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A key performance limitation affecting professional endurance cycling is carbohydrate storage and utilisation (Pöchmüller, Schwingshack, Colombani & Hoffmann, 2016, Journal of the International Society of Sports Nutrition, 13). Muscle glycogen stores alone are inefficient at maintaining optimal blood glucose levels beyond two hours of exercise; consequently, exogenous CHO is commonly used to counteract this (Jeukendrup, 2011, Journal of Sports Sciences, 21, 91-99). High concentrations of CHO can cause drops in blood glucose, excessive glycogen utilisation and gastrointestinal discomfort (GID) (Jeukendrup, 2011). Therefore, the aim of this study was to determine if frequent, smaller CHO feedings would be preferable to large, bolus CHO feedings on time trial cycling performance. With institutional ethics approval, 5 professional cyclists completed a 4h simulated cycle ride with 3 timed efforts in a randomised, cross-over, double blind design study. Each timed effort occurred in the last 10 min of each hour (TE1, TE2, TE3); participants were asked to cycle with maximum effort for this time. There was also a final effort at the end of the 4th hour to replicate a sprint finish. This was measured as time to exhaustion (TTE). Two interventions were used; a frequent feed (F) where participants drank 20g maltodextrin in 300ml flavoured water solution 3 times per hour and a bolus feed (B) where participants drank 60g maltodextrin solution once per hour. Heart rate, power output, GID, perceived exertion (RPE), blood lactate and blood glucose were recorded before and after TE1, TE2, TE3 and TTE. Wilcoxen signed rank test and Cohen’s D was performed to study differences between interventions and effect sizes.In the F intervention, average watts were significantly higher at TE2 (P

Background: Exercise-induced bronchoconstriction (EIB) is a common cause of breathing difficulty in athletes. Fractional exhaled nitric oxide (FeNO) is an indirect marker of airway inflammation, recommended for the assessment and management of asthma; however, the role of FeNO in detecting and monitoring EIB has yet to be fully established. The aim of this study was therefore to evaluate the predictive value of FeNO to confirm or refute EIB in athletes presenting with exertional dyspnoea. \ud \ud Method: Seventy athletes (male: n = 45) (age: 35 ± 11 years) reporting respiratory symptoms (i.e. wheeze, cough and dyspnoea) during exercise attended the laboratory on a single occasion. All athletes performed resting FeNO and spirometry pre-and-post a eucapnic voluntary hyperpnoea challenge (EVH) in accordance with international guidelines. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated for established FeNO thresholds: (intermediate [≥25ppb] and high [>50ppb]) and evaluated against objective evidence of EIB: (EVH diagnostic cut-off [-10% ΔFEV1 at two consecutive time-points] and [-15% ΔFEV1 at one time-point]). The diagnostic accuracy of FeNO was calculated using receiver operating characteristics area under the curve (ROC-AUC). \ud \ud Results: All had normal resting lung function (>80% FEV1 pred). The prevalence of EIB was 33% (-10% ΔFEV1) and 23% (-15% ΔFEV1) (median (IQR) ΔFEV1 = -7% (10.02)). FeNO values ≥25ppb and >50ppb were observed in 49% and 23% of the cohort, respectively. ROC-AUC for FeNO was 75% (-10% ΔFEV1) and 86% (-15% ΔFEV1). Sensitivity, specificity, PPV and NPV are presented in Table 1. \ud \ud Conclusion: Our findings indicate that FeNO >50ppb provides good specificity for a positive EVH test; however, should not replace indirect bronchoprovocation for diagnostic purposes. The high proportion of athletes reporting breathing difficulty in the absence of EIB highlights the requirement to consider alternative causes of exertional dyspnoea during clinical work-up.

Introduction\ud Cold Water Immersion (CWI) is a popular recovery strategy utilised by athletes in order to attenuate the negative influence of strenuous exercise on subsequent performance. One of the proposed physiological mechanisms underpinning the use of CWI is the potential to limit the inflammatory response after acute exercise. Given that the inflammatory cascade ultimately leads to muscle regeneration and repair, it is pertinent to investigate the longer term impact of regular cryotherapy exposure on adaptations to strength and power training.\ud \ud Methods\ud Thirteen resistance trained males (mean age 25.8 ± 5.5 years; height 1.8 ± 0.1 m; mass 83.6 ± 15.7 kg; 4RM back squat 146.2 ± 38.5 kg) completed an 8 week (1 x 4 week strength and 1 x 4 week power block) lower body resistance training program. Participants were match-paired into either the CWI (10 min at 10° ± 0.5°) or placebo group based on a ratio of lean mass to 4RM back squat. Participants completed 2 training sessions per week and completed their allocated recovery intervention after each training session. Measures of muscle fibre pennation angle, maximal voluntary isometric contraction (MVIC) at 90°, peak torque of the knee extensors (60deg∙s), and isometric squat parameters (peak force and rate of force development (RFD))were measured at baseline, midpoint and post training intervention. Results were analysed using magnitude based inferences.\ud \ud Results\ud At the post testing session, CWI demonstrated a likely moderate harmful effect on muscle fibre pennation angle compared to the placebo group (CWI: 11.4; ±4.8%; placebo: 21.5; ±8.4%). However, CWI demonstrated a likely large beneficial effect on peak torque (60deg∙s) compared to the placebo group (CWI: 7.5; ±6.5%; placebo: -2.4; ±4.0%) at midpoint. There were trivial differences between groups for isometric peak force and peak torque (60deg∙s) from baseline to post. All other effects were unclear.\ud \ud Discussion\ud The greater increase in muscle fibre pennation angle in the placebo group compared to the CWI group would indicate a greater increase lean muscle mass. However, CWI still demonstrated a positive impact on peak torque at 60 deg∙s compared to the placebo group. Blood sample analyses are ongoing and may offer further insight into the underpinning mechanisms. Further investigation is warranted to better understand the potential negative impact of repeated cryotherapy exposure on functional adaptations to strength and power training stimuli.

Summary: According to existing literature, bone health in ballet dancers is controversial. We have verified that, compared to controls, young female and male vocational ballet dancers have lower bone mineral density (BMD) at both impact and non-impact sites, whereas female professional ballet dancers have lower BMD only at non-impact sites.\ud \ud Introduction: The aims of this study were to (a) assess bone mineral density (BMD) in vocational (VBD) and professional (PBD) ballet dancers and (b) investigate its association with body mass (BM), fat mass (FM), lean mass (LM), maturation and menarche.\ud \ud Methods: The total of 152 VBD (13 ± 2.3 years; 112 girls, 40 boys) and 96 controls (14 ± 2.1 years; 56 girls, 40 boys) and 184 PBD (28 ± 8.5 years; 129 females, 55 males) and 160 controls (27 ± 9.5 years; 110 female, 50 males) were assessed at the lumbar spine (LS), femoral neck (FN), forearm and total body by dual-energy X-ray absorptiometry. Maturation and menarche were assessed via questionnaires.\ud \ud Results: VBD revealed lower unadjusted BMD at all anatomical sites compared to controls (p < 0.001); following adjustments for Tanner stage and gynaecological age, female VBD showed similar BMD values at impact sites. However, no factors were found to explain the lower adjusted BMD values in VBD (female and male) at the forearm (non-impact site), nor for the lower adjusted BMD values in male VBD at the FN. Compared to controls, female PBD showed higher unadjusted and adjusted BMD for potential associated factors at the FN (impact site) (p < 0.001) and lower adjusted at the forearm (p < 0.001). Male PBD did not reveal lower BMD than controls at any site.\ud \ud Conclusions: both females and males VBD have lower BMD at impact and non-impact sites compared to control, whereas this is only the case at non-impact site in female PBD. Maturation seems to explain the lower BMD at impact sites in female VBD.

Objective: To determine bone mineral density (BMD) and the associations among BMD, menstrual history, disordered eating (DE), training history, intentional weight loss (IWL) and rib pain for the first time in female lightweight rowers.\ud Setting: 9 lightweight rowing clubs, UK.\ud Participants: 29 Caucasian female lightweight rowers volunteered. 21 (12 active, 9 retired) completed the study.\ud Inclusion criteria: female lightweight rowers aged over 18 years. Exclusion criteria: participants with a history of bone disease, used medications known to influence BMD or if they were pregnant, lactating or postmenopausal.\ud Main outcome measures: Dual-energy X-ray absorptiometry measured total body (TB) composition and BMD at the spine, femoral neck (FN), radius and TB. DE, oligomenorrhoea/amenorrhoea years; rib pain and training history.\ud Results: DE was reported in six of the rowers. The active with DE started rowing younger (p