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Stress is a psychophysical condition that causes an impairment in athletes' performance by causing an increase in sympathetic activity and an autonomic imbalance. The current methods for the measurement of psychophysiological stress introduce the use of the heart rate variability as a useful index of the well-being of these people. The heart rate variability corresponds to the time intervals between consecutive heartbeats, such as an irregularity in the normal sinus heart rhythm whose variability is due to the control exercised by a complex system of mechanisms, including the respiratory control system, and provides information about the activity of the sympathetic and parasympathetic branches of the autonomic nervous system. This review aims at summarizing the promising results, despite small amount, of the recent literature on the efficacy of heart rate variability biofeedback on the autonomic imbalance and psychophysical well-being of athletes as well as cognitive and motor performance. [ABSTRACT FROM AUTHOR]

Purpose: This study investigated sex differences in self-reported causes, symptoms, and recovery strategies associated with underperformance in endurance athletes. Methods: A total of 82 athletes (40 women) meeting the inclusion criteria (performance level ≥tier 3, used training diaries, and experienced 1 or more periods of underperformance during their career) completed an online questionnaire. The questionnaire encompassed inquiries regarding load monitoring and experiences with underperformance, focusing on causes, symptoms, and recovery strategies. Results: The most frequently reported symptoms associated with underperformance included psychological (31%), physiological (23%), and health-related (12%) symptoms. Notably, female athletes were more likely to report psychological symptoms associated with underperformance (38% vs 25%, P =.01) compared with male athletes. The leading causes of underperformance comprised illness (21%), mental/emotional challenges (20%), training errors (12%), lack of recovery (10%), and nutritional challenges (5%). Female athletes reported nutritional challenges more frequently as the cause of underperformance compared with males (9% vs 1%, P =.01), whereas male athletes more often attributed underperformance to training errors (15% vs 9%, P =.03). Overall, 67% of athletes reported recovering from underperformance, with a tendency for more male than female athletes to recover (76% vs 58%, P =.07). Furthermore, a higher proportion of male than female athletes reported implementing changes in the training process as a recovery strategy (62% vs 35%, P =.02). Conclusions: This study offers valuable insights into sex differences in experiences with underperformance in endurance athletes. The findings could inform coaches and athletes in both the prevention and treatment of such incidents. [ABSTRACT FROM AUTHOR]

Purpose: There are important methodological considerations for translating wearable-based gait-monitoring data to field settings. This study investigated different devices' sampling rates, signal lengths, and testing frequencies for athlete monitoring using dynamical systems variables. Methods: Secondary analysis of previous wearables data (N = 10 runners) from a 5-week intensive training intervention investigated impacts of sampling rate (100–2000 Hz) and signal length (100–300 strides) on detection of gait changes caused by intensive training. Primary analysis of data from 13 separate runners during 1 week of field-based testing determined day-to-day stability of outcomes using single-session data and mean data from 2 sessions. Stride-interval long-range correlation coefficient α from detrended fluctuation analysis was the gait outcome variable. Results: Stride-interval α reduced at 100- and 200- versus 300- to 2000-Hz sampling rates (mean difference: −.02 to −.08; P ≤.045) and at 100- compared to 200- to 300-stride signal lengths (mean difference: −.05 to −.07; P <.010). Effects of intensive training were detected at 100, 200, and 400 to 2000 Hz (P ≤.043) but not 300 Hz (P =.069). Within-athlete α variability was lower using 2-session mean versus single-session data (smallest detectable change:.13 and.22, respectively). Conclusions: Detecting altered gait following intensive training was possible using 200 to 300 strides and a 100-Hz sampling rate, although 100 and 200 Hz underestimated α compared to higher rates. Using 2-session mean data lowers smallest detectable change values by nearly half compared to single-session data. Coaches, runners, and researchers can use these findings to integrate wearable-device gait monitoring into practice using dynamic systems variables. [ABSTRACT FROM AUTHOR]

PURPOSE OF REVIEW: This study aimed to provide an overview of some of the medical concerns surrounding the care of the pediatric endurance athletes and add to the limited literature specific to the pediatric endurance athlete. RECENT FINDINGS: Endurance athletes are at risk for overtraining, relative energy deficiency in sport (RED-S), overuse injuries, nutritional deficiencies, and sleep dysfunction. Youth runners and female endurance athletes are particularly high-risk populations for RED-S; nutritional deficiencies and their care should involve thoughtful mitigation of modifiable risk factors. The growing endurance athlete may experience slightly different cardiac adaptations than the adult endurance athlete with the long-term implications of these changes still unclear. Endurance sports are common among youth athletes. Multidisciplinary care that includes screening and early intervention for high-risk areas is critical to optimize their care and promote, safe lifelong sport participation.

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: This study aims to examine the change in mental health fromthe clinical to community setting in personswith spinal cord injury and to identify the role of psychosocial resources for this transition. Design: Longitudinal survey self-report data fromN = 240 personswith spinal cord injury from the Swiss Spinal Cord Injury Cohort study. Results: Latent profile analysis identified three profiles for each the clinical and the community setting: low, medium, and high mental health load. Latent transition analysis revealed that persons with spinal cord injury were most likely to stay in the same profile from discharge of initial rehabilitation to community, followed by a decrease from a high mental health load to a medium mental health load and an increase from a low mental health load to a medium mental health load. Individuals staying in the low mental health load profile showed significantly higher levels of psychosocial resources compared to individuals increasing to the medium mental health load profile, whereas individuals who stayed in the high mental health load profile showed lower levels of psychosocial resources compared to individuals decreasing to the medium mental health load profile. Conclusions: This study highlights a positive role of psychosocial resources onmental health transitions, underlining the need for strengthening psychosocial resources beyond initial rehabilitation. [ABSTRACT FROM AUTHOR]

Total testosterone (TT) and free testosterone (FT) are important biochemical markers for anabolism of the human body, and can also serve as early screening indicators for overtraining syndrome (OTS). Presently, there is no fast and reliable serum TT and FT determination method in the field of sport science that can meet the requirements of sports research. Thus, a rapid and accurate determination method for serum TT and FT to fill the gap is needed urgently in sports training. Herein, a simple and reliable liquid chromatography–tandem mass spectrometry (LC-MS/MS) method for the simultaneous determination of TT and FT in serum was developed and fully validated, followed by the application of professional athletes in training monitoring. Efficient pretreatments based on only one-step liquid–liquid extraction (LLE) for TT and one-step LLE after a 20 min ultrafiltration for FT were adopted in this study, and the isotope internal standard of testosterone-13C3 was used to ensure the reliability of the whole procedure. A linear range of four orders of magnitude with 0.02–100 ng/mL can meet the concentration range requirement between a higher limit for male TT and a lower limit for female FT. The accuracy, precision, stability, and matrix effect were all within the limits of the guidelines. The serum TT and FT levels of 200 professional athletes (98 male athletes and 102 female athletes) were investigated by this method. Serum TT, FT, and FT/TT levels of professional athletes were significantly higher than the general population, and serum TT levels were significantly higher by LC-MS/MS than by a chemiluminescence immunoassay. In conclusion, the LC-MS/MS method for TT and FT measurement developed in this study is time-saving and easy to operate, which can be used as a reliable method for the determination of serum TT and FT in sports training, offering valuable information for monitoring anabolism of athletes and screening OTS in the early stage. [ABSTRACT FROM AUTHOR]

The physical demands of a single long-distance triathlon (LDT) are sufficient to cause robust physiological perturbations. In this unique case study, an ultraendurance athlete completed 100 LDTs in 100 days (100LDT). Purpose: This study aims to describe and analyze this single athlete's performance, physiological biomarkers, and sleep parameters throughout the 100LDT. Methods: An ultraendurance athlete completed an LDT (2.4-mile swim, 112-mile bike ride, and 26.2-mile marathon) each day for 100 consecutive days. Physical work, physiological biomarkers, and sleep parameters were recorded each night using a wrist-worn photoplethysmographic sensor. Clinical exercise tests were performed before and after the 100LDT. Time-series analysis assessed changes in biomarkers and sleep parameters across the 100LDT, and cross-correlations considered the associations between exercise performance and physiological metrics at varying time lags. Results: The swim and cycling performances varied across the 100LDT, while the run was relatively stable. Resting heart rate, heart-rate variability, oxygen saturation, sleep score, light sleep, sleep efficiency, and sleep duration were all best characterized by cubic models. Additional post hoc subanalyses suggest that the first half of the 100LDT most influenced these dynamics. Conclusions: The 100LDT resulted in nonlinear alterations to physiological metrics. This world record was a unique event but allows valuable insights into the limits of human endurance performance. [ABSTRACT FROM AUTHOR]

This study aimed at exploring gender differences in music undergraduate's overtraining syndrome. The study was descriptive, quantitative, and cross sectional. Five hundred undergraduate students from ten Mexican public universities participated: 178 women and 322 men. To measure stress symptoms, we used the ESSEM scale (Reynoso, 2018) and an inventory of Health Conditions. After a comparative analysis, results showed that the primary sources of stress were frustrating extracurricular situations and social distancing. Women scored higher on psychological symptoms of overtraining and reported more illnesses and ailments. Results suggest that women have a higher level of demands to fulfill various roles between family and academic activities and social pressures imposed in musical environments that produce inequities. Results lead to the recommendation of paying attention to the music training environment, the type of teaching exercise, and the requirements of study programs to counteract gender inequities. [ABSTRACT FROM AUTHOR]

The purpose of this study was firstly to examine the sensitivity of heart rate (HR)‐based and subjective monitoring markers to intensified endurance training; and secondly, to investigate the validity of these markers to distinguish individuals in different fatigue states. A total of 24 recreational runners performed a 3‐week baseline period, a 2‐week overload period, and a 1‐week recovery period. Performance was assessed before and after each period with a 3000m running test. Recovery was monitored with daily orthostatic tests, nocturnal HR recordings, questionnaires, and exercise data. The participants were divided into subgroups (overreached/OR, n = 8; responders/RESP, n = 12) based on the changes in performance and subjective recovery. The responses to the second week of the overload period were compared between the subgroups. RESP improved their baseline 3000 m time (p < 0.001) after the overload period (−2.5 ± 1.0%), and the change differed (p < 0.001) from OR (0.6 ± 1.2%). The changes in nocturnal HR (OR 3.2 ± 3.1%; RESP −2.8 ± 3.7%, p = 0.002) and HR variability (OR −0.7 ± 1.8%; RESP 2.1 ± 1.6%, p = 0.011) differed between the subgroups. In addition, the decrease in subjective readiness to train (p = 0.009) and increase in soreness of the legs (p = 0.04) were greater in OR compared to RESP. Nocturnal HR, readiness to train, and exercise‐derived HR‐running power index had ≥85% positive and negative predictive values in the discrimination between OR and RESP individuals. In conclusion, exercise tolerance can vary substantially in recreational runners. The results supported the usefulness of nocturnal HR and subjective recovery assessments in recognizing fatigue states. Highlights: Tolerance to similarly increased training load varies in recreational runners. While some individuals respond positively, for others the same load may be excessive.Subjective markers, such as readiness to train and soreness of the legs, were the most sensitive markers to respond to increased training load, and the magnitude of these responses was greater in individuals with suspected overreaching.Resting or exercise heart rate (HR) did not respond as systematically as the subjective markers to the training load itself. However, the changes in nocturnal HR, nocturnal HRV, and HR‐running power index started to differ between the RESP and OR subgroups at an earlier stage of the overload period supporting their usefulness as indicators of the fatigue state. [ABSTRACT FROM AUTHOR]

Background: An increase in training intensity could create changes in psychological and physiological variables in competitive athletes. For this reason, it is very relevant to know how an intensive training block could influence psychological variables in competitive swimmers. This study examined the effect of an intensive training block (HIT) for 2 weeks on the anxiety state and swimming performance compared to standard aerobic training. Methods: Twenty-two male competition swimmers were randomly assigned to two groups: HIT group (n = 11; age = 16.5 ± 0.29 years) and control group following the standard training program (n = 11; age = 16.1 ± 0.33 years). Psychological status variables (cognitive anxiety, somatic anxiety and self-confidence) and swimming performance (100-m front crawl) were measured pre-and post-test. Results: A significant effect of time was found for all psychological variables and swimming performance (F ≥ 17.6; p < 0.001; d ≥ 0.97). Furthermore, a significant group × time interaction effect was found in cognitive (F = 14.9; p < 0.001; d = 0.62) and somatic anxiety (F = 5.37; p = 0.031; d = 0.55) were found. Only a significant group effect was found in somatic anxiety (F = 27.1; p < 0.001; d = 1.2). Post hoc comparison revealed that both groups increased their cognitive anxiety and swimming performance, and decreased their self-confidence from pre to post test. However, cognitive anxiety increase significantly more in the HIT group compared to the control group. Furthermore, only the HIT training group significantly increased somatic anxiety over time, while somatic anxiety did not change significantly over time in the control group. Conclusion: Our findings indicated that a sudden increase in training intensity increased state anxiety more than standard training, but both conditions similarly enhanced swimming performance. Although the current level of psychological state is not affecting swimming performance negatively over this period, it should be regularly monitored by psychologists as it over a longer training period perhaps could have a negative influence on swimming performance. [ABSTRACT FROM AUTHOR]

Numerous techniques and methods are used in School-Based Agricultural Education. These techniques are vital to the goal of educating a diverse and expansive population that exist within secondary agricultural science courses. Agricultural educators, both traditionally and alternatively certified, know and understand the value of using multiple techniques to differentiate one's instruction. It has also been previously identified that, while there are some similarities, these two certification groups do have unique professional development needs. This study sought to identify the techniques Alabama's agriculture instructors had been taught and are using. Through the identification of these techniques, key differences between traditionally and alternatively certified instructors can be identified. Based on the findings of this study, techniques that had a higher average of training received were more likely to be used by both certifications. Between traditionally and alternatively certified instructors, an increase in training received and decrease in utilization was seen across most of the specific techniques for alternatively certified instructors. Individual techniques also called to question the over-training or underutilization of that technique. While there are key differences across the certification types, the findings indicate more training may be needed in an effort to promote the use of different techniques in agricultural education. [ABSTRACT FROM AUTHOR]

Purpose: To investigate whether sleeping activity, hormonal responses, and wellness are altered in elite water polo players during their preparation toward the Tokyo Olympics. Methods: Eight elite-level water polo players participated in 3 consecutive training phases: (1) before the commencement of a residential-based conditioning camp (PRE-CAMP; 3 d), (2) residential-based conditioning camp (5 d), and (3) a congested period of training and competition (POST-CAMP; 8 d). Nocturnal sleep was monitored for 14 consecutive days in PRE-CAMP (2 d), CAMP (5 d), and POST-CAMP (7 d). Postawakening salivary cortisol, immunoglobulin-A, and subjective wellness were measured during PRE-CAMP, CAMP, and POST-CAMP, and internal training/match load (ITL) was calculated daily. The averaged values for dependent variables were compared among training phases and analyzed using linear mixed models. Results: At CAMP compared with PRE-CAMP, ITL was higher (P <.01), and sleep onset and offset were earlier (P <.01). At this period, sleep interruptions and salivary cortisol were higher (P <.01, d = 1.6, d = 1.9, respectively), and subjective wellness was worsened (P <.01, d = 1.3). At POST-CAMP, the reduction of workload was followed by increased sleep efficiency, reduced sleep interruptions, and moderately affected salivary cortisol, yet overall wellness remained unaltered. In POST-CAMP, 2 of the players demonstrated severe symptoms of illness. Conclusions: At the highest level of the sport and prior to the Olympics, large increments in workload during a training camp induced meaningful sleep interruptions and salivary cortisol increases, both of which were reversed at POST-CAMP. We suggest that the increased workload alongside the inadequate recovery affects sleep patterns and may increase the risk of infection. [ABSTRACT FROM AUTHOR]

Introduction: Ironman triathletes undergo high workloads during competition preparation which can result in nonfunctional overreaching or overtraining syndrome if not matched with adequate recovery. Purpose: The purpose of this case study was to observe changes in physiological and psychological status over the course of a competitive season in a free-living triathlete. Methods: The subject was a 41-year-old triathlete competing in three 113.1-km events. Over the course of a 40-week period, the participant arrived at the laboratory every 4 weeks and underwent body composition testing via air displacement plethysmography, a blood draw for analysis of various biomarkers, and a treadmill-based lactate threshold test. Workload during training and competitions was monitored via a wearable heart rate-monitoring device. Results: Throughout the season, training volume remained high (12.5 ± 3.4 h/week) and body mass and fat-free mass (FFM) continuously decreased, while biomarkers including cortisol, testosterone, and markers of immunological status exhibited minor changes. Laboratory performance remained relatively consistent, while competition performance continually improved. Following the completion of the competitive period, training volume decreased, FFM remained below baseline levels, free cortisol increased, and both free and total testosterone decreased. Conclusions: Workload and recovery seem to have been properly managed throughout the season, evidenced by minimal fluctuations in endocrine and immunological markers. The reason for changes observed in testosterone, cortisol, and body composition following the last competition is unclear, though it may be attributed to changes in stressors and recovery practices outside of training. It is recommended that athletes follow a structured plan during the transition period into the offseason to ensure recovery of physiological state and to set up a productive offseason. [ABSTRACT FROM AUTHOR]

Dozens of data prove that the DNA damage accumulates during human aging and that lifestyle factors contribute to the accumulation of DNA alteration. Telomeres are nucleoprotein complexes located at the ends of chromosomes, serving to protect DNA integrity by acting as caps. Telomere length decreases with age, which promotes cell senescence. Shortened telomeres accelerate aging and can lead to cells apoptosis. Telomere shortening is associated with biological aging and can be influenced by factors such as inflammation and oxidative stress. Recent evidence supports that telomere length of skeletal muscle cells and leukocytes may be positively associated with healthy living and inversely correlated with the risk of age-related syndromes, including obesity, cancer, chronic pain, diabetes, cardiovascular disease, and stress. In this paper, recent studies are summarized to examine the possible influence of exercise on telomere length. Higher levels of exercise or physical activity are related to longer telomere lengths in several populations, and athletes tend to have longer telomere lengths than non-athletes. This relationship is particularly clear in older individuals, proposing a role of physical activity in preventing the typical age-induced decrements in telomere length. It is proposed that physical activity has a positive effect on the rate of telomere length shortening. In particular, the athletes tend to have longer telomere than sedentary individuals. Exercise has a beneficial outcome on telomere length compared with usual care or inactivity. The evidence gathered to date shows that especially aerobic exercise slows the decline in telomere length. It is fundamental to emphasize how this is important not to overdo it, that is, overtraining must be avoided. Anyway, physical activity and exercise can have both restorative and protective effects and, as such, show great probable to improve well-being and increase longevity. Future studies is needed to mechanistically examine the properties of diverse modalities of exercise on telomere length in middle-aged and older subjects. [ABSTRACT FROM AUTHOR]

Research on the stress and burnout experienced by athletes in the esports field remains limited, necessitating an approach that considers the unique environment and circumstances of esports athletes. This study aims to explore the conceptualization of burnout experiences among professional esports athletes. The participants included 88 athletes from the League of Legends Championship Korea (LCK). Among these, in-depth interviews were conducted with 7 athletes who had experience in international tournaments (the World Championship), while an open-ended survey was completed by 81 athletes. Data collected through in-depth interviews and an open-ended survey were digitized and utilized for analysis. Through critical review by another author and inductive categorization, the conceptual components of esports athletes' burnout were derived. Through the analysis of 251 raw datum, it was conceptualized into five conceptual factors: performance, overtraining, interpersonal relationships, physical and psychological exhaustion, and career and motivation. The results of this study confirm that esports athletes, like athletes in other conventional sports, experience burnout during their careers, highlighting issues in their unique environment, particularly in aspects of interpersonal relationships and training and rest conditions. This research can serve as a foundational resource for effective athletes' psychological health management in the esports field and underscores the need for further research on burnout among esports athletes. [ABSTRACT FROM AUTHOR]

Heart rate variability (HRV) is defined as the fluctuation of time intervals between adjacent heartbeats and is commonly used as a surrogate measure of autonomic function. HRV has become an increasingly measured variable by wearable technology for use in fitness and sport applications. However, with its increased use, a gap has arisen between the research and the application of this technology in strength and conditioning. The goal of this narrative literature review is to discuss current evidence and propose preliminary guidelines regarding the application of HRV in strength and conditioning. A literature review was conducted searching for HRV and strength and conditioning, aiming to focus on studies with time-domain measurements. Studies suggest that HRV is a helpful metric to assess training status, adaptability, and recovery after a training program. Although reduced HRV may be a sign of overreaching and/or overtraining syndrome, it may not be a sensitive marker in aerobic-trained athletes and therefore has different utilities for different athletic populations. There is likely utility to HRV-guided programming compared to predefined programming in several types of training. Evidence-based preliminary guidelines for the application of HRV in strength and conditioning are discussed. This is an evolving area of research, and more data are needed to evaluate the best practices for applying HRV in strength and conditioning. [ABSTRACT FROM AUTHOR]

Copyright of Kinesiologia Slovenica is the property of Faculty of Sport and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Dehazing individual remote sensing (RS) images is an effective approach to enhance the quality of hazy remote sensing imagery. However, current dehazing methods exhibit substantial systemic and computational complexity. Such complexity not only hampers the straightforward analysis and comparison of these methods but also undermines their practical effectiveness on actual data, attributed to the overtraining and overfitting of model parameters. To mitigate these issues, we introduce a novel dehazing network for non-uniformly hazy RS images: GLUENet, designed for both lightweightness and computational efficiency. Our approach commences with the implementation of the classical U-Net, integrated with both local and global residuals, establishing a robust base for the extraction of multi-scale information. Subsequently, we construct basic convolutional blocks using gated linear units and efficient channel attention, incorporating depth-separable convolutional layers to efficiently aggregate spatial information and transform features. Additionally, we introduce a fusion block based on efficient channel attention, facilitating the fusion of information from different stages in both encoding and decoding to enhance the recovery of texture details. GLUENet's efficacy was evaluated using both synthetic and real remote sensing dehazing datasets, providing a comprehensive assessment of its performance. The experimental results demonstrate that GLUENet's performance is on par with state-of-the-art (SOTA) methods and surpasses the SOTA methods on our proposed real remote sensing dataset. Our method on the real remote sensing dehazing dataset has an improvement of 0.31 dB for the PSNR metric and 0.13 for the SSIM metric, and the number of parameters and computations of the model are much lower than the optimal method. [ABSTRACT FROM AUTHOR]

While the interest and professionalization of padel around the world, and the importance of mental fatigue in sport science literature are both on the rise, not much is known about how mental fatigue impacts padel‐specific performance. Forty‐eight male elite youth players (18 ± 2 y) participated in this randomized counterbalanced crossover study. The players visited the laboratory on three separate occasions: familiarization, control (i.e., 30‐min documentary), and mental fatigue (i.e., 30‐min incongruent Stroop) condition. The participants' perceived mental fatigue, vigilance (i.e., Psychomotor Vigilance Test) and response inhibition (i.e., Stroop task) were assessed as markers of mental fatigue. The Padel accuracy was evaluated using a validated padel‐specific performance task that includes the usage of different strokes (i.e., drive, drive volley, bandeja, and drive attack after the use of the glass). All these variables were assessed pre‐ and post‐ both the control and mentally fatiguing task. A condition × time interaction was found for perceived mental fatigue, the Stroop performance and PVT reaction time (p < 0.001) and for padel‐specific accuracy on all strokes (p < 0.001). The perceived level of mental fatigue increased, while PVT reaction time and Stroop performance (i.e., amount of words) were impaired in time only in the mental fatigue condition. The accuracy of all padel strokes was significantly impaired from pre to post only in the mental fatigue condition (p < 0.050). In conclusion, mental fatigue impairs padel‐specific accuracy in young elite male padel players. Consequently, we recommend coaches to consider the level of mental fatigue during padel trainings and competitions. Highlights: The result of the present study shows that mental fatigue induced by a 30‐min incongruent Stroop task, impaired the accuracy and the speed of different padel‐specific strokes in youth‐elite male players.The presence of mental fatigue during official padel competitions has been previously confirmed. Then, it might of course impact the outcome of the match, as the number of forced and unforced errors or the speed of the shots are important indicators of padel‐specific performance.This information highlights the need for coaches and staff to consider the amount of mental fatigue generated during padel trainings and matches. Coaches are able to modulate the level of mental fatigue of the trainings. [ABSTRACT FROM AUTHOR]

Lifestyle factors, particularly physical inactivity, are closely linked to the onset of numerous metabolic diseases. Adipose tissue (AT) has been extensively studied for various metabolic diseases such as obesity, type 2 diabetes, and immune system dysregulation due to its role in energy metabolism and regulation of inflammation. Physical activity is increasingly recognized as a powerful non-pharmacological tool for the treatment of various disorders, as it helps to improve metabolic, immune, and inflammatory functions. However, chronic excessive training has been associated with increased inflammatory markers and oxidative stress, so much so that excessive training overload, combined with inadequate recovery, can lead to the development of overtraining syndrome (OTS). OTS negatively impacts an athlete's performance capabilities and significantly affects both physical health and mental well-being. However, diagnosing OTS remains challenging as the contributing factors, signs/symptoms, and underlying maladaptive mechanisms are individualized, sport-specific, and unclear. Therefore, identifying potential biomarkers that could assist in preventing and/or diagnosing OTS is an important objective. In this review, we focus on the possibility that the endocrine functions of AT may have significant implications in the etiopathogenesis of OTS. During physical exercise, AT responds dynamically, undergoing remodeling of endocrine functions that influence the production of adipokines involved in regulating major energy and inflammatory processes. In this scenario, we will discuss exercise about its effects on AT activity and metabolism and its relevance to the prevention and/or development of OTS. Furthermore, we will highlight adipokines as potential markers for diagnosing OTS. [ABSTRACT FROM AUTHOR]

This study explores the relationships among indicators of overtraining in adolescent athletes. The research employed widelyaccepted tools for subjective overtraining indicator detection, as identified through a systematic review. Two groups of athletes were observed, comprising 13 athletes with bi-weekly assessments and 66 athletes with assessments every 3 months over a one-year period. The study analyzed relationships between variables using repeated measures correlations. A correlation matrix was subjected to principal component analysis. Three fundamental groups of indicators, reflecting negative emotionality (accompanied by sleep problems), self-concept characteristics, and core symptoms of overtraining syndrome captured through subjective sport fitness and vigor. This research emphasizes the intrinsic link between emotional and physical aspects in the lives of elite athletes, shedding light on the complex interplay of overtraining indicators in the context of adolescent developmental period. [ABSTRACT FROM AUTHOR]

Abstract: Introduction: Despite recent advancements in sports medicine and sports psychiatry, a lack of clarity remains in understanding the pathogenesis and etiology of Overtraining Syndrome (OTS). Early research on endurance athletes in high volume/intensity cycles of training described a condition of “staleness”, which could be detected using psychometric assessments on mood. Associated with both physical and psychological symptoms, “staleness” was found to be dose responsive and tended to abate with a reduction in training. Subsequent study of OTS has not revealed reliable or reproducible measurements for ascertaining or treating the condition. Methods: We reviewed historical literature discussing “staleness”, summarizing its theoretical trajectory in academic domains, and comparing this with more recent work that emphasizes the physiological parameters of OTS. We also consider the sociocultural context surrounding these terminological shifts. Results: Though the term “staleness” has fallen out of favor, past work into this topic may have relevance in attempts to define, diagnose, and treat OTS. Further, sports psychiatry may be in a unique position to revisit the literature and emphasize the utility of psychometric assessment in screening, as well as underlining the importance of maintaining mental health among high performing athletes. Conclusion: Research and psychometric assessments designed to discuss “staleness” still remain relevant, particularly in sports psychiatry, and may deserve to be revisited as well as expanded.

Background An increase in training intensity could create changes in psychological and physiological variables in competitive athletes. For this reason, it is very relevant to know how an intensive training block could influence psychological variables in competitive swimmers. This study examined the effect of an intensive training block (HIT) for 2 weeks on the anxiety state and swimming performance compared to standard aerobic training. Methods Twenty-two male competition swimmers were randomly assigned to two groups: HIT group (n = 11; age = 16.5 ± 0.29 years) and control group following the standard training program (n = 11; age = 16.1 ± 0.33 years). Psychological status variables (cognitive anxiety, somatic anxiety and self-confidence) and swimming performance (100-m front crawl) were measured pre-and post-test. Results A significant effect of time was found for all psychological variables and swimming performance (F ≥ 17.6; p < 0.001; d ≥ 0.97). Furthermore, a significant group × time interaction effect was found in cognitive (F = 14.9; p < 0.001; d = 0.62) and somatic anxiety (F = 5.37; p = 0.031; d = 0.55) were found. Only a significant group effect was found in somatic anxiety (F = 27.1; p < 0.001; d = 1.2). Post hoc comparison revealed that both groups increased their cognitive anxiety and swimming performance, and decreased their self-confidence from pre to post test. However, cognitive anxiety increase significantly more in the HIT group compared to the control group. Furthermore, only the HIT training group significantly increased somatic anxiety over time, while somatic anxiety did not change significantly over time in the control group. Conclusion Our findings indicated that a sudden increase in training intensity increased state anxiety more than standard training, but both conditions similarly enhanced swimming performance. Although the current level of psychological state is not affecting swimming performance negatively over this period, it should be regularly monitored by psychologists as it over a longer training period perhaps could have a negative influence on swimming performance.

Abstract: Introduction: Sleep is crucial for athletes’ recovery and performance while overtraining can negatively affect sleep quantity and sleep quality. We present a case of a 16-year-old female athlete exploring the reciprocal negative effects of overtraining and sleep problems on each other. Methods: A flyer of a high school cheerleading team with a history of injuries, irregular menses, chronic fatigue, and various sleep-related complaints presented with declining athletic performance. Results: After medical causes were ruled out, sleep disorders such as insomnia, restless legs syndrome and delayed sleep phase were identified and treated. Despite treatment, her daytime sleepiness and sleep attacks persisted and thus necessitated further investigation. Comprehensive sleep studies, including actigraphy, polysomnography, and multiple sleep latency testing, ultimately revealed insufficient sleep syndrome as the underlying cause. Notably, periods of reduced training intensity coincided with significant improvements in her daytime sleepiness. Conclusion: This case highlights the importance of comprehensive sleep-wake assessments for adolescent athletes to accurately diagnose sleep disorders in the context of overtraining. Prioritizing sleep is crucial for optimizing athletic performance in young athletes by preventing and managing overtraining-related sleep disorders.

Context: To understand overtraining syndrome (OTS), it is important to detail the physiological and psychological changes that occur in athletes. Objectives: To systematically establish and detail the physiological and psychological changes that occur as a result of OTS in athletes. Methods: Databases were searched for studies that were (1) original investigations; (2) English, full-text articles; (3) published in peer-reviewed journals; (4) investigations into adult humans and provided (5) objective evidence that detailed changes in performance from prior to the onset of OTS diagnosis and that performance was suppressed for more than 4 weeks and (6) objective evidence of psychological symptoms. Results: Zero studies provided objective evidence of detailed changes in performance from prior to the onset of OTS diagnosis and demonstrated suppressed performance for more than 4 weeks accompanied by changes in psychological symptoms. Conclusions: All studies failed to provide evidence of changes in performance and mood from "healthy" to an overtrained state with evidence of prolonged suppression of performance. While OTS may be observed in the field, little data is available describing how physiological and psychological symptoms manifest. This stems from vague terminology, difficulties in monitoring for prolonged periods of time, and the need for prospective testing. Real-world settings may facilitate the collection of such data, but the ideal testing battery that can easily be conducted on a regular basis does not yet exist. Consequently, it must be concluded that an evidence base of sufficient scientific quality for understanding OTS in athletes is lacking. [ABSTRACT FROM AUTHOR]

Objectives: To analyze biochemical markers, wellness status, and physical fitness in elite soccer players in relation to changes in training and match exposure during a congested period of match play. Methods: Fourteen elite soccer players were evaluated 3 times (T1, T2, and T3) over 12 weeks (T1–T2: 6-wk regular period of match play and T2–T3: 6-wk congested period of match play). Players performed vertical jump tests, repeated shuttle sprint ability test, and the Yo-Yo Intermittent Recovery Test at T1, T2, and T3. Plasma C-reactive protein, creatinine, and creatine kinase were analyzed at T1, T2, and T3. Wellness status was measured daily using the Hopper questionnaire (delayed onset of muscle soreness, stress, fatigue, and sleep quality). Training session rating of perceived exertion was also recorded on a daily basis. Results: A significant increase was found in stress, fatigue, delayed onset of muscle soreness scores, and Hopper index during the congested period (between T2 and T3) compared with the regular period (between T1 and T2) (.001 < P <.008, 0.8 < ES < 2.3). Between T2 and T3, significant relationships were found between the percentage variations (Δ%) of C-reactive protein, and Δ% of creatine kinase with the Hopper Index, and the Δ% of fatigue score. In addition, the Δ% of fatigue score and Δ% of delayed onset of muscle soreness score correlated with Δ% Yo-Yo Intermittent Recovery Test and Δ% best of repeated shuttle sprint ability test (.49 < r < P <.01). Conclusions: An intensive period of congested match play significantly compromised elite soccer players' physical fitness and wellness status. Elite soccer players' wellness status reflects declines in physical fitness during this period while biochemical changes do not. [ABSTRACT FROM AUTHOR]

Heavy training has been reported to be immunosuppressive in athletes and lead to blunted cortisol responses to exercise. Cortisol elevates the number of dendritic cells (DCs), key antigen‐presenting cells that interact with T cells to initiate an immune response. Reproducible cortisol responses to a 30‐min cycle test have been identified but were based on percentage of work rate maximum. To ensure physiological consistency, submaximal anchors, that is, ventilatory threshold (VT1) should prescribe intensity. This study aims to assess the reproducibility of the DC and T cell responses to an adapted stress test to assess its usefulness in assessing DC dysfunction with intensified training. Twelve males cycled for 1 min at 20% below VT1 and 4 min at 50% between VT1 and V̇O2max${\dot{V}}_{{{\mathrm{O}}}_{\mathrm{2}}\max }$, for 30 min (20/50), with blood samples pre‐, post‐ and 30 min post‐exercise. This was repeated twice, 2–7 days apart. Flow cytometry assessed total DCs, plasmacytoid DCs, myeloid DCs, total T cells, T helper cells and T cytotoxic cells. No significant trial or interaction effects were found for any variable. A significant main effect of time for all variables was found; immune cells increased from pre‐ to post‐exercise and decreased to baseline 30 min post‐exercise, apart from plasmacytoid DCs, which remained elevated 30 min post‐exercise. Intraclass correlation coefficients showed overall good‐to‐excellent reliability for all immune cells, with smallest real difference and Bland–Altman analysis verifying high reproducibility between trials. These results suggest that the 20/50 exercise test induces reproducible DC and T cell count changes, which, implemented before and after a period of intensified training, may highlight the negative states of overtraining. What is the central question of this study?Can we develop an exercise stress test robust enough to elicit reproducible changes in immune cell counts, so that when used before and after a period of intensified training we can examine whether immune changes are useful biomarkers in highlighting the negative states of overtraining?What is the main finding and its importance?An exercise stress test was developed that elicited reproducible and robust changes in dendritic cell and T cell counts, making it a valuable tool in the examination of immune cell counts as possible biomarkers in highlighting the negative states of overtraining. [ABSTRACT FROM AUTHOR]

Purpose of Review: This study aimed to provide an overview of some of the medical concerns surrounding the care of the pediatric endurance athletes and add to the limited literature specific to the pediatric endurance athlete. Recent Findings: Endurance athletes are at risk for overtraining, relative energy deficiency in sport (RED-S), overuse injuries, nutritional deficiencies, and sleep dysfunction. Youth runners and female endurance athletes are particularly high-risk populations for RED-S; nutritional deficiencies and their care should involve thoughtful mitigation of modifiable risk factors. The growing endurance athlete may experience slightly different cardiac adaptations than the adult endurance athlete with the long-term implications of these changes still unclear. Summary: Endurance sports are common among youth athletes. Multidisciplinary care that includes screening and early intervention for high-risk areas is critical to optimize their care and promote, safe lifelong sport participation. [ABSTRACT FROM AUTHOR]

Abstract:Introduction: The rigorous training regimens of elite athletes are, by nature, emotionally, physically, and mentally demanding. These regimens can result in marked improvements in athletic performance when they incorporate adequate intervals of rest and recovery. Continued training in the absence of adequate recovery progresses to a constellation of symptoms that affect medical and mental health, which is referred to as overtraining syndrome (OTS). Method: A literature review was conducted using PubMed, a database of reference on medical research maintained by the US national Library of Medicine and the National Institute of Health. Search terms included "overtraining syndrome", "Unexplained Underperformance" (UUPS), "Burnout" in athletes. Results: The collection of the published work provides insight into the multidimensional composition and complexity of OTS in athletes. OTS progresses along a continuum without adequate recovery. Conclusion: Decreased athletic performance in the setting of increased training intensity without appropriate recovery, often accompanied by changes in mood, motivation, and general well-being are the distinctive features of OTS. OTS is preceded by stages of underperformance that are reversable and preventable, highlighting the importance of recognizing, managing, and preventing overtraining in athletes in order to prevent long-term negative outcomes is a maladaptive response to an imbalance between exercise and recovery. [ABSTRACT FROM AUTHOR]

Abstract:Introduction: Sleep is crucial for athletes' recovery and performance while overtraining can negatively affect sleep quantity and sleep quality. We present a case of a 16-year-old female athlete exploring the reciprocal negative effects of overtraining and sleep problems on each other. Methods: A flyer of a high school cheerleading team with a history of injuries, irregular menses, chronic fatigue, and various sleep-related complaints presented with declining athletic performance. Results: After medical causes were ruled out, sleep disorders such as insomnia, restless legs syndrome and delayed sleep phase were identified and treated. Despite treatment, her daytime sleepiness and sleep attacks persisted and thus necessitated further investigation. Comprehensive sleep studies, including actigraphy, polysomnography, and multiple sleep latency testing, ultimately revealed insufficient sleep syndrome as the underlying cause. Notably, periods of reduced training intensity coincided with significant improvements in her daytime sleepiness. Conclusion: This case highlights the importance of comprehensive sleep-wake assessments for adolescent athletes to accurately diagnose sleep disorders in the context of overtraining. Prioritizing sleep is crucial for optimizing athletic performance in young athletes by preventing and managing overtraining-related sleep disorders. [ABSTRACT FROM AUTHOR]

Sport coaches increasingly rely on external load metrics for designing effective training programs. However, their accuracy in estimating internal load is inconsistent, and their ability to predict autonomic nervous system (ANS) deterioration is unknown. This study aimed to evaluate the relationships between internal and external training load metrics and ANS recovery and function in college football players. Football athletes were recruited from a D1 college in the southeastern US and prospectively followed for 27 weeks. Internal load was estimated via exercise cardiac load (ECL; average training heartrate (HR) × session duration) and measured with an armband monitor equipped with electrocardiographic capabilities (Warfighter MonitorTM (WFM), Tiger Tech Solutions, Miami, FL, USA). External load was estimated via the summation and rate of acceleration and decelerations as measured by a triaxial accelerometer using the WFM and an accelerometer-based (ACCEL) device (Catapult Player Load, Catapult Sports, Melbourne, Australia) worn on the mid-upper back. Baseline HR, HR variability (HRV) and HR recovery served as the indicators for ANS recovery and function, respectively. For HRV, two, time-domain metrics were measured: the standard deviation of the NN interval (SDNN) and root mean square of the standard deviation of the NN interval (rMSSD). Linear regression models evaluated the associations between ECL, ACCEL, and the indicators of ANS recovery and function acutely (24 h) and cumulatively (one- and two-week). Athletes (n = 71) were male and, on average, 21.3 ± 1.4 years of age. Acute ECL elicited stronger associations for 24 h baseline HR (R2 0.19 vs. 0.03), HR recovery (R2 0.38 vs. 0.07), SDNN (R2 0.19 vs. 0.02) and rMSSD (R2 0.19 vs. 0.02) compared to ACCEL. Similar results were found for one-week: 24 h baseline HR (R2 0.48 vs. 0.05), HR recovery (R2 0.55 vs. 0.05), SDNN (R2 0.47 vs. 0.05) and rMSSD (R2 0.47 vs. 0.05) and two-week cumulative exposures: 24 h baseline HR (R2 0.52 vs. 0.003), HR recovery (R2 0.57 vs. 0.05), SDNN (R2 0.52 vs. 0.003) and rMSSD (R2 0.52 vs. 0.002). Lastly, the ACCEL devices weakly correlated with ECL (rho = 0.47 and 0.43, p < 0.005). Our findings demonstrate that ACCEL poorly predicted ANS deterioration and underestimated internal training load. ACCEL devices may "miss" the finite window for preventing ANS deterioration by potentially misestimating training loads acutely and cumulatively. [ABSTRACT FROM AUTHOR]

Sports participation can have tremendous physical and mental health benefits for children. Properly implemented progressive training programs can yield a broad range of beneficial physiologic adaptations, but imbalances of training load and recovery can have important negative consequences. Overuse injuries, for example, can result from repetitive stress without sufficient recovery that leads to accumulated musculoskeletal damage. In addition, extended periods of increased training loads that exceed the intervening recovery can have systemic consequences such as overtraining syndrome, which results in decreased performance, increased injury and illness risk, and derangement of endocrine, neurologic, cardiovascular, and psychological systems. Burnout represents one of the primary reasons for attrition in youth sports. Broadly defined as physical or mental exhaustion and a reduced sense of accomplishment that leads to devaluation of sport, burnout represents a direct threat to the goal of lifelong physical activity and the wide-ranging health benefits that it provides. This clinical report is intended to provide pediatricians with information regarding the risk factors, diagnosis, management, and prevention of these conditions to assist in the identification of at-risk children, the treatment of young athletes, and the guidance of families in the promotion of safe and healthy sport participation. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of the study was to investigate whether carbohydrate utilization is altered during exercise in overreached endurance athletes and examine the utility of continuous glucose monitors (CGM) to detect overreaching status. Methods: Eleven endurance athletes (M:8, F:3) completed a 5‐week training block consisting of 1 week of reduced training (PRE), 3 weeks of high‐intensity overload training (POST), and 1 week of recovery training (REC). Participants completed a Lamberts and Lambert Submaximal Cycling Test (LSCT) and 5 km time‐trial at PRE, POST, and REC time points, 15 min following the ingestion of a 50 g glucose beverage with glucose recorded each minute via CGM. Results: Performance in the 5 km time‐trial was reduced at POST (∆‐7 ± 10 W, p = 0.04, ηp2 = 0.35) and improved at REC (∆12 ± 9 W from PRE, p = 0.01, ηp2 = 0.66), with reductions in peak lactate (∆‐3.0 ± 2.0 mmol/L, p = 0.001, ηp2 = 0.71), peak HR (∆‐6 ± 3 bpm, p < 0.001, ηp2 = 0.86), and Hooper‐Mackinnon well‐being scores (∆10 ± 5 a.u., p < 0.001, ηp2 = 0.79), indicating athletes were functionally overreached. The respiratory exchange ratio was suppressed at POST relative to REC during the 60% (POST: 0.80 ± 0.05, REC: 0.87 ± 0.05, p < 0.001, ηp2 = 0.74), and 80% (POST: 0.93 ± 0.05, REC: 1.00 ± 0.05, p = 0.003, ηp2 = 0.68) of HR‐matched submaximal stages of the LSCT. CGM glucose was reduced during HR‐matched submaximal exercise in the LSCT at POST (p = 0.047, ηp2 = 0.36), but not the 5 km time‐trial (p = 0.07, ηp2 = 0.28) in overreached athletes. Conclusion: This preliminary investigation demonstrates a reduction in CGM‐derived glucose and carbohydrate oxidation during submaximal exercise in overreached athletes. The use of CGM during submaximal exercise following standardized nutrition could be employed as a monitoring tool to detect overreaching in endurance athletes. [ABSTRACT FROM AUTHOR]

Background and Objectives: In this review, we have explored the relationship between overtraining syndrome (OTS) and bone stress injuries among paralympic athletes. OTS is a complex condition that arises from an imbalance between training volume, nutrition, and recovery time, leading to significant negative effects on paralympic athlete's performance and overall well-being. On the other hand, bone stress injuries occur when abnormal and repetitive loading is applied to normal bone, resulting in microdamage accumulation and potential. The prevalence of overtraining syndrome and bone stress injuries among athletes highlights the need for a better understanding of their relationship and implications for prevention and management strategies. Methods: A literature review from the PubMed, Web of Science, and Google Scholar databases including the MeSH keywords "overtraining syndrome", "bone", and "paralympic athletes". Results: Studies have consistently shown that athletes engaged in endurance sports are particularly susceptible to overtraining syndrome. The multifactorial nature of this condition involves not only physical factors, but also psychological and environmental determinants. In addition, the diagnosis and management of OTS and bone stress injuries present challenges in clinical practice. Conclusions: Currently, there are no definitive biochemical markers for overtraining syndrome. The diagnosis is based on a combination of subjective measures such as questionnaires, symptoms checklists, and objective biomarkers, including hormone levels, inflammatory markers, and imaging studies. However, these diagnostic approaches have limitations regarding their specificity and sensitivity. [ABSTRACT FROM AUTHOR]

Purposes: Overtraining syndrome (OTS) is an unexplained underperformance syndrome triggered by excessive training, insufficient caloric intake, inadequate sleep, and excessive cognitive and social demands. Investigation of the recovery process from OTS has not been reported to date. The objective was to unveil novel markers and biochemical and clinical behaviors during the restoration process of OTS. Methods: This was a 12-week interventional protocol in 12 athletes affected by OTS, including increase of caloric intake, transitory interruption of training, improvement of sleep quality, and management of stress, followed by the assessment of 50 parameters including basal and hormonal responses to an insulin tolerance test and nonhormonal biochemical markers, and body metabolism and composition. Results: Early cortisol (P =.023), late ACTH (adrenocorticotrophic hormone) (P =.024), and early and late growth hormone (P =.005 and P =.038, respectively) responses, basal testosterone (P =.038), testosterone:estradiol ratio (P =.0005), insulinlike growth factor 1 (P =.004), cortisol awakening response (P =.001), and free thyronine (P =.069) increased, while basal estradiol (P =.033), nocturnal urinary catecholamines (P =.038), and creatine kinase (P =.071) reduced. Conversely, markers of body metabolism and composition had slight nonsignificant improvements. Conclusion: After a 12-week intervention, athletes affected by actual OTS disclosed a mix of non-, partial, and full recovery processes, demonstrating that remission of OTS is as complex as its occurrence. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this brief review was to present an overview of noninvasive markers in trained to professional endurance athletes that can reflect a state of functional overreaching. Methods: A systematic literature search was conducted in the PubMed, Scopus, and PsycINFO databases. After screening 380 articles, 12 research papers were included for the systematic review. Results: Good consensus was found between the different papers in which noninvasive parameters were able to reflect a state of functional overreaching. Changes in power output (PO), heart rate (HR; [sub]maximal and HR recovery), rating of perceived exertion, and scores in the Daily Analysis of Life Demands for Athletes (DALDA) and/or Profile of Mood States (POMS) were shown to be able to reflect functional overreaching, whereas changes in maximal oxygen uptake and HR-variability parameters were not. Conclusion: Functional overreaching within a maximal performance test was characterized by a decrease in peak PO and a lower maximum HR, whereas a lower mean PO and a lower HR were observed during time trials. Changes in parameters during a standardized submaximal test when functionally overreached were characterized by a higher PO at a fixed HR or a lower HR at a fixed intensity, higher rating of perceived exertion, and a faster HR recovery. Although both the DALDA and POMS were able to reflect functional overreaching, the POMS was not able to differentiate this response from acute fatigue, which makes it unsuitable for accurately monitoring functional overreaching. [ABSTRACT FROM AUTHOR]

The cortisol awakening response (CAR) is a distinct component of the circadian cortisol profile and has promise as a biomarker for the monitoring of athlete readiness and training status. Although some studies have suggested the CAR may be affected by the development of overtraining syndrome (OTS), this has yet to be systematically investigated. Purpose: To compare the CAR and diurnal cortisol slope between athletes diagnosed with OTS, healthy athletes, and sedentary controls. Methods: This study was a secondary analysis of data from the Endocrine and Metabolic Responses on Overtraining study. Male participants were recruited to either OTS, healthy athlete, or sedentary control groups. The participants produced saliva samples immediately after waking (S1), 30 minutes after waking (S2), at 16:00 hours, and at 23:00 hours. Salivary cortisol concentration was determined by an electrochemiluminescence assay. Mixed-effects models were used to assess the conditional effect of group (sedentary controls, OTS, and healthy athletes) on the change in cortisol over time. Separate models were fit for the awakening samples (S1 and S2) and for the diurnal slope (linear change across S1, 16:00 h, and 23:00 h). Results: The models demonstrated significant time-by-group interaction for OTS for the 2 cortisol concentrations collected during the awakening period (β = −9.33, P <.001), but not for the diurnal cortisol slope (β = 0.02, P =.80). Conclusions: These results suggest the CAR may be associated with OTS and should be considered within a panel of biomarkers. Further research is necessary to determine whether alterations in the CAR may precede the diagnosis of OTS. [ABSTRACT FROM AUTHOR]

IntroductionIn swimming, performance gains after tapering could be influenced by the pre-taper level of fatigue. Moreover, this level of fatigue could be associated with sleep. This study aimed to assess (1) the effect of tapering on performance according to the pre-taper level of fatigue in swimmers and (2) the association between sleep and pre-taper level of fatigue.MethodsPhysiological, psychological and biomechanical profiles were evaluated in 26 elite swimmers on 2 occasions to estimate the pre-taper level of fatigue: at T0 and T1, scheduled respectively 10 and 3 weeks before the main competition. Sleep quantity and quality were also evaluated at T0 and T1. Race time was officially assessed at T0, T1 and during the main competition. The level of significance was set at p ≤ .05.ResultsFourteen swimmers (17 ± 2 years) were allocated to acute fatigue group (AF) and 12 swimmers (18 ± 2 years) to functional overreaching group (F-OR). From T1 to the main competition, performance was improved in AF (+1.80 ± 1.36%), while it was impaired in F-OR (−0.49 ± 1.58%, p

The paper examines the history of the study of pathological athlete's heart in the Soviet Union and Russia since 1936. The dynamics of the development of ideas about terminology, etiology, pathogenesis, clinical picture, and diagnostic signs of pathology are shown. The concept of a pathological athlete's heart is considered as a disease of adaptation, stress-induced damage to the heart, which is based on the uncoordinated work of the stress-realizing and stress-limiting systems of the athlete's body involved in adaptation to training and competitive stress. Data from a survey of 2245 athletes are presented, identifying various manifestations of a pathological athlete's heart at the stages of sports training. The author's data and a literature review on the problems of etiopathogenesis, clinical manifestations, risk factors, diagnostic criteria, and treatment of cardiomyopathy caused by stress factors of sports activity are presented. [ABSTRACT FROM AUTHOR]

Current metrics like baseline heart rate (HR) and HR recovery fail in predicting overtraining (OT), a syndrome manifesting from a deteriorating autonomic nervous system (ANS). Preventing OT requires tracking the influence of internal physiological loads induced by exercise training programs on the ANS. Therefore, this study evaluated the predictability of a novel, exercise cardiac load metric on the deterioration of the ANS. Twenty male American football players, with an average age of 21.3 years and body mass indices ranging from 23.7 to 39.2 kg/m2 were included in this study. Subjects participated in 40 strength- and power-focused exercise sessions over 8 weeks and wore armband monitors (Warfighter Monitor, Tiger Tech Solutions) equipped with electrocardiography capabilities. Exercise cardiac load was the product of average training HR and duration. Baseline HR, HR variability (HRV), average HR, and peak HR were also measured. HR recovery was measured on the following day. HRV indices assessed included the standard deviation of NN intervals (SDNN) and root mean square of successive RR interval differences (rMSSD) Linear regression models assessed the relationships between each cardiac metric and HR recovery, with statistical significance set at α < 0.05. Subjects were predominantly non-Hispanic black (70%) and aged 21.3 (±1.4) years. Adjusted models showed that exercise cardiac load elicited the strongest negative association with HR recovery for previous day (β = −0.18 ± 0.03; p < 0.0000), one-week (β = −0.20 ± 0.03; p < 0.0000) and two-week (β = −0.26 ± 0.03; p < 0.0000) training periods compared to average HR (βetas: −0.09 to −0.02; p < 0.0000) and peak HR (βetas: −0.13 to −0.23; p < 0.0000). Statistically significant relationships were also found for baseline HR (p < 0.0000), SDNN (p < 0.0000) and rMSSD (p < 0.0000). Exercise cardiac load appears to best predict ANS deterioration across one- to two-week training periods, showing a capability for tracking an athlete's physiological tolerance and ANS response. Importantly, this information may increase the effectiveness of exercise training programs, enhance performance, and prevent OT. [ABSTRACT FROM AUTHOR]

The purpose of this manuscript is to present a model of military overtraining and subsequent injury, discharge, and disability. Military training and combat operations are physically and physiologically demanding, placing great strain on the musculoskeletal system of warfighters. Non-battle musculoskeletal injuries (MSKI) are common and present a serious threat to operational readiness in today's military. MSKI risk stratification and prevention are an active area of research and is steeped in the background of sports science. Here, a model is proposed that incorporates the theory of General Adaptation Syndrome to describe how military training stressors may exceed that of training in traditional athletics and may induce sub-optimal training stressors. Positive feedback loops are discussed to explain how military overtraining (MOT) creates a system of ever-increasing stressors that can only be fully understood in the greater context of all environmental factors leading to overtraining. The Military Overtraining Hypothesis (MOTH) is proposed as a model that encapsulates the elevated MSKI risk in combat arms and other operational military personnel as an effort to broaden understanding of multifactorial military MSKI etiologies and as a tool for researchers and commanders to contextualize MSKI research and risk mitigation interventions. [ABSTRACT FROM AUTHOR]

Overtraining syndrome is a condition resulting from excessive training load associated with inadequate recovery and poor sleep quality, leading to performance decrements and fatigue. Here we hypothesized that vitamin D (VitD) deficiency is a lead factor in the development of the overtraining syndrome. To test this hypothesis, two groups of 60‐week‐old C57BL/6 mice followed a 16‐week excessive eccentric‐based overtraining by excessive downhill running with or without dietary VitD depletion (EX and EX‐D− groups). Two control groups were trained by uphill running at the same load with or without VitD depletion (CX and CX‐D− groups). Handgrip strength decreased throughout the protocol for all groups but the decrease was sharper in EX‐D− group (VitD × training, p = 0.0427). At the end of the protocol, the mass of Triceps brachii muscle, which is heavily stressed by eccentric contractions, was reduced in eccentric‐trained groups (training effect, p = 0.0107). This atrophy was associated with a lower concentration of the anabolic myokine IL‐15 (training effect, p = 0.0314) and a tendency to a higher expression of the atrogene cathepsin‐L (training effect, p = 0.0628). VitD depletion led to a 50% decrease of the fractional protein synthesis rate in this muscle (VitD effect, p = 0.0004) as well as decreased FGF21 (VitD effect, p = 0.0351) and increased osteocrin (VitD effect, p = 0.038) concentrations that would lead to metabolic defects. Moreover, the proportion of anti‐inflammatory Th2 lymphocytes was significantly decreased by the combination of eccentric training with VitD depletion (vitD × training, p = 0.0249) suggesting a systemic inflammation. Finally, exploratory behavior time of mice was decreased by VitD depletion (VitD effect, p = 0.0146) suggesting a cognitive dysfunction. Our results suggest that VitD deficiency exacerbates the effects of overtraining. [ABSTRACT FROM AUTHOR]

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Purpose: To provide details on the nature and symptomatic profile of training maladaptation in competitive resistance-based athletes to examine whether there are symptoms that may be used as prognostic indicators of overtraining. Identifying prognostic tools to assess for training maladaptation is essential for avoiding severe overtraining conditions. Methods: A Web-based survey was distributed to a cross-sectional convenience sample of competitive athletes involved in sports with a significant resistance-training component. The 46-item anonymous survey was distributed via industry experts and social media from July to August 2019. Results: The final sample included 605 responses (completion rate: 84%). About 71% of the respondents indicated that they had previously experienced an unexplained decrease in performance. Among those, the majority reported a performance decrement lasting 1 wk to 1 mo (43.8%). General feelings of fatigue were the most frequent self-reported symptom of maladaptation. Acute training maladaptation, lasting <1 mo, was also accompanied by symptoms of musculoskeletal aches and pain. In the majority of cases (92.5%), training maladaptation was accompanied by additional nontraining stressors. A greater proportion of the respondents with more severe maladaptation (>4 mo) were training to muscle failure. Conclusion: The results from this study support the multifactorial nature of training maladaptation. The multidimensional nature of fatigue and individual variability in symptomatic responses precludes definitive prognostic symptoms or differential diagnostic factors of functional/nonfunctional overreaching or the overtraining syndrome in resistance exercise. [ABSTRACT FROM AUTHOR]