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Introduction: The relationship between the percentage of a fatiguing ambulatory task completed and rating of perceived exertion (RPE) appears to be linear and scalar, with a relatively narrow “window.” Recent evidence has suggested that a similar relationship may exist for muscularly demanding tasks. Methods: To determine whether muscularly demanding tasks fit within this “ambulatory window,” we tested resistance-trained athletes performing bench press and leg press with different loadings predicted to allow 5, 10, 20, and 30 repetitions and measured RPE (category ratio scale) at the end of the concentric action for each repetition. Results: There was a regular, and strongly linear, pattern of growth of RPE for both bench press (r = .89) and leg press (r = .90) during the tasks that allowed 5.2 (1.2), 11.6 (1.9), 22.7 (2.0), and 30.8 (3.2) repetitions for bench press and 5.5 (1.5), 11.4 (1.6), 20.2 (3.0), and 32.4 (4.2) repetitions for leg press, respectively. Conclusions: The path of the RPE growth versus percentage task fit within the window evident for ambulatory tasks. The results suggest that the RPE versus percentage task completed relationship is scalar, relatively linear, and apparently independent of exercise mode.

Objective Individuals after stroke are less active, experience more fatigue, and perform activities at a slower pace than peers with no impairments. These problems might be caused by an increased aerobic energy expenditure during daily tasks and a decreased aerobic capacity after stroke. The aim of this study was to quantify relative aerobic load (ie, the ratio between aerobic energy expenditure and aerobic capacity) during daily-life activities after stroke. Methods Seventy-nine individuals after stroke (14 in Functional Ambulation Category [FAC] 3, 25 in FAC 4, and 40 in FAC 5) and 22 peers matched for age, sex, and body mass index performed a maximal exercise test and 5 daily-life activities at a preferred pace for 5 minutes. Aerobic energy expenditure (mL O2/kg/min) and economy (mL O2/kg/unit of distance) were derived from oxygen uptake ($\dot{\mathrm{V}}{\mathrm{O}}_2$). Relative aerobic load was defined as aerobic energy expenditure divided by peak aerobic capacity (%$\dot{\mathrm{V}}{\mathrm{O}}_2$peak) and by $\dot{\mathrm{V}}{\mathrm{o}}_2$ at the ventilatory threshold (%$\dot{\mathrm{V}}{\mathrm{o}}_2$-VT) and compared in individuals after stroke and individuals with no impairments. Results Individuals after stroke performed activities at a significantly higher relative aerobic load (39%–82% $\dot{\mathrm{V}}{\mathrm{o}}_2$peak) than peers with no impairments (38%–66% $\dot{\mathrm{V}}{\mathrm{o}}_2$peak), despite moving at a significantly slower pace. Aerobic capacity in individuals after stroke was significantly lower than that in peers with no impairments. Movement was less economical in individuals after stroke than in peers with no impairments. Conclusion Individuals after stroke experience a high relative aerobic load during cyclic daily-life activities, despite adopting a slower movement pace than peers with no impairments. Perhaps individuals after stroke limit their movement pace to operate at sustainable relative aerobic load levels at the expense of pace and economy. Impact Improving aerobic capacity through structured aerobic training in a rehabilitation program should be further investigated as a potential intervention to improve mobility and functioning after stroke.

Purpose: To determine if workload and seasonal periods (preseason vs in season) are associated with the incidence of injuries and illnesses in female professional cyclists. Methods: Session rating of perceived exertion was used to quantify internal workload and was collected from 15 professional female cyclists, from 33 athlete seasons. One week (acute) workload, 4 weeks (chronic) workload, and 3 acute:chronic workload models were analyzed. Two workload models are based on moving averages of the ratios, the acute:chronic workload ratio (ACWR), and the ACWR uncoupled (ACWRuncoup). The difference between both is the chronic load; in ACWR, the acute load is part of the chronic load, and in ACWRuncoup, the acute and chronic load are uncoupled. The third workload model is based on exponentially weighted moving averages of the ratios. In addition, the athlete season is divided into the preseason and in season. Results: Generalized estimating equations analysis was used to assess the associations between the workload ratios and the occurrence of injuries and illnesses. High values of acute workload (P = .048), ACWR (P = .02), ACWRuncoup (P = .02), exponentially weighted moving averages of the ratios (P = .01), and the in season (P = .0001) are significantly associated with the occurrence of injury. No significant associations were found between the workload models, the seasonal periods, and the occurrence of illnesses. Conclusions: These findings suggest the importance of monitoring workload and workload ratios in female professional cyclists to lower the risk of injuries and therefore improve their performances. Furthermore, these results indicate that, in the preseason, additional stressors occur, which could lead to an increased risk of injuries.

Assessment of metabolic energy expenditure from indirect calorimetry is currently limited to sustained (>4 min) cyclic activities, because of steady-state requirements. This is problematic for patient populations who are unable to perform such sustained activities. Therefore, this study explores validity and reliability of a method estimating metabolic energy expenditure based on oxygen consumption (V̇O2) during short walking bouts. Twelve able-bodied adults twice performed six treadmill walking trials (1, 2 and 6 min at 4 and 5 km/h), while V̇O2 was measured. Total V̇O2 was calculated by integrating net V̇O2 over walking and recovery. Concurrent validity with steady-state V̇O2 was assessed with Pearson’s correlations. Test-retest reliability was assessed using intra-class correlation coefficients (ICC) and Bland-Altman analyses. Total V̇O2 was strongly correlated with steady-state V̇O2 (r=0.91–0.99), but consistently higher. Test-retest reliability of total V̇O2 (ICC=0.65–0.92) was lower than or comparable to steady-state V̇O2 (ICC=0.83–0.92), with lower reliability for shorter trials. Total V̇O2 discriminated between gait speeds. Total oxygen uptake provides a useful measure to estimate metabolic load of short activities from oxygen consumption. Although estimates are less reliable than steady-state measurements, they can provide insight in the yet unknown metabolic demands of daily activities for patient populations unable to perform sustained activities.

This study aimed to investigate whether (semi-)professional cyclists’ execution of a training programme differs from the coach’s designed training programme. Also, the study sought to ascertain, in instances where the training sessions were indeed executed as designed by the coach, whether the perception of the cyclists differed from the intention of the coach. This study highlights the differences between the coach and the individual cyclist. In total, 747 training sessions were collected from 11 (semi-)professional cyclists. Rating of Perceived Exertion (RPE) and session Rating of Perceived Exertion (sRPE) were compared with intended RPE (iRPE) and intended sRPE (isRPE), planned by the coach. Pearson’s correlation, regression coefficients and Typical Error of Estimate (TEE) were used to identify differences between the executed and planned training sessions. Moderate to large TEEs were noted between executed and intended sRPE, which indicates that cyclists do not always execute the training programme planned by the coach. Furthermore, when the training was executed as planned by the coach, very large correlations but moderate to very large TEEs were noted between cyclists’ (s)RPE and the coach’s i(s)RPE, with unique individual regression coefficients. This indicates that the relationship between RPE and iRPE is unique to each cyclist. Both the different execution and perception of the training programme by the individual cyclists could cause an impaired training adaptation. Therefore, the coach must pay attention to the perception of training sessions by the individual cyclist. Improved individual management of training load could result in the optimisation of the proposed training programme.

This study aims to investigate the presence of the relative age effect (RAE) in (semi-)professional cycling, especially within selecting cyclists for Continental (CT) development teams. Data were collected from www.procyclingstats.com (PCS). Cyclists out of the top-25 countries of the PCS ranking that were part of a CT team between 2005 and 2016 and born between January 1986 and December 1997 were included (n = 2854). Distributions of cyclists in different birth quarters (Q1, Q2, Q3 and Q4) as well as for different starting years at CT level (U23

Background: Gross efficiency (GE) declines during high-intensity exercise. Increasing extracellular buffer capacity might diminish the decline in GE and thereby improve performance. Purpose: To examine if sodium bicarbonate (NaHCO3) supplementation diminishes the decline in GE during a 2000-m cycling time trial. Methods: Sixteen male cyclists and 16 female cyclists completed 4 testing sessions including a maximal incremental test, a familiarization trial, and two 2000-m GE tests. The 2000-m GE tests were performed after ingestion of either NaHCO3 supplements (0.3 g/kg body mass) or placebo supplements (amylum solani, magnesium stearate, and sunflower oil capsules). The GE tests were conducted using a double-blind, randomized, crossover design. Power output, gas exchange, and time to complete the 2000-m time trials were recorded. Capillary blood samples were analyzed for blood bicarbonate, pH, and lactate concentration. Data were analyzed using magnitude-based inference. Results: The decrement in GE found after the 2000-m time trial was possibly smaller in the male and female groups after NaHCO3 than with placebo ingestion, with the effect in both groups combined being unclear. The effect on performance was likely trivial for males (placebo 164.2 [5.0] s, NaHCO3 164.3 [5.0] s; Δ0.1; ±0.6%), unclear for females (placebo 178.6 [4.8] s, NaHCO3 178.0 [4.3] s; Δ−0.3; ±0.5%), and very likely trivial when effects were combined. Blood bicarbonate, pH, and lactate concentration were substantially elevated from rest to pretest after NaHCO3 ingestion. Conclusions: NaHCO3 supplementation results in an unclear effect on the decrease in GE during high-intensity exercise and in a very likely trivial effect on performance.

Purpose: To describe the training intensity and load characteristics of professional cyclists using a 4-year retrospective analysis. Particularly, this study aimed to describe the differences in training characteristics between men and women professional cyclists. Method: For 4 consecutive years, training data were collected from 20 male and 10 female professional cyclists. From those training sessions, heart rate, rating of perceived exertion, and power output (PO) were analyzed. Training intensity distribution as time spent in different heart rate and PO zones was quantified. Training load was calculated using different metrics such as Training Stress Score, training impulse, and session rating of perceived exertion. Standardized effect size is reported as Cohen’s d. Results: Small to large higher values were observed for distance, duration, kilojoules spent, and (relative) mean PO in men’s training (d = 0.44–1.98). Furthermore, men spent more time in low-intensity zones (ie, zones 1 and 2) compared with women. Trivial differences in training load (ie, Training Stress Score and training impulse) were observed between men’s and women’s training (d = 0.07–0.12). However, load values expressed per kilometer were moderately (d = 0.67–0.76) higher in women compared with men’s training. Conclusions: Substantial differences in training characteristics exist between male and female professional cyclists. Particularly, it seems that female professional cyclists compensate their lower training volume, with a higher training intensity, in comparison with male professional cyclists.

Introduction The aim of this study was to present the load, intensity, and performance characteristics of a general classification (GC) contender during multiple grand tours (GTs). This study also investigated which factors influence climbing performance. Methods Power output (PO) data were collected from a GC contender from the Vuelta a España 2015, the Giro d'Italia 2017, the Giro d'Italia 2018, and the Tour de France 2018. Load (e.g., Training Stress Score and kJ spent) and intensity in five PO zones were quantified. One-way ANOVA was used to identify differences between the GTs. Furthermore, performance during the four GTs was quantified based on maximal mean PO (W·kg-1) over different durations and by the relative PO (W·kg-1) on the key mountains in the GTs. Stepwise multiple regression analysis was used to identify which factors influence relative PO on the key mountains. Results No significant differences were found between load and intensity characteristics between the four GTs, with the exception that during the Giro d'Italia 2018, a significantly lower absolute time was spent in PO zone 5 (P = 0.005) compared with the other three GTs. The average relative PO on the key mountains (n = 33) was 5.9 ± 0.6 W·kg-1 and was negatively influenced by the duration of the climb and the total elevation gain before the key mountain, whereas the gradient of the mountain had a positive effect on relative PO. Conclusions The physiological load imposed on a GC contender did not differ between multiple GTs. Climbing performance was influenced by short-term fatigue induced by previous altitude meters in the stage and the duration and gradient of the mountain.

Training intensity distribution is important to training program design. The zones 1 to 2 boundary can be defined by the Talk Test and the rating of perceived exertion. The zones 2 to 3 boundary can be defined by respiratory gas exchange, maximal lactate steady state, or, more simply, by critical speed (CS). The upper boundary of zone 3 is potential defined by the velocity at maximum oxygen uptake (vVO2max), although no clear strategy has emerged to categorize this intensity. This is not normally definable outside the laboratory. Purpose: This study predicts vVO2max from CS, determined from 1 (1.61 km) and 2 (3.22 km) citizen races in well-trained runners. Methods: A heterogeneous group of well-trained runners (N = 22) performed 1- and 2-mile races and were studied during submaximal and maximal treadmill running to measure oxygen uptake, allowing computation of vVO2max. This vVO2max was compared with CS. Results: vVO2max (4.82 [0.53] m·s−1) was strongly correlated with CS (4.37 [0.49] m·s−1; r = .84, standard error of estimate [SEE] = 0.132 m·s−1), 1-mile speed (5.09 [0.51] m·s−1; r = .84, SEE = 0.130 m·s−1), and 2-mile speed (4.68 [0.49] m·s−1; r = .86, SEE = 0.120 m·s−1). Conclusions: CS, calculated from 2 citizen races (or even training time trials), can be used to make reasonable estimates of vVO2max, which can be used in the design of running training programs.

Background: During self-paced (SP) time trials (TTs), cyclists show unconscious nonrandom variations in power output of up to 10% above and below average. It is unknown what the effects of variations in power output of this magnitude are on physiological, neuromuscular, and perceptual variables. Purpose: To describe physiological, neuromuscular, and perceptual responses of 10-km TTs with an imposed even-paced (EP) and variable-paced (VP) workload. Methods: Healthy male, trained, task-habituated cyclists (N = 9) completed three 10-km TTs. First, an SP TT was completed, the mean workload from which was used as the mean workload of the EP and VP TTs. The EP was performed with an imposed even workload, while VP was performed with imposed variations in workload of ±10% of the mean. In EP and VP, cardiorespiratory, neuromuscular, and perceptual variables were measured. Results: Mean rating of perceived exertion was significantly lower in VP (6.13 [1.16]) compared with EP (6.75 [1.24]), P = .014. No mean differences were found for cardiorespiratory and almost all neuromuscular variables. However, differences were found at individual kilometers corresponding to power-output differences between pacing strategies. Conclusion: Variations in power output during TTs of ±10%, simulating natural variations in power output that are present during SP TTs, evoke minor changes in cardiorespiratory and neuromuscular responses and mostly affect the perceptual response. Rating of perceived exertion is lower when simulating natural variations in power output, compared with EP cycling. The imposed variations in workload seem to provide a psychological rather than a physiological or neuromuscular advantage.

Purpose: A valid measure for training load (TL) is an important tool for cyclists, trainers, and sport scientists involved in professional cycling. The aim of this study was to explore the influence of exercise intensity on the association between kilojoules (kJ) spent and different measures of TL to arrive at valid measures of TL. Methods: Four years of field data were collected from 21 cyclists of a professional cycling team, including 11,716 training and race sessions. kJ spent was obtained from power output measurements, and others TLs were calculated based on the session rating of perceived exertion (sRPE), heart rate (Lucia training impulse [luTRIMP]), and power output (training stress score [TSS]). Exercise intensity was expressed by the intensity factor (IF). To study the effect of exercise intensity on the association between kJ spent and various other TLs (sRPE, luTRIMP, and TSS), data from low- and high-intensity sessions were subjected to regression analyses using generalized estimating equations. Results: This study shows that the IF is significantly different for training and race sessions (0.59 [0.03] vs 0.73 [0.03]). Significant regression coefficients show that kJ spent is a good predictor of sRPE, and luTRIMP, as well as TSS. However, IF does not influence the associations between kJ spent and sRPE and luTRIMP, while the association with TSS is different when sessions are done with low or high IF. Conclusion: It seems that the TSS reacts differently to exercise intensity than sRPE and luTRIMP. A possible explanation could be the quadratic relation between IF and TSS.

BackgroundIndividuals post-stroke walk slower than their able-bodied peers, which limits participation. This might be attributed to neurological impairments, but could also be caused by a mismatch between aerobic capacity and aerobic load of walking.Research questionWhat is the potential impact of aerobic capacity and aerobic load of walking on walking ability post-stroke?MethodsIn a cross-sectional study, forty individuals post-stroke (more impaired N=21; preferred walking speed (PWS)2/kg/min) and energy cost (mlO2/kg/m) were derived from oxygen uptake . Relative load was defined as energy expenditure divided by peak aerobic capacity and by at ventilatory threshold . Relative load and energy cost at PWS were compared between groups with one-way ANOVA’s. The effect of speed on these parameters was modeled with GEE.ResultsBoth more and less impaired individuals post-stroke showed lower PWS than able-bodied controls (0.44[0.19-0.76] and 1.04[0.81-1.43] vs 1.36[0.89-1.53] m/s) and higher relative load at PWS (50.2±14.4 and 51.7±16.8 vs peak and 101.9±20.5 and 97.0±27.3 vs ). No differences in relative load were found between stroke groups. Energy cost at PWS of more impaired (0.30[.19-1.03] mlO2/kg/m) was higher than less-impaired (0.19[0.10-0.24] mlO2/kg/m) and able-bodied (0.15[0.13-0.18] mlO2/kg/m). For post-stroke individuals, increasing walking speed above PWS decreased energy cost, but resulted in a relative load above endurance threshold.SignificanceIndividuals post-stroke seem to reduce walking speed to prevent unsustainably high relative aerobic loads at the expense of reduced economy. When aiming to improve walking ability in individuals post-stroke, it is important to consider training aerobic capacity.

The aerobic cost of running (CR), an important determinant of running performance, is usually measured during constant speed running. However, constant speed does not adequately reflect the nature of human locomotion, particularly competitive races, which include stochastic variations in pace. Studies in non-athletic individuals suggest that stochastic variations in running velocity produce little change in CR. This study was designed to evaluate whether variations in running speed influence CR in trained runners. Twenty competitive runners (12 m, VO2max=73 + 7 ml/kg, 8f, VO2max=57 + 6 ml/kg) ran four 6-minute bouts at an average speed calculated to require ~90% ventilatory threshold (VT) (measured using both v-slope and ventilatory equivalent). Each interval was run with minute-to-minute pace variation around average speed. CR was measured over the last 2 min. The coefficient of variation (CV) of running speed was calculated to quantify pace variations: + 0.0 m∙s-1 (CV = 0%), + 0.04 m∙s-1 (CV = 1.4%), + 0.13 m∙s-1(CV = 4.2%), and + 0.22 m∙s-1(CV = 7%). No differences in CR, HR, or blood lactate (BLa) were found amongst the variations in running pace. Rating of perceived exertion (RPE) was significantly higher only in the 7% CV condition. The results support earlier studies with short term (3s) pace variations, that pace variation within the limits often seen in competitive races did not affect CR when measured at running speeds below VT.

During competitive events, the pacing strategy depends upon how an athlete feels at a specific moment and the distance remaining. It may be expressed as the Hazard Score (HS) with momentary HS being shown to provide a measure of the likelihood of changing power output (PO) within an event and summated HS as a marker of how difficult an event is likely to be perceived to be. This study aimed to manipulate time trial (TT) starting strategies to establish whether the summated HS, as opposed to momentary HS, will improve understanding of performance during a simulated cycling competition. Seven subjects (peak PO: 286 ± 49.7 W) performed two practice 10-km cycling TTs followed by three 10-km TTs with imposed PO (±5% of mean PO achieved during second practice TT and a self-paced TT). PO, rating of perceived exertion (RPE), lactate, heart rate (HR), HS, summated HS, session RPE (sRPE) were collected. Finishing time and mean PO for self-paced (time: 17.51 ± 1.41 min, PO: 234 ± 62.6 W), fast-start (time: 17.72 ± 1.87 min, PO: 230 ± 62.0 W), and slow-start (time: 17.77 ± 1.74 min, PO: 230 ± 62.7) TT were not different. There was a significant interaction between each secondary outcome variable (PO, RPE, lactate, HR, HS, and summated HS) for starting strategy and distance. The evolution of HS reflected the imposed starting strategy, with a reduction in PO following a fast-start, an increased PO following a slow-start with similar HS during the last part of all TTs. The summated HS was strongly correlated with the sRPE of the TTs (r = 0.88). The summated HS was higher with a fast start, indicating greater effort, with limited time advantage. Thus, the HS appears to regulate both PO within a TT, but also the overall impression of the difficulty of a TT.

The session rating of perceived exertion (sRPE) method was developed 25 years ago as a modification of the Borg concept of rating of perceived exertion (RPE), designed to estimate the intensity of an entire training session. It appears to be well accepted as a marker of the internal training load. Early studies demonstrated that sRPE correlated well with objective measures of internal training load, such as the percentage of heart rate reserve and blood lactate concentration. It has been shown to be useful in a wide variety of exercise activities ranging from aerobic to resistance to games. It has also been shown to be useful in populations ranging from patients to elite athletes. The sRPE is a reasonable measure of the average RPE acquired across an exercise session. Originally designed to be acquired ∼30 minutes after a training bout to prevent the terminal elements of an exercise session from unduly influencing the rating, sRPE has been shown to be temporally robust across periods ranging from 1 minute to 14 days following an exercise session. Within the training impulse concept, sRPE, or other indices derived from sRPE, has been shown to be able to account for both positive and negative training outcomes and has contributed to our understanding of how training is periodized to optimize training outcomes and to understand maladaptations such as overtraining syndrome. The sRPE as a method of monitoring training has the advantage of extreme simplicity. While it is not ideal for the precise recording of the details of the external training load, it has large advantages relative to evaluating the internal training load.

Background: Pacing studies suggest the distribution of effort for optimizing performance. Cross-sectional studies of 1-mile world records (WRs) suggest that WR progression includes a smaller coefficient of variation of velocity. Purpose: This study evaluates whether intraindividual pacing used by elite runners to break their own WR (1 mile, 5 km, and 10 km) is related to the evolution of pacing strategy. We provide supportive data from analysis in subelite runners. Methods: Men’s WR performances (with 400-m or 1-km splits) in 1 mile, 5 km, and 10 km were retrieved from the IAAF database (from 1924 to present). Data were analyzed relative to pacing pattern when a runner improved their own WR. Similar analyses are presented for 10-km performance in subelite runners before and after intensified training. Results: WR performance was improved in 1 mile (mean [SD]: 3:59.4 [11.2] to 3:57.2 [8.6]), 5 km (13:27 [0:33] to 13:21 [0:33]), and 10 km (28:35 [1:27] to 28:21 [1:21]). The average coefficient of variation did not change in the 1 mile (3.4% [1.8%] to 3.6% [1.6%]), 5 km (2.4% [0.9%] to 2.2% [0.8%]), or 10 km (1.4% [0.1%] to 1.5% [0.6%]) with improved WR. When velocity was normalized to the percentage mean velocity for each race, the pacing pattern was almost identical. Very similar patterns were observed in subelite runners in the 10 km. When time improved from 49:20 (5:30) to 45:56 (4:58), normalized velocity was similar, terminal RPE increased (8.4 [1.6] to 9.1 [0.8]), coefficient of variation was unchanged (4.4% [1.1%] to 4.8% [2.1%]), and VO2max increased (49.8 [7.4] to 55.3 [8.8] mL·min−1·kg−1). Conclusion: The results suggest that when runners break their own best performances, they employ the same pacing pattern, which is different from when WRs are improved in cross-sectional data.

Purpose: The session rating of perceived exertion (sRPE) is a well-accepted method of monitoring training load in athletes in many different sports. It is based on the category-ratio (0–10) RPE scale (BORG-CR10) developed by Borg. There is no evidence how substitution of the Borg 6–20 RPE scale (BORG-RPE) might influence the sRPE in athletes. Methods: Systematically training, recreational-level athletes from a number of sport disciplines performed 6 randomly ordered, 30-min interval-training sessions, at intensities based on peak power output (PPO) and designed to be easy (50% PPO), moderate (75% PPO), or hard (85% PPO). Ratings of sRPE were obtained 30 min postexercise using either the BORG-CR10 or BORG-RPE and compared for matched exercise conditions. Results: The average percentage of heart-rate reserve was well correlated with sRPE from both BORG-CR10 (r = .76) and BORG-RPE (r = .69). The sRPE ratings from BORG-CR10 and BORG-RPE were very strongly correlated (r = .90) at matched times. Conclusions: Although producing different absolute numbers, sRPE derived from either the BORG-CR10 or BORG-RPE provides essentially interchangeable estimates of perceived exercise training intensity.

Purpose: Since the aim of the men’s team pursuit in time-trial track cycling is to accomplish a distance of 4000 m as fast as possible, optimizing aerodynamic drag can contribute to achieving this goal. The aim of this study was to determine the drafting effect in second, third, and fourth position during the team pursuit in track cycling as a function of the team members’ individual frontal areas in order to minimize the required power. Method: Eight experienced track cyclists of the Dutch national selection performed 39 trials of 3 km in different teams of 4 cyclists at a constant velocity of 15.75 m/s. Frontal projected areas were determined, and together with field-derived drag coefficients for all 4 positions, the relationships between frontal areas of team members and drag fractions were estimated using generalized estimating equations. Results: The frontal area of both the cyclist directly in front of the drafter and the drafter himself turned out to be significant determinants of the drag fraction at the drafter’s position (P Conclusion: Estimating required power for a specific team composition gives insight into differences in team efficiency for the team pursuit. Furthermore, required power for individual team members ranges substantially depending on team composition.

The aim of this study was to present the load, intensity, and performance characteristics of a general classification (GC) contender during multiple grand tours (GTs). This study also investigated which factors influence climbing performance.Power output (PO) data were collected from a GC contender from the Vuelta a España 2015, the Giro d'Italia 2017, the Giro d'Italia 2018, and the Tour de France 2018. Load (e.g., Training Stress Score and kJ spent) and intensity in five PO zones were quantified. One-way ANOVA was used to identify differences between the GTs. Furthermore, performance during the four GTs was quantified based on maximal mean PO (W·kg) over different durations and by the relative PO (W·kg) on the key mountains in the GTs. Stepwise multiple regression analysis was used to identify which factors influence relative PO on the key mountains.No significant differences were found between load and intensity characteristics between the four GTs, with the exception that during the Giro d'Italia 2018, a significantly lower absolute time was spent in PO zone 5 (P = 0.005) compared with the other three GTs. The average relative PO on the key mountains (n = 33) was 5.9 ± 0.6 W·kg and was negatively influenced by the duration of the climb and the total elevation gain before the key mountain, whereas the gradient of the mountain had a positive effect on relative PO.The physiological load imposed on a GC contender did not differ between multiple GTs. Climbing performance was influenced by short-term fatigue induced by previous altitude meters in the stage and the duration and gradient of the mountain.

The aim of this study is to investigate whether the change in (sub)maximal heart rate after intensified training is associated with the change in performance. Thirty subjects were recruited who performed cardiopulmonary exercise tests to exhaustion 2 weeks before (pre), 1 week after (post) and 5 weeks after (follow-up) an 8-day non-competitive amateur cycling event (TFL). The exercise volume during the TFL was 7.7 fold the volume during the preparation period. Heart rate and cardiopulmonary parameters were obtained at standardised absolute submaximal workloads (low, medium and high intensity) and at peak level each test. Subjects were classified as functionally overreached (FOR) or acute fatigued (AF) based on the change in performance. No differences between FOR and AF were observed for heart rate (P =.51). On total group level (AF + FOR), post-TFL heart rate decreased significantly at low (−4.4 beats·min −1 , 95% CI [−8.7, −0.1]) and medium (−5.5 beats·min −1 [−8.5, −2.4]), but not at high intensity. Peak heart rate decreased −3.4 beats·min −1 [−6.1, −0.7]. O 2 pulse was on average 0.49 ml O 2 ·beat −1 [0.09, 0.89] higher at all intensities after intensified training. No changes in ⩒O 2 (P =.44) or the ventilatory threshold (P =.21) were observed. Pearson’s correlation coefficients revealed negative associations between heart rate and O 2 pulse at low (r = −.56, P 2 or any other submaximal parameter. (Sub)maximal heart rate decreased after the TFL. However, this decrease is unrelated to the change in performance. Therefore, heart rate seems inadequate to prescribe and monitor intensified training.

Purpose: The relationship between various training-load (TL) measures in professional cycling is not well explored. This study investigated the relationship between mechanical energy spent (in kilojoules), session rating of perceived exertion (sRPE), Lucia training impulse (LuTRIMP), and training stress score (TSS) in training, races, and time trials (TT). Methods: For 4 consecutive years, field data were collected from 21 professional cyclists and categorized as being collected in training, racing, or TTs. Kilojoules (kJ) spent, sRPE, LuTRIMP, and TSS were calculated, and the correlations between the various TLs were made. Results: 11,655 sessions were collected, from which 7596 sessions had heart-rate data and 5445 sessions had an RPE score available. The r between the various TLs during training was almost perfect. The r between the various TLs during racing was almost perfect or very large. The r between the various TLs during TTs was almost perfect or very large. For all relationships between TSS and 1 of the other measurements of TL (kJ spent, sRPE, and LuTRIMP), a significant different slope was found. Conclusion: kJ spent, sRPE, LuTRIMP, and TSS all have a large or almost perfect relationship with each other during training, racing, and TTs, but during racing, both sRPE and LuTRIMP have a weaker relationship with kJ spent and TSS. Furthermore, the significant different slope of TSS vs the other measurements of TL during training and racing has the effect that TSS collected in training and road races differs by 120%, whereas the other measurements of TL (kJ spent, sRPE, and LuTRIMP) differ by only 73%, 67%, and 68%, respectively.

Purpose: To provide a retrospective analysis of a large competition database describing the intensity and load demands of professional road-cycling races, highlighting the differences between men’s and women’s races. Methods: In total, 20 male and 10 female professional cyclists participated in this study. During 4 consecutive years, heart rate, rating of perceived exertion, and power-output data were collected during both men’s (n = 3024) and women’s (n = 667) professional races. Intensity distribution in 5 heart-rate zones was quantified. Competition load was calculated using different metrics, including Training Stress Score (TSS), training impulse (TRIMP), and session rating of perceived exertion. Standardized effect size is reported as Cohen d. Results: Large to very large higher values (d = 1.36–2.86) were observed for distance, duration, total work (in kilojoules), and mean power output in men’s races. Time spent in high-intensity heart-rate zones (ie, zones 4 and 5) was largely higher in women’s races (d = 1.38–1.55) than in men’s races. Small higher loads were observed in men’s races quantified using TSS (d = 0.53) and TRIMP (d = 0.23). However, load metrics expressed per kilometer were large to very largely higher in women’s races for TSS·km –1 (d = 1.50) and TRIMP·km –1 (d = 2.31). Conclusions: Volume and absolute load are higher in men’s races, whereas intensity and time spent in high-intensity zones is higher in women’s races. Coaches and practitioners should consider these differences in demands in the preparation of professional road cyclists.

Half the improvement in 1500-m speed-skating world records can be explained by technological innovations and the other half by athletic improvement. It is hypothesized that improved skating economy is accountable for much of the athletic improvement. Purpose: To determine skating economy in contemporary athletes and to evaluate the change in economy over the years. Methods: Contemporary skaters of the Dutch national junior team (n = 8) skated 3 bouts of 6 laps at submaximal velocity, from which skating economy was calculated (in mL O2 ・ kg–1 ・ km–1). A literature search provided historic data on skating velocity and submaximal V̇O2 (in mL ・ kg–1 ・ min–1), from which skating economy was determined. The association between year and skating economy was determined using linear-regression analysis. Correcting the change in economy for technological innovations resulted in an estimate of the association between year and economy due to athletic improvement. Results: A mean (± SD) skating economy of 73.4 ± 6.4 mL O2 ・ kg–1 ・ km–1 was found in contemporary athletes. Skating economy improved significantly over the historical time frame (–0.57 mL O2 ・ kg–1 ・ km–1 ・ y–1, 95% confidence interval [–0.84, –0.31]). In the final regression model for the klapskate era, with altitude as confounder, skating economy improved with a nonsignificant –0.58 mL O2 ・ kg–1 ・ km–1 ・ y–1 ([–1.19, 0.035]). Conclusions: Skating economy was 73.4 ± 6.4 mL O2 ・ kg–1 ・ km–1 in contemporary athletes and improved over the past ~50 y. The association between year and skating economy due to athletic improvement, for the klapskate era, approached significance, suggesting a possible improvement in economy over these years.

Purpose:To examine the influence of induced changes in the morphology of the leg by adding mass on the optimal step length (OSL) in experienced runners to get more insight into parameters that influence preferred step length (PSL) and OSL.Methods:Thirteen experienced male runners (mean age 26.9 ± 6.1 y, height 183.7 ± 7.1 cm, mass 71.8 ± 5.9 kg) ran on a treadmill in 3 different conditions: unloaded (UL), loaded with 2 kg mass at the ankles (MA), and loaded with 2 kg mass at the hips (MH) at 7 different step lengths (SLs). SL deviations were expressed as deviations in relative leg length (%LL) from the individual PSL: 0%LL, ±5%LL, ±10%LL, and ±15%LL. Trials lasted 8 min, and 8 min of rest was given between trials. Oxygen uptake (V̇O2) was expressed as a fraction of V̇O2 at PSL + 0%LL in the unloaded condition (%V̇O2). The %SL with the lowest value of %V̇O2 was considered the OSL for this group of participants.Results:OSL at the UL condition was 6% shorter than PSL. The MA condition resulted in a 7%LL larger OSL than at UL and MH (P < .05).Conclusions:The mass distribution of the leg is a determinant of the OSL. As a consequence of the added mass to the ankles, OSL was 7%LL longer. Morphological characteristics of the leg might therefore play an important role in determining the runner’s individual optimal SL.

The Rating of Perceived Exertion (RPE) is an important measure of exercise intensity, which is useful both as a primary and adjunctive method of exercise prescription. However, there are multiple variants of the Borg RPE scale, primarily the Borg 6-20 RPE scale (BORG-RPE) and the Borg Category-Ratio-10 scale (BORG-CR10). There are inadequate data available to address the comparability and interchangeability of these two widely used scales. Well-trained non-athletes performed two increment cycle tests, with each scale used in a random sequence. Subjects also performed interval sessions at three intensities (50, 75 and 85% of peak power output) with each scale used in a random sequence. There were very large correlations during the incremental exercise between the conventional physiological measures (% heart rate reserve – r=0.89 & r=.87); and %VO2reserve (r=.88 & r=.90) and RPE measured by either the BORG-RPE or the BORG-CR10, respectively. This pattern was also evident during the interval exercise (% heart rate reserve – r=.85 & r=.84; and blood lactate concentration – r=.74 & r=.78) and RPE measured by either the BORG-RPE or the BORG-CR10, respectively. The relationship between RPE measured by the BORG-RPE and the BORG-CR10 was large and best described by a non-linear relationship for both the incremental (R2=.89) and the interval (R2=.89) exercise. The incremental and interval curves were virtually overlapping. We concluded that the two most popular versions of the RPE scale, BORG-RPE and BORG-CR10, were both highly related to the conventional physiological measures and very strongly related to each other, with an easily described conversion.

Endurance exercise is associated with a transient increase in neutrophil counts in the peripheral blood. Here we investigate the impact of intensified endurance exercise on the neutrophil compartment. We hypothesized that intensified endurance exercise leads to mobilization of neutrophil subsets, which are normally absent in the blood. Furthermore, we followed the potential build-up of neutrophil activation and the impact on overnight recovery of the neutrophil compartment during a seven-day cycling tour. The neutrophil compartment was studied in 28 healthy amateur cyclists participating in an eight-day strenuous cycling tour. Blood samples were taken at baseline, after 4 days and after 7 days of cycling. The neutrophil compartment was analyzed in terms of numbers and its phenotype by deep phenotyping of flow cytometry data with the multi-dimensional analysis method FLOOD. Repeated endurance exercise led to a gradual increase in total neutrophil counts over the days leading to a 1.26 fold-increase (95%CI 1.01-1.51 p = 0.0431) in the morning of day 8. Flow cytometric measurements revealed the appearance of 2 additional neutrophil subsets: CD16brightCD62Ldim and CD16dimCD62Lbright. A complex change in neutrophil phenotypes was present characterized by decreased expression of both CD11b and CD62L and marked increased expression of LAIR-1, VLA-4 and CBRM1/5. The changes in expression were found on all neutrophils present in the blood. Strikingly, in strong contrast to our findings during acute inflammation evoked by LPS challenge, these neutrophils did not upregulate classical degranulation markers. In fact, our FLOOD analysis revealed that the exercise induced neutrophil phenotype did not overlap with the neutrophil subsets arising upon acute inflammation. In conclusion, during multiple days of endurance exercise the neutrophil compartment does not regain homeostasis overnight. Thereby our study supports the concept of a build-up of inflammatory cues during repeated endurance exercise training, causing a prolonged change of the systemic neutrophil compartment.

Optimizing physical performance is a major goal in current physiology. However, basic understanding of combining high sprint and endurance performance is currently lacking. This study identifies critical determinants of combined sprint and endurance performance using multiple regression analyses of physiologic determinants at different biologic levels. Cyclists, including 6 international sprint, 8 team pursuit, and 14 road cyclists, completed a Wingate test and 15-km time trial to obtain sprint and endurance performance results, respectively. Performance was normalized to lean body mass2/3to eliminate the influence of body size. Performance determinants were obtained from whole-body oxygen consumption, blood sampling, knee-extensor maximal force, muscle oxygenation, whole-muscle morphology, and muscle fiber histochemistry of musculus vastus lateralis. Normalized sprint performance was explained by percentage of fast-type fibers and muscle volume ( R2= 0.65; P < 0.001) and normalized endurance performance, by performance oxygen consumption ( V̇o2), mean corpuscular hemoglobin concentration, and muscle oxygenation ( R2= 0.92; P < 0.001). Combined sprint and endurance performance was explained by gross efficiency, performance V̇o2, and likely by muscle volume and fascicle length ( P = 0.056; P = 0.059). High performance V̇o2related to a high oxidative capacity, high capillarization × myoglobin, and small physiologic cross-sectional area ( R2= 0.67; P < 0.001). Results suggest that fascicle length and capillarization are important targets for training to optimize sprint and endurance performance simultaneously.-Van der Zwaard, S., van der Laarse, W. J., Weide, G., Bloemers, F. W., Hofmijster, M. J., Levels, K., Noordhof, D. A., de Koning, J. J., de Ruiter, C. J., Jaspers, R. T. Critical determinants of combined sprint and endurance performance: an integrative analysis from muscle fiber to the human body.

Background: Although cyclists often compete at altitude, the effect of altitude on gross efficiency (GE) remains inconclusive. Purpose: To investigate the effect of altitude on GE at the same relative exercise intensity and at the same absolute power output (PO) and to determine the effect of altitude on the change in GE during high-intensity exercise. Methods: Twenty-one trained men performed 3 maximal incremental tests and 5 GE tests at sea level, 1500 m, and 2500 m of acute simulated altitude. The GE tests at altitude were performed once at the same relative exercise intensity and once at the same absolute PO as at sea level. Results: Altitude resulted in an unclear effect at 1500 m (−3.8%; ±3.3% [90% confidence limit]) and most likely negative effect at 2500 m (−6.3%; ±1.7%) on pre-GE, when determined at the same relative exercise intensity. When pre-GE was determined at the same absolute PO, unclear differences in GE were found (−1.5%; ±2.6% at 1500 m; −1.7%; ±2.4% at 2500 m). The effect of altitude on the decrease in GE during high-intensity exercise was unclear when determined at the same relative exercise intensity (−0.4%; ±2.8% at 1500 m; −0.7%; ±1.9% at 2500 m). When GE was determined at the same absolute PO, altitude resulted in a substantially smaller decrease in GE (2.8%; ±2.4% at 1500 m; 5.5%; ±2.9% at 2500 m). Conclusion: The lower GE found at altitude when exercise is performed at the same relative exercise intensity is mainly caused by the lower PO at which cyclists exercise.

The rating-of-perceived-exertion (RPE) template is thought to regulate pacing and has been shown to be very robust in different circumstances. Purpose: The primary purpose was to investigate whether the RPE template can be manipulated by changing the race distance during the course of a time trial. The secondary purpose was to study how athletes cope with this manipulation, especially in terms of the RPE template. Method: Trained male subjects (N = 10) performed 3 cycling time trials: a 10-km (TT10), a 15-km (TT15), and a manipulated 15-km (TTman). During the TTman, subjects started the time trial believing that they were going to perform a 10-km time trial. However, at 7.5 km they were told that it was a 15-km time trial. Results: A significant main effect of time-trial condition on RPE scores until kilometer 7.5 was found (P = .016). Post hoc comparisons showed that the RPE values of the TT15 were lower than the RPE values of the TT10 (difference 0.60; CI95% 0.11, 1.0) and TTman (difference 0.73; CI95% 0.004, 1.5). After the 7.5 km, a transition phase occurs, in which an interaction effect is present (P = .011). After this transition phase, the RPE values of TTman and TT15 did not statistically differ (P = 1.00). Conclusions: This novel distance-endpoint manipulation demonstrates that it is possible to switch between RPE templates. A clear shift in RPE during the TTman is present between the RPE templates of the TT10 and TT15. The shift strongly supports suggestions that pacing is regulated using an RPE template.

V̇o2 maxduring whole body exercise is presumably constrained by oxygen delivery to mitochondria rather than by mitochondria's ability to consume oxygen. Humans and animals have been reported to exploit only 60-80% of their mitochondrial oxidative capacity at maximal oxygen uptake (V̇o2 max). However, ex vivo quantification of mitochondrial overcapacity is complicated by isolation or permeabilization procedures. An alternative method for estimating mitochondrial oxidative capacity is via enzyme histochemical quantification of succinate dehydrogenase (SDH) activity. We determined to what extent V̇o2 maxattained during cycling exercise differs from mitochondrial oxidative capacity predicted from SDH activity of vastus lateralis muscle in chronic heart failure patients, healthy controls, and cyclists. V̇o2 maxwas assessed in 20 healthy subjects and 28 cyclists, and SDH activity was determined from biopsy cryosections of vastus lateralis using quantitative histochemistry. Similar data from our laboratory of 14 chronic heart failure patients and 6 controls were included. Mitochondrial oxidative capacity was predicted from SDH activity using estimated skeletal muscle mass and the relationship between ex vivo fiber V̇o2 maxand SDH activity of isolated single muscle fibers and myocardial trabecula under hyperoxic conditions. Mitochondrial oxidative capacity predicted from SDH activity was related ( r2= 0.89, P < 0.001) to V̇o2 maxmeasured during cycling in subjects with V̇o2 maxranging from 9.8 to 79.0 ml·kg−1·min−1. V̇o2 maxmeasured during cycling was on average 90 ± 14% of mitochondrial oxidative capacity. We conclude that human V̇o2 maxis related to mitochondrial oxidative capacity predicted from skeletal muscle SDH activity. Mitochondrial oxidative capacity is likely marginally limited by oxygen supply to mitochondria.

Analysis of sport performance can provide effects of environmental and other venue-specific factors in addition to estimates of within-athlete variability between competitions, which determines smallest worthwhile effects.Purpose:To analyze elite long-track speed-skating events.Methods:Log-transformed performance times were analyzed with a mixed linear model that estimated percentage mean effects for altitude, barometric pressure, type of rink, and competition importance. In addition, coefficients of variation representing residual venue-related differences and within-athlete variability between races within clusters spanning ~8 d were determined. Effects and variability were assessed with magnitude-based inference.Results:A 1000-m increase in altitude resulted in very large mean performance improvements of 2.8% in juniors and 2.1% in seniors. An increase in barometric pressure of 100 hPa resulted in a moderate reduction in performance of 1.1% for juniors but an unclear effect for seniors. Only juniors competed at open rinks, resulting in a very large reduction in performance of 3.4%. Juniors and seniors showed small performance improvements (0.4% and 0.3%) at the more important competitions. After accounting for these effects, residual venue-related variability was still moderate to large. The within-athlete within-cluster race-to-race variability was 0.3–1.3%, with a small difference in variability between male (0.8%) and female juniors (1.0%) and no difference between male and female seniors (both 0.6%).Conclusion:The variability in performance times of skaters is similar to that of athletes in other sports in which air or water resistance limits speed. A performance enhancement of 0.1–0.4% by top-10 athletes is necessary to increase medal-winning chances by 10%.

PURPOSE: Exercise-based rehabilitation is a standard therapy for patients with heart disease. Despite examples of patients who have extended normal rehabilitation exercise into competitive participation, there are no clear-cut guidelines for patients whether they should participate in competitive-level exercise. This study investigated the occurrence of complications, physiologic responses, and exercise patterns during simulated competitive exercise in active, older nonathletes (most with a history of cardiovascular disease) and compared these with responses during maximal incremental exercise. METHODS: Fourteen trained older males, 7 with stable cardiovascular disease, performed an incremental exercise test and time trial of 55 kJ (equivalent to running ~ 1 mile) on a semirecumbent stepping ergometer. Variables of gas exchange, hemodynamics, perception, and power output were measured in both tests. RESULTS: Subjects attained a remarkably high physiologic and psychologic strain (respiratory exchange ratio 1.0; average peak rating of perceived exertion 8) in both tests, with no evidence of symptomatic, hemodynamic, or electrocardiographic abnormalities. Peak physiologic responses were not significantly different between simulated competition and incremental exercise. The fixed-work time trial was finished in 8.97 ± 1.85 minutes, mean power output of 100 ± 26 W. Results showed a distinct pacing pattern in the relative power output, consisting of a conservative start, an even-paced middle portion, and an end spurt. CONCLUSIONS: Results suggest that in trained individuals with normal incremental exercise test results, competitive-level efforts may be undertaken with no apparent side effects. This may provide a strategy whereby physicians can advise patients concerning their decision to perform in competitive events.

Rowers need to combine high sprint and endurance capacities. Muscle morphology largely explains muscle power generating capacity, however, little is known on how muscle morphology relates to rowing performance measures. The aim was to determine how muscle morphology of the vastus lateralis relates to rowing ergometer performance, sprint and endurance capacity of Olympic rowers. Eighteen rowers (12♂, 6♀, who competed at 2016 Olympics) performed an incremental rowing test to obtain maximal oxygen consumption, reflecting endurance capacity. Sprint capacity was assessed by Wingate cycling peak power. M. vastus lateralis morphology (volume, physiological cross-sectional area, fascicle length and pennation angle) was derived from 3-dimensional ultrasound imaging. Thirteen rowers (7♂, 6♀) completed a 2000-m rowing ergometer time trial. Muscle volume largely explained variance in 2000-m rowing performance (R2 = 0.85), maximal oxygen consumption (R2 = 0.65), and Wingate peak power (R2 = 0.82). When normalized for differences in body size, maximal oxygen consumption and Wingate peak power were negatively related in males (r = −0.94). Fascicle length, not physiological cross-sectional area, attributed to normalized peak power. In conclusion, vastus lateralis volume largely explains variance in rowing ergometer performance, sprint and endurance capacity. For a high normalized sprint capacity, athletes may benefit from long fascicles rather than a large physiological cross-sectional area.

Background: Research has shown that gross efficiency (GE) declines during high-intensity exercise, but the time course of recovery of GE after high-intensity exercise has not yet been investigated. Purpose: To determine the time course of the recovery of GE after time trials (TTs) of different lengths. Methods: Nineteen trained male cyclists participated in this study. Before and after TTs of 2000 and 20,000 m, subjects performed submaximal exercise at 55% of the power output attained at maximal oxygen uptake (PVO2max). The postmeasurement continued until 30 min after the end of the TT, during which GE was determined over 3-min intervals. The magnitude-based-inferences approach was used for statistical analysis. Results: GE decreased substantially during the 2000-m and 20,000-m TTs (−11.8% [3.6%] and −6.2% [4.0%], respectively). A most likely and very likely recovery of GE was found during the first half of the submaximal exercise bout performed after the 2000-m, with only a possible increase in GE during the first part of the submaximal exercise bout performed after the 20,000-m. After both distances, GE did not fully recover to the initial pre-TT values, as the difference between the pre-TT value and average GE value of minutes 26–29 was still most likely negative for both the 2000- and 20,000-m (−6.1% [2.8%] and −7.0% [4.5%], respectively). Conclusions: It is impossible to fully recover GE after TTs of 2000- or 20,000-m during 30 min of submaximal cycling exercise performed at an intensity of 55% PVO2max.