 to 48 hours after sampling., Conclusions: In total, the voyage could be completed without any transmission on board among the tourists and with a minimum transmission among the crew members, thus maintaining the tourist and economic activity of the islands during the times of COVID-19 pandemic.

BACKGROUND In New Caledonia, a South Pacific archipelago whose inhabitants comprise Melanesians, Europeans/whites, Wallisians, Futunans, Polynesians, and Asians, the prevalence of rheumatic heart disease (RHD) is 0.9% to 1% at ages 9 and 10. It could be higher at the age of 16, but this remains to be verified. METHODS AND RESULTS A total of 1530 Melanesian, Métis, white, Wallisian, Futunan, Polynesian, and Asian adolescents benefited from a transthoracic echocardiogram. Definite or borderline RHD, nonrheumatic valve lesions, congenital heart defects, family and personal history of acute rheumatic fever, and socioeconomic factors were collected. The prevalence of cardiac abnormalities was 8.1%, made up of 4.1% RHD including 2.4% definite and 1.7% borderline RHD, 1.7% nonrheumatic valve lesions, and 2.3% congenital anomalies. In whites and Asians, there were no cases of RHD. RHD was higher in the Wallisian, Futunan, and Polynesian group (7.6%) when compared with Melanesians (5.3%) and Métis (2.9%). The number of nonrheumatic valve lesions was not statistically different in the different ethnicities. The prevalence of RHD was higher in adolescents with a personal history of acute rheumatic fever, in those living in overcrowded conditions, and in those whose parents were unemployed or had low-income occupations, such as the farmers or manual workers. CONCLUSIONS RHD was 4 times higher in adolescents at age 16 than at ages 9 and 10 (4.1% versus 0.9%-1%). No cases of RHD were observed in whites and Asians. The determining factors were history of acute rheumatic fever and socioeconomic factors.

Background: Pre-participation cardiovascular evaluation (PPE) aims to detect cardiac disease with sudden cardiac death (SCD) risk. No study has focused on Pacific Island athletes., Methods: A total of 2281 Pacific Island athletes were studied with (i) a questionnaire on family, personal history and symptoms, (ii) a physical examination and (iii) a 12-lead ECG., Results: 85% presented a normal history and examination. A positive family history was 1.4-1.9 fold higher in Melanesians, Polynesians and Métis than in Caucasians, while a positive personal history, abnormal symptoms and abnormal examination was 1.3 fold higher in Melanesians and Métis than in others. Neither gender nor training level had a bearing on these results. Melanesians had higher T wave inversions (TWIs) in V2-V4 leads but had no CV abnormalities. Lateral or infero-lateral TWIs were found in 6 male and in 5 highly trained athletes and cardiomyopathies were diagnosed in 3/6 athletes. Overall, 3.9% athletes were found to have a CV abnormality and 0.8% had a risk of SCD. Polynesians and males were more at risk than the others while the level of training made no difference. In athletes at risk of SCD, the main detected CV diseases were cardiomyopathies, Wolff-Parkinson-White (WPW) and severe valve lesions of rheumatoid origin., Conclusions: PPE revealed that 3.9% presented CV abnormalities. A risk of SCD was found in 0.8% with cardiomyopathies, WPW, and severe valve lesions of rheumatoid origin. Melanesians, Polynesians and male of high level of training were more at risk than others., (Copyright © 2018 Elsevier B.V. All rights reserved.)

Background: The importance of exercise electrocardiogram (ECG) has been controversial in the prevention of cardiac events among sportsmen. The aim of this study was to determine the frequency of silent myocardial ischemia (SMI) from an exercise ECG and its relationship with induced coronary angiographic assessment and potentially preventable cardiac events., Methods: This prospective cohort study included leisure time asymptomatic sportsmen over 35years old, referred from 2011 to 2014 in the Sports Medicine Unit of the University Hospital of Saint-Etienne., Results: Of the cohort of 1500 sportsmen (1205 men; mean age 50.7±9.4years; physical activity level 32.8±26.8MET-h/week), 951 (63%) had at least one cardiovascular disease (CVD) risk factor. Family history, medical examination and standard resting 12-lead were collected. A total of 163 exercise ECGs (10.9%) were defined as positive, most of them due to SMI (n=129, 8.6%). SMI was an indication for coronary angiography in 23 cases, leading to 17 documented SMIs (1.1%), including 11 significant stenoses requiring revascularization. In multivariate logistic regression analysis, a high risk of CVD (OR=2.65 [CI 95%: 1.33-5.27], p=0.005) and an age >50years (OR=2.71 [CI 95%: 1.65-4.44], p<0.0001) were independently associated with confirmed SMI., Conclusions: The association of positive exercise ECG with significant coronary stenosis was stronger among sportsmen with CVD risk factors and older than 50years. Screening by exercise ECG can lower the risk of cardiac events in middle-aged and older sportsmen. One hundred tests would be enough to detect one silent myocardial ischemia at risk for cardiac event., (Copyright © 2017 Elsevier B.V. All rights reserved.)

Background: Morbidity before retirement has a huge cost, burdening both public health and workplace finances. Multiple factors increase morbidity such as stress at work, sedentary behavior or low physical activity, and poor nutrition practices. Nowadays, the digital world offers infinite opportunities to interact with workers. The WittyFit software was designed to understand holistic issues of workers by promoting individualized behavior changes at the workplace., Objective: The shorter term feasibility objective is to demonstrate that effective use of WittyFit will increase well-being and improve health-related behaviors. The mid-term objective is to demonstrate that WittyFit improves economic data of the companies such as productivity and benefits. The ultimate objective is to increase life expectancy of workers., Methods: This is an exploratory interventional cohort study in an ecological situation. Three groups of participants will be purposefully sampled: employees, middle managers, and executive managers. Four levels of engagement are planned for employees: commencing with baseline health profiling from validated questionnaires; individualized feedback based on evidence-based medicine; support for behavioral change; and formal evaluation of changes in knowledge, practices, and health outcomes over time. Middle managers will also receive anonymous feedback on problems encountered by employees, and executive top managers will have indicators by division, location, department, age, seniority, gender and occupational position. Managers will be able to introduce specific initiatives in the workplace. WittyFit is based on two databases: behavioral data (WittyFit) and medical data (WittyFit Research). Statistical analyses will incorporate morbidity and well-being data. When a worker leaves a workplace, the company documents one of three major explanations: retirement, relocation to another company, or premature death. Therefore, WittyFit will have the ability to include mortality as an outcome. WittyFit will evolve with the waves of connected objects further increasing its data accuracy. Ethical approval was obtained from the ethics committee of the University Hospital of Clermont-Ferrand, France., Results: WittyFit recruitment and enrollment started in January 2016. First publications are expected to be available at the beginning of 2017., Conclusions: The name WittyFit came from Witty and Fitness. The concept of WittyFit reflects the concept of health from the World Health Organization: being spiritually and physically healthy. WittyFit is a health-monitoring, health-promoting tool that may improve the health of workers and health of companies. WittyFit will evolve with the waves of connected objects further increasing its data accuracy with objective measures. WittyFit may constitute a powerful epidemiological database. Finally, the WittyFit concept may extend healthy living into the general population., Trial Registration: Clinicaltrials.gov: NCT02596737; https://www.clinicaltrials.gov/ct2/show/NCT02596737 (Archived by WebCite at http://www.webcitation.org/6pM5toQ7Y)., (©Frédéric Dutheil, Martine Duclos, Geraldine Naughton, Samuel Dewavrin, Thomas Cornet, Pascal Huguet, Jean-Claude Chatard, Bruno Pereira. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 13.04.2017.)

Regular intensive exercise in athletes increases the relative risk of sudden cardiac death (SCD) compared with the relatively sedentary population. Most cases of SCD are due to silent cardiovascular diseases, and pre-participation screening of athletes at risk of SCD is thus of major importance. However, medical guidelines and recommendations differ widely between countries. In Italy, the National Health System recommends pre-participation screening for all competitive athletes including personal and family history, a physical examination, and a resting 12-lead electrocardiogram (ECG). In the United States, the American College of Cardiology and the American Heart Association recommend a pre-participation screening program limited to the use of specific questionnaires and a clinical examination. The value of a 12-lead ECG is debated based on issues surrounding cost-efficiency and feasibility. The aim of this review was to focus on (i) the incidence rate of cardiac diseases in relation to SCD; (ii) the value of conducting a questionnaire and a physical examination; (iii) the value of a 12-lead resting ECG; (iv) the importance of other cardiac evaluations in the prevention of SCD; and (v) the best practice for pre-participation screening., (© 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)

Background: The health benefits of 150 min a week of moderate-to-vigorous-intensity physical activity (MVPA) in older adults, as currently recommended, are well established, but the suggested dose in older adults is often not reached., Objectives: We aimed to determine whether a lower dose of MVPA was effective in reducing mortality, in participants older than 60 years., Methods: The PubMed and Embase databases were searched from inception to February 2015. Only prospective cohorts were included. Risk ratios of death were established into four doses based on weekly Metabolic Equivalent of Task (MET)-minutes, defined as inactive (reference), low (1-499), medium (500-999) or high (≥1000). Data were pooled and analysed through a random effects model using comprehensive meta-analysis software., Results: Of the 835 reports screened, nine cohort studies remained, totalling 122 417 participants, with a mean follow-up of 9.8±2.7 years and 18 122 reported deaths (14.8%). A low dose of MVPA resulted in a 22% reduction in mortality risk (RR=0.78 (95% CI 0.71 to 0.87) p<0.0001). MVPA beyond this threshold brought further benefits, reaching a 28% reduction in all-cause mortality in older adults who followed the current recommendations (RR=0.72 (95% CI 0.65 to 0.80) p<0.0001) and a 35% reduction beyond 1000 MET-min per week (RR=0.65 (95% CI 0.61 to 0.70) p<0.0001)., Conclusions: A dose of MVPA below current recommendations reduced mortality by 22% in older adults. A further increase in physical activity dose improved these benefits in a linear fashion. Older adults should be encouraged to include even low doses of MVPA in their daily lives., (Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.)

The accuracy of a simple field test, the 3-minute, 30-second endurance capacity test (3'30'' ECT), was evaluated in 12 moderately trained athletes. It consisted of 10 3-minute running bouts, separated by 30-second passive recoveries. The first 5 bouts were performed at 75% of maximal aerobic speed (MAS, which was previously determined), and the last 5 were at a self-selected speed. The result of this test is a speed called Vend, expressed in km.h and calculated as the mean speed for the last 5 bouts. The critical velocity (CV) and the individual anaerobic threshold (IAT) were also determined. Another 17 moderately trained athletes then participated in a test-retest procedure to assess the reproducibility of the 3'30'' ECT. The results showed that Vend was correlated with all studied parameters (p < 0.05). Vend and CV did not differ relative to MAS (Vend: 82.8 +/- 3.3% of MAS; CV 82.5 +/- 3.3% of MAS; p > 0.05). The test-retest procedure indicated a coefficient of variation of 1.99 +/- 1.88%. Vend is thus an interesting indicator because (a) it is based on a noninvasive single-visit protocol, (b) its application is in the heavy exercise domain, and (c) it is highly reproducible. The 3'30'' ECT thus seems to be an adequate test to determine endurance capacity in moderately trained subjects.

We examined the leptin response and related hormones during and after two sub-maximal exercise protocols in trained and untrained subjects. During this study, plasma concentrations of leptin [Lep], insulin [I], cortisol [C], growth hormone [GH], glucose [G] and lactate [La] were measured. 7 elite volleyball trained players (TR) and 7 untrained (UTR) subjects (percent body fat: 13.2 ± 1.8 versus 15.7 ± 1.0, p < 0.01, respectively) were examined after short and prolonged sub-maximal cycling exercise protocols (SP and PP). Venous blood samples were collected before each protocol, during, at the end, and after 2 and 24 h of recovery. SP and PP energy expenditures ranged from 470 ± 60 to 740 ± 90 kcal for TR and from 450 ± 60 to 710 ± 90 kcal for UTR, respectively. [Lep] was related to body fat percentage and body fat mass in TR (r = 0. 84, p < 0.05 and r = 0.93, p < 0.01) and in UTR (r = 0.89, p < 0.01 and r = 0.92, p < 0. 01, respectively). [Lep] did not change significantly during both protocols for both groups but was lower (p < 0.05) in all sampling in TR when compared to UTR. Plasma [I] decreased (p < 0.01) and [GH] increased (p < 0.01) significantly during both SP and PP and these hormones remained lower (I: p < 0.01) and higher (GH: p < 0.01) than pre-exercise levels after a 2-h recovery period, returning to base-line at 24-h recovery. Plasma [La] increased (p < 0.01) during both protocols for TR and UTR. There was no significant change in [C] and [G] during and after both protocols for all subjects. It is concluded that 1) leptin is not sensitive to acute short or prolonged sub-maximal exercises (with energy expenditure under 800 kcal) in volleyball/ anaerobically trained athletes as in untrained subjects, 2) volleyball athletes showed significantly lower resting and exercise leptin response with respect to untrained subjects and 3) it appears that in these anaerobically trained athletes leptin response to exercise is more sensitive to the level of energy expenditure than hormonal or metabolic modifications induced by acute exercise. Key pointsTrials concerning acute exercise and leptin indicated discrepant results.Acute exercise with energy expenditure higher than 800 kcal can decrease leptinemia.Elite volleyball players presented decreased leptin levels than untrained subjects.

The aim of the present study was to investigate the effect of protein diets, rich in branched chain amino acids (BCAA) on perceived exertion, mental and physical performance during an offshore sailing race that lasted 32 h. Twelve sailors were randomly allocated into one of two groups [Control (CON) and BCAA: n = 6/group]. The BCAA group consumed a standard diet of 11.2 MJ day(-1) (58% carbohydrate, 30% fat, 12% Protein) along with a high-protein supplement of 1.7 MJ day(-1) (40% carbohydrate, 35% protein, 25% fat) and 1.7 MJ day(-1) composed of 50% valine, 35% leucine, and 15% isoleucine. CON was given a standard diet of 14.5 MJ day(-1) (58% carbohydrate, 30% fat and 12% protein). During the race, heart rate was monitored. Subjects self-evaluated their feeling of fatigue every 3 h, and 12 samples of saliva from each subject were collected to perform cortisol assays. Before and after the race a vertical jump and a handgrip test were performed, and mental performance was evaluated with a standardized battery of tests. A significant increase in the feeling of fatigue was noted on the second day (D2) of race in both groups; the increase was higher in CON (P < 0.05). For both groups, salivary cortisol concentration followed a nycthemeral rhythm, with an alteration during the race as evidenced by high midnight cortisol levels between D1 and D2, and significantly decreased cortisol levels observed on D2 (P < 0.05). There was no change in physical performance at the end of the race in both groups. As a significant decrease (P < 0.05) in short-term memory performance was observed only in the CON group. These data indicate that an offshore sailing race enhances the feeling of fatigue, and decreases short-term memory performance. These detrimental consequences are reduced by a high-protein diet with BCAA.

Purpose: To investigate the effect of fastskin suits on 25- to 800-m performances, drag, and energy cost of swimming., Methods: The performances, stroke rate and distance per stroke, were measured for 14 competitive swimmers in a 25-m pool, when wearing a normal suit (N) and when wearing a full-body suit (FB) or a waist-to-ankle suit (L). Passive drag, oxygen uptake, blood lactate, and the perceived exertion were measured in a flume., Results: There was a 3.2% +/- 2.4% performance benefit for all subjects over the six distances covered at maximal speed wearing FB and L when compared with N. When wearing L, the gain was significantly lower (1.8% +/- 2.5%, P < 0.01) than when wearing FB compared with N. The exercise perception was significantly lower when wearing FB than N, whereas there was no statistical difference when wearing L. The distance per stroke was significantly higher when wearing FB and L, whereas the differences in stroke rate were not statistically significant. There was a significant reduction in drag when wearing FB and L of 6.2% +/- 7.9% and 4.7% +/- 4.4%, respectively (P < 0.01), whereas the energy cost of swimming was significantly reduced when wearing FB and L by 4.5% +/- 5.4% and 5.5% +/- 3.1%, respectively (P < 0.01). However, the differences between FB and L were not statistically significant for drag and oxygen uptake., Conclusion: FB and L significantly reduced passive drag, and this was associated with a decreased energy cost of submaximal swimming and an increased distance per stroke, at the same stroke rates, and reduced freestyle performance time.

Purpose: This study analyzed kinematic changes during a 100-m front crawl to investigate the effects of performance level and gender, comparing 12 high-speed males, 8 medium-speed males, 8 low-speed males, and 8 high-speed females., Methods: Assessments were made throughout the race in a 25-m pool divided into five zones of 5 m. Velocity (V), stroke rate (SR), and stroke length (SL) were calculated for each 25-m length (L1 to L4) and for each 5-m zone. Four stroke phases were identified by video analysis, and the index of coordination (IdC) was calculated. Three modes of arm coordination were identified: catch-up, opposition, and superposition. The leg kick was also analyzed., Results: The high-speed male swimmers were distinguished by higher V (1.89 m.s(-1)), SR (0.78 Hz), SL (2.16 m per stroke), propulsive phase (54%), and IdC (3.8%) (P < 0.05), and by the stability of these values throughout the race. The medium- and low-speed males had an opposition coordination (-1% < IdC < 1%) during the third length of the 100 m. Because of fatigue in length 4, they spent more time with the hand in the push phase (possibly because of a decrease in hand velocity) and changed to superposition coordination (medium-speed males: IdC = 2.78%; low-speed males: IdC = 1.12%) (P < 0.05). This change was ineffective, however, as SL continued to decrease throughout the 100 m (P < 0.05). The main gender findings were the greater SL of the males versus the females (1.81 m per stroke) (P < 0.05) and the similar IdC of both high-speed groups (females: 4.4%)., Conclusion: The high-speed swimmers were characterized by higher and more stable SL and IdC. The principal gender effect was greater SL in the males than in the females.

This study was undertaken to compare the effects of dry-land strength training with a combined in-water resisted- and assisted-sprint program in swimmer athletes. Twenty-one swimmers from regional to national level participated in this study. They were randomly assigned to 3 groups: the strength (S) group that was involved in a dry-land strength training program where barbells were used, the resisted- and assisted-sprint (RAS) group that got involved in a specific water training program where elastic tubes were used to generate resistance and assistance while swimming, and the control (C) group which was involved in an aerobic cycling program. During 12 weeks, the athletes performed 6 training sessions per week on separate days. All of them combined the same aerobic dominant work for their basic training in swimming and running with their specific training. Athletes were evaluated 3 times: before the training program started, after 6 weeks of training, and at the end of the training program. The outcome values were the strength of the elbow flexors and extensors evaluated using an isokinetic dynamometer, and the speed, stroke rate, stroke length, and stroke depth observed during a 50-meter sprint. No changes were observed after 6 weeks of training. At the end of the training period, we observed significant increases in swimming velocity, and strength of elbow flexors and extensors both in the S and RAS groups. However, stroke depth decreased both in the S and RAS groups. Stroke rate increased in the RAS but not in the S group. However, no significant differences in the swimming performances between the S and RAS groups were observed. No significant changes occurred in C. Altogether, programs combining swimming with dry-land strength or with in-water resisted- and assisted-sprint exercises led to a similar gain in sprint performance and are more efficient than traditional swimming training methods alone.

The aim of the present study was to investigate the relationships between heart rate variability (HRV) changes and both training variations and performances in elite swimmers. A secondary purpose was to measure catecholamine urinary excretion in elite swimmers to validate the HRV indices of sympathetic activity during training. Thirteen swimmers (4 females and 9 males) were tested before and after 4 weeks of intense training (IT) and 3 weeks of reduced training (RT). At the end of each period, the swimmers participated in an official competition of their best event. Individual performances were expressed as percentage of the previous season's best performance. Spectral analysis was used to investigate RR interval variability. HRV indices failed to show any significant changes between the study periods (p>0.05). Pre-IT HF was correlated with performance (r=0.45; p=0.05) and HFnu (r=0.59; p<0.05) during RT. On the other hand, once RT was completed, HFnu was correlated positively to performance (r=0.81; p<0.01) and negatively to fatigue (r=- 0.63; p<0.03). Conversely, the indices of sympathetic activity, i.e., LFnu and LF/HF ratio were inversely related to performance (both r=- 0.81; p<0.01); total fatigue score was correlated to the changes in HFnu (r=- 0.63; p<0.03) and in the LF/HF ratio (r=0.58; p<0.05). Changes in the adrenaline/noradrenaline ratio over the follow-up period were related to the changes in the LF/HF ratio (r=0.45; p<0.03). In highly trained swimmers coping well with a training program, including 4 weeks of IT followed by 3 weeks of RT, HRV indices were unaltered. On the other hand, after the 3 weeks of RT, HFnu was positively related to performance and inversely related to the fatigue score. Thus, elevated initial HF levels could be important in the parasympathetic activity increases during taper and, hence, in swimming performance improvement.

The present study investigated the influence of a 12-week electromyostimulation (EMS) training program performed by elite rugby players. Twenty-five rugby players participated in the study, 15 in an electrostimulated group and the remaining 10 in a control group. EMS was conducted on the knee extensor, plantar flexor, and gluteus muscles. During the first 6 weeks, training sessions were carried out 3 times a week and during the last 6 weeks, once a week. Isokinetic torque of the knee extensors was determined at different eccentric and concentric angular velocities ranging from -120 to 360 degrees .s(-1). Scrummaging and full squat strength, vertical jump height and sprint-running times were also evaluated. After the first 6 weeks of EMS, only the squat strength was significantly improved (+8.3 +/- 6.5%; p < 0.01). After the 12th week, the -120 degrees .s(-1) maximal eccentric, 120 and 240 degrees .s(-1) maximal concentric torque (p < 0.05), squat strength (+15.0 +/- 8.0%; p < 0.001), squat jump (+10.0 +/- 9.5%; p < 0.01), and drop jump from a 40-cm height (+6.6 +/- 6.1%; p < 0.05) were significantly improved. No significant change was observed for the control group. A 12-week EMS training program demonstrated beneficial effects on muscle strength and power in elite rugby players on particular tests. However, rugby skills such as scrummaging and sprinting were not enhanced.

This study was undertaken to determine whether the resisted-sprint in overstrength (OSt) or the assisted-sprint in overspeed (OSp) could be efficient training methods to increase 100-m front crawl performance. Thirty-seven (16 men, 21 women) competition-level swimmers (mean +/- SD: age 17.5 +/- 3.5 years, height 173 +/- 14 cm, weight 63 +/- 14 kg) were randomly divided into 3 groups: OSt, OSp, and control (C). All swimmers trained 6 days per week for 3 weeks, including 3 resisted or assisted training sessions per week for the groups OSt and OSp respectively. Elastic tubes were used to generate swimming overstrength and overspeed. Three 100-m events were performed before, during, and after the training period. Before each 100-m event, strength of the elbow flexors and extensors was measured with an isokinetic dynamometer. Stroke rate and stroke length were evaluated using the video-recorded 100-m events. In the OSt group, elbow extensor strength, swimming velocity, and stroke rate significantly increased (p < 0.05), while stroke length remained unchanged after the 3-week training period. In the OSp group, stroke rate significantly increased (p < 0.05) and stroke length significantly decreased (p < 0.05) without changes in swimming velocity. No significant variations in the C group were observed. Both OSt and OSp proved to be more efficient than the traditional training program. However, the OSt training program had a larger impact on muscle strength, swimming performance, and stroke technique than the OSp program.

The aim of this study was to carry out a statistical analysis of the Banister model to verify how useful it is in monitoring the training programmes of elite swimmers. The accuracy, the ill-conditioning and the stability of this model were thus investigated. The training loads of nine elite swimmers, measured over one season, were related to performances with the Banister model. First, to assess accuracy, the 95% bootstrap confidence interval (95% CI) of parameter estimates and modelled performances were calculated. Second, to study ill-conditioning, the correlation matrix of parameter estimates was computed. Finally, to analyse stability, iterative computation was performed with the same data but minus one performance, chosen at random. Performances were related to training loads for all participants (R(2) = 0.79 +/- 0.13, P < 0.05) and the estimation procedure seemed to be stable. Nevertheless, the range of 95% CI values of the most useful parameters for monitoring training was wide: t(a) = 38 (17, 59), t(f) = 19 (6, 32), t(n) = 19 (7, 35), t(g) = 43 (25, 61). Furthermore, some parameters were highly correlated, making their interpretation worthless. We suggest possible ways to deal with these problems and review alternative methods to model the training-performance relationships.

The aim of the present study was to investigate the effects of training variations on 24-hr urinary noradrenaline (NA) and adrenaline (Ad) levels and the adrenaline/noradrenaline (Ad/NA) ratio to search for a possible relationship between catecholamine excretion, training, and performance in highly trained swimmers. Fourteen swimmers (5 female and 9 male) were tested after 4 weeks of intense training (IT), 3 weeks of reduced training (RT), and 5 weeks of low training (LT). At the end of each period, the swimmers performed their best event at an official competition. Individual performances were expressed as percentage of the previous season's best performance. The changes in NA levels after 4 weeks of IT were negatively related to changes in training volume (r=-0.70, p<0.01) and total training load (r=-0.68, p<0.02). NA levels measured at the end of IT were positively related to changes in performance after three weeks of RT (r=0.77, p<0.01). The percentage changes in performance between RT and LT were related to NA levels at the end of RT (r=0.60; p<0.04). Ad/NA ratios and Ad were related to performance (r=0.58, p<0.01; r=52, p<0.01; respectively). The differences in Ad/NA ratios and Ad between two consecutive competitions were related to the differences in performance (r=0.59, p<0.01; r=0.49, p<0.01; respectively). 24-hr NA and the Ad/NA excretion ratio were related to both training variations and performance. Thus, 24-hr NA levels and Ad/NA ratio may provide useful markers for monitoring training stress in elite swimmers.

Purpose: The aim of this study was to examine the influence of a short-term electromyostimulation (EMS) training program on the strength of knee extensors, skating, and vertical jump performance of a group of ice hockey players., Methods: Seventeen ice hockey players participated in this study, with nine in the electrostimulated group (ES) and the remaining height as controls (C). EMS sessions consisted of 30 contractions (4-s duration, 85 Hz) and were carried out 3x wk for 3 wk. Isokinetic strength of the knee extensor muscles was determined with a Biodex dynamometer at different eccentric and concentric angular velocities (angular velocities ranging from -120 to 300 degrees .s). Jumping ability was evaluated during squat jump (SJ), countermovement jump (CMJ), drop jump (DJ), and 15 consecutive CMJ (15J). Sprint times for 10- and 30-m skates in specific conditions were measured using an infrared photoelectric system., Results: After 3 wk of EMS training, isokinetic torque increased significantly (P<0.05) for ES group in eccentric (-120 and -60 degrees .s) and concentric conditions (60 and 300 degrees .s), whereas vertical jump height decreased significantly (P<0.05) for SJ (-2.9+/-2.4 cm), CMJ (-2.1+/-2.0 cm), and DJ (-1.3+/-1.1 cm). The 10-m skating performance was significantly improved (from 2.18+/-0.20 to 2.07+/-0.09 s, before and after the 3-wk EMS period, respectively; P<0.05)., Conclusion: It was demonstrated that an EMS program of the knee extensors significantly enhanced isokinetic strength (eccentric and for two concentric velocities) and short skating performance of a group of ice hockey players.

The aim of this study was to model the residual effects of training on the swimming performance and to compare a model that includes threshold saturation (MM) with the Banister model (BM). Seven Olympic swimmers were studied over a period of 4 +/- 2 years. For 3 training loads (low-intensity w(LIT), high-intensity w(HIT), and strength training w(ST)), 3 residual training effects were determined: short-term (STE) during the taper phase (i.e., 3 weeks before the performance [weeks 0, 1, and 2]), intermediate-term (ITE) during the intensity phase (weeks 3, 4, and 5), and long-term (LTE) during the volume phase (weeks 6, 7, and 8). ITE and LTE were positive for w(HIT) and w(LIT), respectively (p < 0.05). Low-intensity training load during taper was related to performances by a parabolic relationship (p < 0.05). Different quality measures indicated that MM compares favorably with BM. Identifying individual training thresholds may help individualize the distribution of training loads.

This study was undertaken to determine whether or not elastic compression stockings (ECS) can be used in elderly sportsmen to increase performance and leg pain recovery between two maximal exercises. For 2 weeks, 12 trained elderly cyclists, 63 (3) years old, performed two 5-min maximal exercises, Plim1 and Plim2, separated by an 80-min recovery period, twice a week with a 2-day rest interval. During the 80-min recovery period, they randomly wore or did not wear grip-top ECS Ganzoni-Sigvaris. ECS exerted a 44 hPa pressure at the ankle. Blood lactate concentrations, hematocrit, and plasma volume were measured after a 60-min rest and every 20 min during recovery. Leg sensations were assessed with a questionnaire. The decrease in maximal power between Plim1 and Plim2 was lower when wearing the ECS during the 80-min recovery period; when expressed as a percentage of Plim1, the difference reached 2.1 (1.4)%, P < 0.01. Between the two exercises, blood lactate concentrations and hematocrit were significantly decreased when wearing ECS. The increase in plasma volume was not significant. The 12 cyclists stated that wearing the ECS had a positive effect on their leg pain. Ten of the cyclists thought that it could have influenced their performance. However, no relationship was found between the gain in performance and the leg pain sensation. It was concluded that wearing ECS during an 80-min recovery period significantly increased subsequent performance. This was associated with a reduction in lactate and hematocrit.

Purpose: The effect of training variations on 24-h urinary cortisol/cortisone (C/Cn) ratio was investigated in highly trained swimmers to determine whether it could be a good marker of training stress and performance., Methods: Fourteen swimmers (five female and nine male) were tested after 4 wk of intense training (IT), 3 wk of reduced training (RT), and 5 wk of moderate training (MT). At the end of each period, the swimmers performed in their best event at an official competition. Individual performances were expressed as a percentage of the previous season's best performance. The fatigue state was evaluated with a questionnaire., Results: The C/Cn ratio was statistically different for the three periods (IT: 1.10 +/- 0.7, RT: 0.64 +/- 0.3, and MT: 0.57 +/- 0.2). The differences in the C/Cn ratio between two consecutive performances were related to the differences in performance (r = -0.52, P < 0.01), and the C/Cn ratio was significantly related to the total training (r = 0.32, P < 0.05) and total score of fatigue (TSF) (r = 0.35, P < 0.03) over the follow-up period. Cn levels were related to the dryland training (r = -0.46; P < 0.01) and TSF (r = -0.40; P < 0.02). During IT, variations in the C/Cn ratio were related to the changes in the mean intensity (r = -0.67; P < 0.02) and to TSF (r = 0.69; P < 0.01)., Conclusion: The 24-h C/Cn ratio was moderately related to both training and performance whereas Cn levels were only related to training. The C/Cn ratio could be a useful indicator for monitoring the overreaching state in elite swimmers.

Purpose: This study investigates the effect of the distance separating the lead and draft swimmers on the metabolic and hydrodynamic responses of the draft swimmer., Methods: A nondrafting swim of 4 min at 95% of the best 1500-m pace for 11 swimmers was compared with swimming in a drafting position at four different distances directly behind another swimmer (0, 50, 100, and 150 cm). Swimming performance was assessed by stroke rate and stroke length; the metabolic response by oxygen uptake, heart rate, and blood lactate; and the rating of perceived exertion by the Borg scale. Passive drag was assessed at these drafting distances by passive towing. Then, passive drag was measured in six swimmers towed in six lateral drafting positions, with swimmers separated by approximately 40 cm, and then measured in two positions at the rear of the lead swimmer with a reduced lateral distance between swimmers of 50 and 0 cm., Results: Oxygen uptake, heart rate, blood lactate, rating of perceived exertion, and stroke rate were significantly reduced and stroke length was significantly increased in all drafting positions compared with the nondrafting position. For drag, the most advantageous drafting distances were 0 and 50 cm back from the toes of the lead swimmer. Drag was reduced by 21% and 20%, respectively. In lateral drafting, drag was significantly reduced by 6% and 7%, respectively, at 50 and 100 cm back from the hands of the lead swimmer., Conclusions: Swimming behind another swimmer at a distance between 0 and 50 cm back from the toes was the most advantageous, whereas in lateral drafting the optimal distance was 50-100 cm back from the hands of the lead swimmer.

Purpose: The aim of this study was to model the relationship between training and performance in 13 competitive swimmers, over three seasons, and to identify individual and group responses to training., Methods: A linear mixed model was used as an alternative to the Banister model. Training effect on performance was studied over three training periods: short-term, the average of training load accomplished during the 2 wk preceding each performance of the studied period; mid-term, the average of training load accomplished during weeks 3, 4, and 5 before each performance; and long-term, weeks 6, 7, and 8., Results: Cluster analysis identified four groups of subjects according to their reactions to training. The first group corresponded to the subjects who responded well to the long-term training period, the second group to the long- and mid-term periods, the third to the short- and mid-term periods, and the fourth to the combined periods. In the model, the intersubject differences and the evolution over the three seasons were statistically significant for the identified groups of swimmers. Influence of short-term training was negative on performance in the four groups, whereas mid- and long-term training had, on the average, a positive effect in three groups out of four. Between seasons 1 and 3, the effect of mid-term training declined, whereas the effect of long-term training increased. The fit between real and modeled performances was significant for all swimmers (0.15

Salivary cortisol (C) and DHEA concentrations were measured in 9 elite swimmers (4 female and 5 male) over a 37-week period, 5 to 12 times per swimmer, before 68 competitions. For female and male swimmers, no significant relationship was found between C, DHEA and performance. For the whole group, C was negatively correlated with week number of training (r = -0.31, p < 0.01). The incorporation of the cumulated distance swum as a second variable in the regression increased r to 0.56 (p < 0.01). The higher the cumulated distance swum, the higher C. No significant relationship was found between DHEA and distance swum. For individual swimmers, 3 of 4 females showed a significant negative relationship between C and cumulated dry-land training. No equivalent relationship was found for DHEA. The 2 males practicing dry-land training showed a significant and negative relationship between DHEA and cumulated dry-land training. No equivalent relationship was found for C. Thus, C and DHEA were not good predictors of swimming performance. C for individual females, and DHEA for individual males were considered useful markers for dry-land training stress.

The aim of this study was to compare the arm coordination in 19 elite triathletes and 15 elite swimmers at six different velocities between 80 % and 100 % of their maximal velocity (Vmax). The different phases of the stroke (A: entry; B: pull; C: push; D: recovery) were identified by video analysis. An index of coordination (IdC) was calculated. It was the time that separated the beginning of the propulsive phase of one arm from the end of the propulsive phase of the other arm. IdC allows to express the mode of arm coordination: catch-up, IdC < 0; opposition, IdC = 0; superposition, IdC > 0. Between 80 % and 98 % Vmax, elite triathletes showed similar increases in IdC than swimmers (from -8.8 % to 2.6 % vs from -8.6 % to 0.3 %) switching from a catch-up to a superposition coordination. Between 88 % and Vmax, triathletes increased the propulsive phase (B+C) less (p < 0.01) than swimmers (3.4 % vs 8.5 %) and increased the recovery phase (0.8 %) when swimmers reduced it (-1.6 %). Between V5 and Vmax, both triathletes and swimmers had a significant (p < 0.01) difference in IdC change (-1.7 % vs 2.3 %). Moreover, triathletes reduced the propulsive phase when swimmers increased it (-0.6 % vs 3.2 %). The lower velocity of the triathletes was associated to a shorter stroke length when compared to the swimmers (1.70 m vs 2.15 m at Vmax). The stroke rates were not statistically different (55.1 vs 51.2 stroke x min(-1) at Vmax). Thus, monitoring IdC and stroke length is recommended for triathletes mainly at maximal velocity.

This study investigated the effects of 40-weeks training in swimming, cycling and running on performances in swimming, running and triathlon competitions in four elite triathletes. The training stimulus was calculated using the exercise heart rate. The level of performance was measured in running by a submaximal 30 min run, in swimming by a 5 x 400 m all-out test and subjectively in triathlon competitions. A mathematical model using one to three first order transfer functions linked actual and modelled performances by minimizing the residual sum of squares between them. The relationships between training and performances were significant in running (tau(1) = 20; tau(2) = 10; r = 0.74; p < 0.001) and in swimming (tau(1) = 31; r = 0.37; p = 0.03), supporting the principle of specificity of the training loads. Cross-transfer training effects were identified between cycling and running (tau(1 = )42; r = 0.56; p < 0.001), but not with swimming performances. In addition, the training loads completed in running were shown to have a major effect on performances in triathlon competition (tau(1 = )52; tau(2 = )4; r = 0.52; p < 0.001), indicating that running training is an essential part of triathlon performance. Swimming appears to be a highly specific activity, which does not gain nor provide benefits from/to other activities (i. e. cycling and running). The present study shows that cross-transfer training effects occur between cycling training and running performance in elite triathletes. A similar cross-training effect does not seem to occur for swimming performance.

Information about the influence of different practice levels on physical characteristics of a large number of soccer players is lacking. Therefore we assessed muscular strength and anaerobic power of elite, subelite and amateur soccer players to clarify what parameters distinguish the top players from the less successful. We tested 95 soccer players from the French first division (elite), second division (subelite), and amateurs and determined the isokinetic strength of the knee extensor and flexor muscles at angular velocities from -120 degrees x s(-1) to 300 degrees x s(-1). Vertical jump, 10 m sprint, 30 m sprint and maximum ball speed during shooting were also measured. The elite players had higher knee flexor torque than the amateurs at all angular velocities (p < 0.05), except at 300 degrees x s(-1). The hamstring/quadriceps ratios proposed with two different methods were significantly lower in the amateur group than in the elite group (p < 0.05), except at 300 degrees x s(-1). Maximum ball speed during shooting and speed over 30 m sprint were not different between elite, subelite, and amateur players while speed over a 10 m sprint was significantly slower in amateur players and faster in the elite group (p < 0.05). Although performance in soccer is not determined only by measurable variables, professional players differ from amateurs in terms of knee flexor muscle strength and short-distance sprinting speed. Based on these findings we conclude that hamstring strength is extremely important in soccer players for joint stabilization during various tasks, notably in eccentric action. Further, short-sprinting performance may mirror actual game situations at high level and could be an important determinant of match-winning actions.

The aim of this study was to determine the effects of drafting behind another swimmer on the metabolic response and stroke characteristics. Six highly trained male triathletes performed two maximal 400-m swims, one in a drafting (D) and one in a non-drafting condition (ND). Their metabolic response was assessed by measuring the oxygen uptake (VO2) and the blood lactate concentration at the end of each 400 m. Swimming velocity, stroke frequency, stroke length, and stroke index (velocity multiplied by stroke length) were recorded every 50 m. In the D and ND conditions, there was no difference in VO2 [66.7 (1.7) ml x kg(-1) x min(-1) vs 65.6 (1.2) ml x kg(-1) min(-1) respectively], however, the lactate concentrations were lower in D than in ND [9.6 (0.9) mM vs 10.8 (0.9) mM, respectively, P < 0.01]. In D, the performance [1.39 (0.02) m x s(-1) vs 1.34 (0.02) m x s(-1), respectively, P < 0.01] and the stroking parameters (i.e., stroke length and stroke index) increased significantly, while the stroke frequency remain unchanged. In D, a stable pace was maintained, while in ND, velocity decreased significantly throughout the 400 m. In D, the performance gains were related to the 400-m D velocity (r = 0.78, P < 0.05), and to the body fat mass (BFM, r = 0.99, P < 0.01). The stroke index in D was also related to BFM (r = 0.78, P < 0.05). Faster and leaner swimmers achieved greater performance gains and stroke index when drafting. Thus, drafting during swimming increases the performance and contributes to the maintenance of stable stroking parameters such as stroke frequency and stroke length during a 400-m swim.

The metabolic and drag responses, together with the distance between the draftee and the leader, were studied in six female triathletes swimming behind a lead swimmer who used either a two- or a six-beat kick, at an average velocity of 1.24 m x s(-1) (range 1.20-1.31). Drag was measured by passive towing. Oxygen consumption [49.1 (3.8) versus 50.4 (5.0) ml x min(-1) x kg(-1)], blood lactate [6.7 (2.3) versus 6.8 (1.9) mM], heart rate [172 (13.6) versus 173.5 (12.5) beats x min(-1)), rating of perceived exertion [13.7 (1.2) versus 13.5 (1.0)], stroke rate [38.3 (1.5) versus 39.5 (1.4) cycle x min(-1)], stroke length [1.95 (0.09) versus 1.89 (0.15) m x cycle(-1)] were not statistically different between the two-beat and the six-beat kick situations. The energy cost of swimming per unit of distance [0.65 (0.06) versus 0.67 (0.08) ml O2 x m(-1)] and the passive drag were similar for both kicks. The distance separating the draftee from the lead swimmer was between 14 cm and 85 cm and was inversely correlated with passive drag: r=-0.82, P < 0.05, for the two-beat kick and r=-0.82, P < 0.05, for the six-beat kick. The higher the passive drag, the closer the hand of the draftee to the feet of the lead swimmer. It was of no more benefit to triathletes to draft behind a two-beat kick swimmer than behind a six-beat kick swimmer.

The aim of this study was to investigate the influence of a 4-week electromyostimulation training program on the strength of the knee extensors and the vertical jump performance of 10 basketball players. Electromyostimulation sessions were carried out 3 times weekly; each session consisted of 48 contractions. Testing was carried out before and after the electromyostimulation training program (week 4) and once more after 4 weeks of normal basketball training (week 8). At week 4, isokinetic strength increased significantly (p < 0.05) at eccentric and high concentric velocities (between 180 and 360 x s(-1)); this was not the case for low concentric velocities (60 and 120 degrees x s(-1)). Electromyostimulation training increased also isometric strength at the two angles adjacent to the training angle (p < 0.01). Squat jump increased significantly by 14% at week 4 (p < 0.01), whereas counter movement-jump showed no change. At week 8, gains in isokinetic, isometric strength and squat-jump performance were maintained and the counter movement jump performance increased significantly by 17% (p<0.01). Electromyostimulation as part of a short strength-training program enhanced knee extensor strength and squat jump performance of basketball players.

This study analyzes stroke phases and arm and leg coordination during front crawl swimming as a function of swim velocity and performance level. Forty-three swimmers constituted three groups based on performance level. All swam at three different swim velocities, corresponding to the paces appropriate for the 800 m, 100 m, and 50 m. The different stroke phases and the arm and leg coordination were identified by video analysis. Arm coordination was quantified using a new index of coordination (IdC), which expresses the three major modalities opposition, catch-up and superposition. Opposition, where one arm begins the pull phase when the other is finishing the push phase; catch up, which has a lag time (LT) between propulsive phases of the two arms; and superposition, which describes an overlap in the propulsive phases. The IdC is an index which characterizes coordination patterns by measure of LT between propulsive phases of each arm. The most important results showed that duration of the propulsive phases (B + C) increased significantly with increasing velocity: 43.1 +/- 3.3% for V800; 46.5 +/- 3% for V100 and 49 +/- 3% for V50. The arm and leg synchronization was modified in the sense of an increase in six-beat kick. The IdC increased significantly with velocity: IdCV800 = -7.6 +/- 6.4%; IdCV100 = -3.2 +/- 5.1% and IdCV50 = -0.9 +/- 5.6%. IdC increased also significantly with performance level: IdCG3 = -6.07 +/- 5.3%; IdCG2 = -3.9 +/- 4.2% and IdCG1 = -1.76 +/- 5.6% for the mean of the 3 velocity. The two extreme IdC were IdCG3V800 = -9.4 +/- 5.4% and IdCG1V50 = +2.53 +/- 4.4%.

A synchronized swimming team routine (TR) is composed of figures of varying degrees of difficulty. Swimmers able to perform these figures separately underwent a 5-week technical training programme (TTP) to assemble a TR. Little is known about the physiological responses to this kind of TTP. A group of 13 trained synchronized swimmers [mean age 14 (SD 1) years] were tested before and after a 5-week TTP. The TR lasted 5 min, and 45% of that time was spent underwater. The swimmers' technique scores in the TR improved significantly from 4.5 (SD 1.9) before to 5.8 (SD 2.3) points after the TTP (P < 0.01), but their swimming performances, peak oxygen uptake (VO2peak), blood lactate concentration, and heart rate measured during a 400-m swim were lower after the TTP. The improvement in the technique scores correlated negatively with the change in VO2peak (r = -0.57; P < 0.05). The greater the improvement in the technique score, the greater the decrease in VO2peak. The overall synchronized swimming skill was assessed by the best score the swimmers obtained in four to six competitions over a season. This score was related to the 400-m swimming performance, VO2peak, maximal distance covered in apnoea, and the breath-hold time. The 5-week TTP therefore improved technical performance during the TR without improving physiological, swimming or apnoea performances. However, the physiological profile of each swimmer was linked to the synchronized swimming skill.

Trained athletes frequently experience low levels of blood haemoglobin (13 to 14 g/100ml in men and 12 g/100ml in women) plus low haematocrit and low ferritin levels. These parameters define the concept of 'sports anaemia'. Low iron levels may be due to mechanical haemolysis, intestinal bleeding, haematuria, sweating, low iron intake or poor intestinal absorption. The resulting decrease in blood gas transport and muscle enzyme activity impairs performance. The concept of sports anaemia can be criticised. Simply measuring the blood levels does not take into account the haemodilution that occurs in athletes because of training. The lack of these measurements makes it difficult to diagnose anaemia or evaluate any treatment. Anaemia is treated by preventing decreased iron stores through a balanced food intake or iron supplements. Self-medications must be discouraged because of intolerance, risk of overdose and many other drug interactions.

The purpose of this study was to monitor hematological changes during 12 weeks of intense training and 4 weeks of taper in 8 highly trained competitive swimmers, and to assess the relationships between hematological variables and competition performance. Venous blood samples were obtained in the mid-season (wk 10), before taper (wk 22) and after taper (wk 26). Swimmers participated in actual competitions within 1 wk of each blood testing. Comparisons were made between swimmers improving performance with taper by more than 2% (n = 4), efficient (GE) or less than 2% (n = 4), less efficient (GLE). Hemoglobin (Hb), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH) and mean corpuscular hemoglobin concentration (MCHC) increased significantly during training. MCH and MCHC decreased during taper, while serum iron tended to increase (P = 0.07). Improvement in performance during taper was positively correlated with post-taper red cell count (RCC): r = 0.83, P < 0.05. GE swimmers had higher pre- and post-taper RCC, and post-taper Hb and hematocrit. In conclusion, intense training and taper appeared to influence the hematological status and performance capacity of the studied group of swimmers.

Purpose: The influence of drafting was studied on the swimming performance, metabolic response, and passive drag of eight triathletes., Methods: The performance in drafting position was measured directly behind another swimmer during a 400-m swim and compared with the nondrafting position. Metabolic response concerned VO(2), blood lactate, stroke rate, stroke length, and rating of perceived exertion. Drag was measured by passive towing., Results: In drafting position, the triathletes swam on average faster (3.2%) over the 400-m swim than in nondrafting position (4 min, 47.69 +/- 10.35 s vs 4 min, 57.25 +/- 7.24 s; P < 0.01). Blood lactate and stroke rate were significantly lower (9.6 mM vs 10.8 mM; 39.9 cyclexmin(-1) vs 41.3 cyclexmin(-1) P < 0.02) and stroke length higher (2.10 mx cycle(-1) vs 1.97 mxcycle(-1), P < 0.01) than in nondrafting position. VO(2) and rating of perceived exertion were not statistically different. Passive drag was lower in drafting than in nondrafting position (P < 0.01). However, the gain in drag decreased with the towed velocity (from 26% at 1.1 mxs(-1) to 13% at 1.7mxs(-1)). In drafting position, the performance gain was related to the 400-m time (r = 0.80, P < 0.01) and to the skinfold thickness (r = 0.94, P < 0.01), with faster and leaner swimmers having greater gains of performance., Conclusions: Swimming behind another swimmer in a race is advantageous for triathletes.

The nutritional status of elderly sportsmen has not been reported on, neither has the nutritional balance nor the precise relationship between nutritional status and physical fitness been detailed for this population. Thus, group of 18 sportsmen [age 63 (SD 4.5) years] was monitored by weighing their food during a 6-day period. Macro nutrient, mineral and vitamin content was derived from tables. Daily energy expenditure (DEE) and sport activity (DSA) were quantified over a 7-day period using a questionnaire. Physical fitness was assessed by maximal oxygen uptake (VO2max) measurements. The DEE was 11429 (SD 1890) kJ x day(-1). The DSA corresponded to 38% of DEE and VO2max to 35.9 (SD 6.1) ml x min(-1) x kg(-1). When compared with French recommended dietary allowances (RDA) intakes were higher for energy (+ 24%), macro nutrients, and most minerals and vitamins. Despite high energy intakes, some subjects had mineral and vitamin deficits. Energy intakes were significantly related to intakes of magnesium, phosphorus, iron, vitamins B2, B6, C and to VO2max, but not to age. Stepwise regressions indicated that vitamin C intake was the only determinant to have a relationship with VO2max. Thus, most elderly sportsmen had higher nutritional status than RDA, although some had mineral and vitamin deficits. It is therefore suggested that elderly sportsmen should be encouraged to consume food with higher mineral and vitamin contents.

The purpose of this study was to examine the relationship between V4 (velocity which results in a blood lactate concentration of 4 mmol/l), age and racing performance of Standardbred trotters and to establish V4 normal values to select good and poor performers. The specific influence of racing (RT) and training (T1 and T2) tracks was also examined. A total of 159 horses were divided into 5 age-groups from 2 to 6 and over and performed 330 standardised exercise tests of 3 steps performed at increasing speeds. The velocity of the horses was measured with a tachometer on the sulky. Blood lactate concentrations were measured from the jugular vein after each step. For the 5 age-groups, mean V4 values increased significantly (P < 0.05) with age between 2 and 4 years. After 5 years, this increase was reduced and became nonsignificant. The highest V4 values were obtained on the racing track (RT) and the lowest on the training tracks (T1; P < 0.05). No significant difference was found between RT and T2 nor between T1 and T2. Horses were defined as good performers (GP) when finishing between the first and the fifth place in a race or poor performers (PP) when finishing lower than fifth. V4 was significantly higher for GP than for PP (P < 0.05). Normal value of V4 were established for good and poor performers taking into account the 95% confidence interval of the data. Therefore, V4 depends on age and track and can be considered an important parameter to evaluate trotters' racing potential.

The Evans blue dye (EBD) dilution method, including a dye extraction step, is a standard way of measuring plasma volume. This report describes a new direct spectrophotometric method, which is simple and specific and avoids the dye extraction step. To begin with, all the contaminants which may appear during a plasma volume study were added to plasma samples, prior to the absorbance measurements. In this way we calculated correction factors for the haemolysis and the turbidity of the plasma samples, without dye. The study of the visible spectra showed that the correction factors could be obtained by measuring absorbances at only four visible wavelengths: 780, 720, 619 and 578 nm. The addition of various amounts of contaminants to dye-containing plasma samples allowed us to obtain precise values for the absorbance errors. The previously defined correction factors were then applied, and the residual absorbance errors were found to become nil. This spectrophotometric method can be used to check the efficiency of a dye-extraction procedure, as well as to study other biological fluids containing EBD. When used to analyse a chronological series of blood samples this method appeared to provide an effective way of simultaneously studying the processes of plasma volume concentration and albumin extravasation induced by maximal exercise.

This study was conducted to examine the effects of creatine (Cr) supplementation on sprint swimming performance and energy metabolism. Twenty highly trained swimmers (9 female, 11 male) were tested for blood ammonia and for blood lactate after the 25-, 50-, and 100-m performance in their best stroke on two occasions 7 d apart. After the first trial, subjects were evenly and randomly assigned to either a creatine (5 g creatine monohydrate 4 times per day for 5 d) or a placebo group (same dosage of a lactose placebo) in a double-blind research design. No significant differences in performance times were observed between trials. Post-exercise blood ammonia concentration decreased in the 50- and 100-m trials in the creatine group and in the 50-m trial in the placebo group. The supplementation period had no effect on post-exercise blood lactate. Therefore, creatine supplementation cannot be considered as an ergogenic aid for sprint performance in highly trained swimmers although adenine nucleotide degradation may be reduced during sprint exercise after 5 d of creatine ingestion.

The effects of 12 weeks of training and 4 weeks of taper on blood leucocyte populations and cortisol were investigated in 8 well-trained competition swimmers. Blood samples were taken at rest in the mid-season (week 10), before taper (week 22) and after taper (week 26). Swimmers improving by more than 2% with taper (N = 4), efficient (GE), were compared with swimmers improving by less than 2% (N = 4), less efficient (GLE). No significant changes were observed in leucocyte subpopulations or cortisol during training. The percentage of neutrophils decreased during taper (p < 0.05). Basophils and the percentage of granulocytes tended to decrease, while lymphocytes tended to increase. The increment in lymphocytes was positively related with the reduction in training volume during taper (r = 0.86, p < 0.05). Cortisol levels did not change with taper and were not related with leucocyte status and kinetics. GE swimmers had higher pre- and post-taper eosinophil counts than GLE swimmers (p < 0.05). Lymphocyte counts in GE tended to be higher, too. Cortisol decreased with taper in GE, while it increased in GLE. In conclusion, taper appeared to have an influence on leucocyte populations, which did not seem to be related with blood cortisol.