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Purpose: The effect of acetaminophen (ACT, also known as paracetamol) on endurance performance in hot and humid conditions has been shown previously in recreationally active populations. The aim of this study was to determine the effect of ACT on physiological and perceptual variables during steady-state and time-trial cycling performance of trained triathletes in hot and humid conditions. Methods: In a randomized, double-blind crossover design, 11 triathletes completed ∼60 minutes steady-state cycling at 63% peak power output followed by a time trial (7 kJ·kg body mass−1, ∼30 min) in hot and humid conditions (∼30°C, ∼69% relative humidity) 60 minutes after consuming either 20 mg·kg body mass−1 ACT or a color-matched placebo. Time-trial completion time, gastrointestinal temperature, skin temperature, thermal sensation, thermal comfort, rating of perceived exertion, and fluid balance were recorded throughout each session. Results: There was no difference in performance in the ACT trial compared with placebo (P = .086, d = 0.57), nor were there differences in gastrointestinal and skin temperature, thermal sensation and comfort, or fluid balance between trials. Conclusion: In conclusion, there was no effect of ACT (20 mg·kg body mass−1) ingestion on physiology, perception, and performance of trained triathletes in hot and humid conditions, and existing precooling and percooling strategies appear to be more appropriate for endurance cycling performance in the heat.

Context: Exercise in hot environments increases body temperature and thermoregulatory strain. However, little is known regarding the magnitude of effect that ambient temperature (Ta), relative humidity (RH), and solar radiation individually have on team-sport athletes. Purpose: To determine the effect of these individual heat-stress variables on team-sport training performance and recovery. Methods: Professional Australian Rules Football players (N = 45) undertook 8-wk preseason training producing a total of 579 outdoor field-based observations with Ta, RH, and solar radiation recorded at every training session. External load (distance covered, in m/min; percentage high-speed running [%HSR] >14.4 km/h) was collected via a global positioning system. Internal load (ratings of perceived exertion and heart rate) and recovery (subjective ratings of well-being and heart-rate variability [root mean square of the successive differences]) were monitored throughout the training period. Mixed-effects linear models analyzed relationships between variables using standardized regression coefficients. Results: Increased solar-radiation exposure was associated with reduced distance covered (−19.7 m/min, P P P = .019). Greater RH was associated with decreased %HSR (−3.4%, P = .010) but increased percentage duration >85% HRmax (3.9%, P P P = .002). In contrast, higher Ta was associated with increased distance covered (19.7 m/min, P P = .005). Conclusions: The authors show the importance of considering the individual factors contributing to thermal load in isolation for team-sport athletes and that solar radiation and RH reduce work capacity during team-sport training and have the potential to slow recovery between sessions.

Little is known about the effect of preceding endurance-exercise bouts on subsequent resistance-training (RT) performance in team-sport players. Purpose: To examine the effect of prior skills/endurance training and different recovery time periods on subsequent same-day RT performance in professional Australian football players. Methods: Sport-specific endurance-running loads (duration [in minutes], total distance [in meters], mean speed [in meters per minute], high-speed running >15 km·h−1, and relative high-speed running [>75% and >85% of maximal velocity]) were obtained for 46 professional Australian football players for each training session across an entire competitive season. RT was prescribed in 3 weekly mesocycles with tonnage (in kilograms) lifted recorded as RT performance. Endurance and RT sessions were interspersed by different recovery durations: ∼20 min and 1, 2, and 3 h. Fixed- and mixed-effect linear models assessed the influence of skills/endurance-running loads on RT performance. Models also accounted for season period (preseason vs in-season) and recovery duration between concurrent training bouts. Results: An increase in high-speed running and distance covered >75% and >85% of maximal velocity had the greatest reductions on RT performance. In-season total distance covered displayed greater negative effects on subsequent RT performance compared with preseason, while ∼20-min recovery between skills/endurance and RT was associated with greater reductions in RT performance, compared with 1-, 2-, and 3-h recovery. Conclusions: Sport-specific endurance-running loads negatively affect subsequent same-day RT performance, and this effect is greater in-season and with shorter recovery durations between bouts.

O'Connor, FK, Doering, TM, Minett, GM, Reaburn, PR, Bartlett, JD and Coffey, VG. Effect of divergent solar radiation exposure with outdoor versus indoor training in the heat: implications for performance. J Strength Cond Res 36(6): 1622-1628, 2022-The aim of this study was to determine physiological and perceptual responses and performance outcomes when completing high-intensity exercise in outdoor and indoor hot environments with contrasting solar radiation exposure. Seven cyclists and 9 Australian Football League (AFL) players undertook cycling trials in hot conditions (≥30 °C) outdoors and indoors. Cyclists completed 5 × 4 minutes intervals (∼80% peak power output [PPO]) with 2 minutes recovery (∼40% PPO) before a 20-km self-paced ride. Australian Football League players completed a standardized 20 minutes warm-up (∼65% mean 4-minute power output) then 5 × 2 minutes maximal effort intervals. Heart rate (HR), PO, ratings of perceived exertion (RPE), thermal comfort (TC), and thermal sensation (TS) were recorded. Core (Tc) and skin temperature (Tsk) were monitored in cyclists alone. In both studies, ambient temperature, relative humidity, and solar radiation were monitored outdoors and matched for ambient temperature and relative humidity indoors, generating different wet bulb globe temperature (WBGT) for cyclists, but the similar WBGT for AFL players through higher relative humidity indoors. The statistical significance was set at p ≤ 0.05. Cyclists' HR (p = 0.05), Tc (p = 0.03), and Tsk (p = 0.03) were higher outdoors with variable effects for increased RPE, TS, and TC (d = 0.2-1.3). Power output during intervals was not different between trials, but there were small-moderate improvements in cyclists' PO and 20-km time indoors (d = 0.3-0.6). There was a small effect (d = 0.2) for AFL players' mean PO to increase outdoors for interval 4 alone (p = 0.04); however, overall there were small-moderate effects for lower RPE and TS indoors (d = 0.2-0.5). Indoor training in hot conditions without solar radiation may promote modest reductions in physiological strain and improve performance capacity in well-trained athletes.

Context: Team-sport training requires the daily manipulation of intensity, duration, and frequency, with preseason training focusing on meeting the demands of in-season competition and training on maintaining fitness. Purpose: To provide information about daily training in Australian football (AF), this study aimed to quantify session intensity, duration, and intensity distribution across different stages of an entire season. Methods: Intensity (session ratings of perceived exertion; CR-10 scale) and duration were collected from 45 professional male AF players for every training session and game. Each session’s rating of perceived exertion was categorized into a corresponding intensity zone, low (Results: The distribution of the mean session intensity across the season was 29% low intensity, 57% moderate intensity, and 14% high intensity. While 96% of games were high intensity, 44% and 49% of skills training sessions were low intensity and moderate intensity, respectively. Running had the highest proportion of high-intensity training sessions (27%). Preseason displayed higher training-session intensity (effect size [ES] = 0.29–0.91) and duration (ES = 0.33–1.44), while in-season game intensity (ES = 0.31–0.51) and duration (ES = 0.51–0.82) were higher. Conclusions: By using a cost-effective monitoring tool, this study provides information about the intensity, duration, and intensity distribution of all training types across different phases of a season, thus allowing a greater understanding of the training and competition demands of Australian footballers.

Objectives: To develop three different training drill classification systems for Australian Rules football using physical and skill-related data.Methods: Forty professional Australian footballers wore 10 Hz Global Positioning System units for six matches and 17 training sessions including 35 drills. High intensity running per minute, metres per minute and high-intensity running as a percentage of total distance were obtained to represent each drill's physical requirements. Velocity at kick (moving or stationary), time in possession (greater or less than 2 s) and the presence of pressure were coded for each kick to represent the constraints associated with each drill.Results: For the first system, two k-means clustering algorithms were run on physical and skill data separately to identify similarities between drills. For the second system, z-scores were calculated for each physical and skill characteristic to allow direct comparison of each drill with match conditions. For the third system, a “Spec...

Sprint capacity is an important attribute for team-sport athletes, yet the most appropriate method to analyze it is unclear. Purpose: To examine the relationship between sprint workloads using relative versus absolute thresholds and lower-body soft-tissue and bone-stress injury incidence in professional Australian rules football. Methods: Fifty-three professional Australian rules football athletes’ noncontact soft-tissue and bone-stress lower-body injuries (N = 62) were recorded, and sprint workloads were quantified over ∼18 months using the global positioning system. Sprint volume (m) and exposures (n) were determined using 2 methods: absolute (>24.9 km·h−1) and relative (≥75%, ≥80%, ≥85%, ≥90%, ≥95% of maximal velocity). Relationships between threshold methods and injury incidence were assessed using logistic generalized additive models. Incidence rate ratios and model performances’ area under the curve were reported. Results: Mean (SD) maximal velocity for the group was 31.5 (1.4), range 28.6 to 34.9 km·h−1. In comparing relative and absolute thresholds, 75% maximal velocity equated to ~1.5 km·h−1 below the absolute speed threshold, while 80% and 85% maximal velocity were 0.1 and 1.7 km·h−1 above the absolute speed threshold, respectively. Model area under the curve ranged from 0.48 to 0.61. Very low and very high cumulative sprint loads ≥80% across a 4-week period, when measured relatively, resulted in higher incidence rate ratios (2.54–3.29), than absolute thresholds (1.18–1.58). Discussion: Monitoring sprinting volume relative to an athlete’s maximal velocity should be incorporated into athlete monitoring systems. Specifically, quantifying the distance covered at >80% maximal velocity will ensure greater accuracy in determining sprint workloads and associated injury risk.

Purpose:The aim of this study was to quantify and predict relationships between rating of perceived exertion (RPE) and GPS training-load (TL) variables in professional Australian football (AF) players using group and individualized modeling approaches.Methods:TL data (GPS and RPE) for 41 professional AF players were obtained over a period of 27 wk. A total of 2711 training observations were analyzed with a total of 66 ± 13 sessions/player (range 39–89). Separate generalized estimating equations (GEEs) and artificial-neural-network analyses (ANNs) were conducted to determine the ability to predict RPE from TL variables (ie, session distance, high-speed running [HSR], HSR %, m/min) on a group and individual basis.Results:Prediction error for the individualized ANN (root-mean-square error [RMSE] 1.24 ± 0.41) was lower than the group ANN (RMSE 1.42 ± 0.44), individualized GEE (RMSE 1.58 ± 0.41), and group GEE (RMSE 1.85 ± 0.49). Both the GEE and ANN models determined session distance as the most important predictor of RPE. Furthermore, importance plots generated from the ANN revealed session distance as most predictive of RPE in 36 of the 41 players, whereas HSR was predictive of RPE in just 3 players and m/min was predictive of RPE in just 2 players.Conclusions:This study demonstrates that machine learning approaches may outperform more traditional methodologies with respect to predicting athlete responses to TL. These approaches enable further individualization of load monitoring, leading to more accurate training prescription and evaluation.

Brian Gerard Haggart was a consultant general surgeon at Walton and Fazakerley hospitals in Liverpool. He was born the eldest of three children in Walton, Liverpool. He had two younger, twin sisters, Shirley and Pauline. They were from a modest background; their father worked for Reece’s Dairy in Liverpool. Brian was educated at St Francis De Sales Junior School and then by the Jesuits at St Francis Xavier School, which he attended from 1939 to 1946. This period included a brief evacuation to north Wales during the second world war. While he was there, the diet consisted mostly of rabbit, ensuring a lifelong aversion to this particular delicacy. A visit to hospital to have his appendix removed as an early teenager convinced him that surgery was his vocation, and he gained a place to study medicine at Liverpool …

Former community physician Bury (b Dublin 1927; q Dublin 1952), died from ovarian cancer on 4 April 2004.​2004. Figure 1 After graduation Mary moved to Manchester, where she completed her preregistration posts at Ancoats Hospital. She then spent one year in anaesthetics at Crumpsall Hospital. After bringing up four children she worked in the emergency department at Bury General Hospital and also in the community. Her devoted family and Catholic faith sustained her during her last short illness. Predeceased by her husband, Tony, she leaves four children and 10 grandchildren.