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Sex-dependent components of the analgesia produced by athletic competition.

Competing in various athletic events (track meet, basketball game, or fencing match) can produce analgesia to cold pressor stimuli in male and female college athletes compared with baseline assessments. This competition-induced analgesia has been attributed to the stress associated with competition, which has components related to both physical exercise and the cognitive aspects of competing. This study evaluated the analgesic effect of exercise-related stress, and that caused by the cognitively stressful components of competing independent of exercise. Cold pressor pain ratings were assessed after competition in a track meet and after treadmill exercise or sedentary video game competition in both athletes and nonathletes. As expected, competing in athletics resulted in a decrease in cold pressor ratings in both male and female athletes. Independent of athletic status, treadmill running induced analgesia in women, but not in males, whereas sedentary video game competition produced analgesia in men, but not in women. These findings suggest that different components of the competitive athletic experience might be responsible for the analgesic effects in a sex-dependent manner.

Journal Article↗

Reticulocyte parameters as potential discriminators of recombinant human erythropoietin abuse in elite athletes.

This study investigated using reticulocyte (retic) parameters as indirect markers of human recombinant erythropoietin (r-HuEPO) abuse in elite athletes. Absolute reticulocyte count (# retic), the per cell haemoglobin content of reticulocytes (CHr), reticulocyte haemoglobin mass per litre of blood (RetHb) and red blood cell:reticulocyte haemoglobin (RBCHb:RetHb) ratio were assessed using flow cytometry. Venous blood was drawn from 155 elite athletes from six sports during regular training to establish reference ranges (95% confidence interval) for these parameters. The reference ranges were compared with those of a non-athletic population (n = 23), four groups of athletes (n = 24) before and after exposure to simulated altitudes (2,500-3,000 m for 11-23 nights), two groups of elite cyclists (n = 13) before and after four weeks of training at natural altitude (1,780 and 2,690 m), and with those of non-athletic subjects from a separate study (n =24) before and 1-2 days after they were injected with 1,200 U x kg(-1) r-HuEPO over a 9-10 day period. Generally the changes induced by r-HuEPO injection exceeded by approximately 100% the magnitude of the changes associated with natural altitude exposure. Simulated altitude exposure did not significantly alter the reticulocyte parameters. From the sample of 155 non-users and 24 r-HuEPO users, the population mean and variance, as well as the 95% confidence limits for the population mean and population variance, were estimated. Relative to arbitrarily chosen cut-off levels, the confidence limits for the rate of true positives and rate of true negatives were also calculated. Based on the lowest rate of false positives and highest rate of true positives, the best discriminator between r-HuEPO users and non-users was # retic, marginally superior to RBCHb: RetHb ratio and RetHb. At a cut-off for # retic of 221 x 10(9)x L(-1) we could be 95% sure that we would find no more than 7 false positives in every 100,000 tests. We would expect to pick up 51.8% of users, and could be 95% sure of picking up at least 38% of current or recent users. This result highlights the potential power of retic parameters for detecting r-HuEPO abuse among athletes. However, the efficacy of these cut-offs for detecting r-HuEPO abuse is unknown if an athlete is a chronic user or stops using r-HuEPO several weeks before being tested.

Bicycling↗

Training practices and overtraining syndrome in Swedish age-group athletes.

Heavy training in combination with inadequate recovery actions can result in the overtraining/staleness syndrome and burnout. Even young and aspiring elite athletes develop staleness. The aim was therefore to determine the incidence and nature of staleness, and its association with training behavior and psychosocial stressors in young elite athletes. A sample of 272 individuals from 16 sports completed questionnaires on training, staleness, and psychosocial stress and 37% reported being stale at least once. The incidence rate was higher for individual sports (48%) compared with team (30%) and less physically demanding sports (18%). Stale athletes reported greater perceptual changes and negatively elevated mood scores in comparison to healthy athletes. Staleness was distinguished from burnout on the basis of motivational consequences; 41 % of the athletes lost their motivation for training, which in turn indicates a state of burnout. Further, 35 % of the athletes reported low satisfaction with time spent on important relationships, 29% rated the relationship with their coach as ranging from very, very bad to only moderately good. The results indicate that staleness is a widespread problem among young athletes in a variety of sports, and is not solely related to physical training, but also to non-training stressors.

Adolescent↗

Bone mineral density and degenerative changes of the lumbar spine in former elite athletes.

The aim of this study was to assess bone mineral density (BMD) and degenerative changes in the lumbar spine in male former elite athletes participating in different track and field disciplines and to determine the influence of body composition and degenerative changes on BMD. One hundred and fifty-nine former male elite athletes (40 throwers, 97 jumpers, 22 endurance athletes) were studied. Anthropometric (age, body mass index [BMI]) and sport-specific data (personal best, intensity, duration, and time since termination of competitive sports career as well as current sporting activity) were collected. Degenerative changes of the lumbar spine in lateral view were evaluated by using the Kellgren and Lawrence Score. Bone mineral density of the lumbar spine was measured in an anterior-posterior view with dual energy X-ray absorptiometry (DEXA, T-score). Throwers had a higher body mass index than jumpers and endurance athletes. Throwers and jumpers had higher BMD (T-LWS) than endurance athletes. Bivariate analysis revealed a negative correlation of BMD (T-score) with age and a positive correlation with BMD and Kellgren score (p<0.05). Even after multiple adjustment for confounders lumbar spine BMD is significantly higher in throwers, pole vaulters, and long- and triple jumpers than in marathon athletes. Different types of mechanical loading caused by sporting activities seem to influence the BMD of the lumbar spine, even if different body constitutions (i.e. BMI) and age, training history, and degenerative changes in the lumbar spine of former throwers, jumpers, and endurance athletes are taken into consideration.

Absorptiometry, Photon↗

Left ventricular filling behaviour in ultra endurance and amateur athletes: a stress Doppler-echo study.

To evaluate the impact of different training levels on left ventricular (LV) filling dynamics, Doppler mitral flow was derived in 25 amateur endurance-trained athletes (amateurs) aged 31 +/- 9 years, with a personal marathon record > 200 min, and in 26 ultra endurance athletes (top athletes) aged 32 +/- 8 years, with a personal marathon record < 170 min, during bicycle exercise in supine position. In particular atrial filling fraction as the relative share of atrial contribution to LV filling was measured. During exercise (150 watt) atrial filling fraction increased significantly more in amateurs from 25% to 34% compared to top athletes from 25% to 29% (p < 0.001). Two min post exercise atrial filling fraction already reached baseline values in top athletes (25%), while it remained significantly elevated in amateurs compared to baseline values (29%, p < 0.001). Only ten min post exercise atrial filling fraction showed baseline values in amateurs (26%). Rate pressure product was not significantly different at all levels of exercise. Thus, while atrial filling fraction rose in both study groups during exercise, it returned earlier to baseline values in top athletes than in amateurs. This indicates a better cardiac adaptation to physical stress and a better diastolic performance during exercise in endurance athletes with a higher training level.

Adaptation, Physiological↗

HIV infection in athletes. What are the risks? Who can compete?

The activities of athletes and personnel who provide their medical care may place them at slightly greater risk for infection with human immunodeficiency virus (HIV) than their nonathletic peers. At this point, there is no reason to disallow participation of athletes who are HIV-infected. Thus, sports physicians need to assume that they are at risk for accidental exposure to HIV and use appropriate precautions. Most important, physicians can educate athletes, coaches, and trainers to practice "safe" athletics and medical care to minimize the risks of exposure to and transmission of HIV. Testing for HIV can be encouraged for athletes who may be at risk and should be done for any athlete who specifically requests it. Physicians should encourage further study to clarify the specific issues and risks of HIV infection created by athletic competition and prepare to deal with the changing knowledge about HIV and AIDS.

AIDS Serodiagnosis↗

Deliberate imagery practice: the development of imagery skills in competitive athletes.

The aim of this study was to examine mental imagery within the context of the deliberate practice framework. Altogether, 159 athletes from one of three different competitive standards (recreational, provincial and national) completed the Deliberate Imagery Practice Questionnaire, which was designed for the present study to assess the athletes' perceptions of the importance of imagery along the three deliberate practice dimensions of relevancy, concentration and enjoyment. The results indicated that national athletes perceived imagery to be more relevant to performing than recreational athletes. In addition, athletes of a higher standard (i.e. provincial and national) reported using more imagery in a recent typical week and they had accumulated significantly more hours of imagery practice across their athletic career than recreational athletes. Finally, the relationships among the dimensions of deliberate practice did not lend conclusive support to either the original conception of deliberate practice or a sports-specific framework of deliberate practice.

Adult↗

Somatotype and longevity of former university athletes and nonathletes.

A longitudinal study was conducted on 398 athletes and 369 nonathletes who were born before 1920 and attended Michigan State University. The subjects were compared to determine if intercollegiate athletic competition accounts for significant variation in longevity when considered with somatotype. Because some of the subjects were still alive at the time of the study, the BMDP Statistical Software was used to do a survival analysis with covariates. Preliminary comparisons considered the differences in somatotype between athletes and nonathletes. Two sample t-tests indicated that athletes were more mesomorphic and less ectomorphic (p less than .05) than nonathletes. When comparing the relationship between somatotype and longevity, the pooled data of athletes and nonathletes indicated that endomorphs were shorter lived than the other three comparison groups. When only the athletes were considered, similar results were found. However, the nonathlete group exhibited differences only between the mesomorphic and endomorphic groups. The endomorphs were shorter lived. Longevity was examined by using the Cox proportional hazards regression method with somatotype and athlete/nonathlete status as covariates. Somatotype, by itself, was found to be significantly related to longevity, (p less than .001). Athletic status was not significantly related to longevity, either by itself or when entered into the model with somatotype.

Age Factors↗

Four-year changes in college athletes' ethical value choices in sports situations.

Positive values for fairness in competition are supposed to undergird the behavior of athletes engaged in sport. Whether athletes' values actually develop over 4 years in a college that emphasizes character development is the focus of this study. Athletes' (N = 631) use of deontological ethics (Hahm, Beller & Stoll, 1989) in 21 sports value dilemmas were evaluated. At entrance, as well as near graduation, intercollegiate athletes' value scores were lower than intramural athletes' scores. Both groups' scores declined while they were in college. Individual-sport athletes had higher scores than team-sport athletes but manifested a greater decline over 4 years. The findings are consistent with other studies that show decreases in "sportsmanship orientation" and an increase in "professional" attitudes associated with participation in sport.

Age Factors↗

Nutrition and eating in female college athletes: a survey of coaches.

The purpose of the present study was to gather information from coaches regarding their monitoring/management of athlete eating and weight, knowledge of nutritional health issues, availability of prevention/intervention services for athletes at their school, experience with athletes exhibiting symptoms of eating and body image disturbances, and their attitudes toward eating and weight in the sport. A total of 303 coaches (51% response rate) involved in six sports (i.e., gymnastics, swimming, basketball, softball, track, and volleyball) at all levels of collegiate competition (NCAA Divisions I, II, III, and NAIA) completed a 40-item survey. Gender was found to be related to differential responding on only one of the 40 items, while sport and level of competition were related to responses on multiple items. Gymnastics coaches and NCAA Division I coaches differed significantly from coaches of other sports and divisions in that they reported more monitoring/management behaviors, had more experience with athletes exhibiting eating disturbances, and had more resources available for preventing and treating athletes with eating disorders. Gymnastics coaches also differed from other coaches on a number of items related to their attitudes toward eating and weight in the sport. Many coaches have encountered disturbed eating among their athletes, and some of their coaching attitudes and behaviors may inadvertently increase the risk for such disturbances. Implications for clinical and sport psychologists providing prevention or intervention services to intercollegiate athletes are discussed.

Journal Article↗

A comparison of knee joint laxity among male and female collegiate soccer players and non-athletes.

Female athletes are at least twice as likely to sustain an anterior cruciate ligament injury than male athletes. The underlying cause of ACL injury is multifactorial. However, several researchers have identified knee joint laxity as a possible contributing factor. The purpose of this study was to provide a comparison of knee joint laxity between male and female collegiate soccer players and male and female non-athletes. Thirty-nine (19 male, 20 female) apparently healthy, collegiate athletes from the University of Texas at El Paso's 2001-2002 women's intercollegiate soccer team and men's club soccer team, and forty (20 male, 20 female) non-athletic students volunteered to participate. All participants were tested bilaterally using the KT-1000 MEDmetric knee joint ligament arthrometer. Three tests were used to determine anterior laxity: passive displacement, active displacement, and the Lachman test. The mean passive displacement, mean active displacement, and Lachman (only for the left leg) were significantly lower for the athletic group than for the non-athletic group. There were no significant differences found between males and females for the passive and active drawer tests. However, females had significantly more laxity than males in the Lachman test. These findings suggest that strength and conditioning may play a more significant role in knee joint laxity than the sex of the individual.

Adult↗

Are questionnaires on respiratory symptoms reliable predictors of airway hyperresponsiveness in athletes and sedentary subjects?

This study aimed at determining the frequency of respiratory symptoms in high-level athletes and whether respiratory questionnaires are reliable predictors of airway hyperresponsiveness (AHR) in this population compared with control subjects. One hundred high-level athletes exercising in different conditions of ambient air (dry, humid, cold or mixed dry and humid) and 50 sedentary control subjects answered four question sets on exercise-induced symptoms of postnasal drip (Q1), breathlessness, chest tightness and wheezing (Q2), and cough (Q3). Another question set (Q4) evaluated the self-description of nociceptive sensations associated with respiratory symptoms. Methacholine inhalation tests were performed in all subjects to obtain a 20% fall in forced expiratory volume in 1 second (PC20). AHR could be detected by questionnaires in 37 of 44 (84%) subjects with a PC20 < 8 mg/mL. Sensitivity to detect AHR varied between the different subgroups of athletes with each of the question sets; however, no significant differences in sensitivity were observed between the groups of athletes and controls except for Q3 (P=.007), in which athletes exercising in cold air reported more exercise-induced cough. Q2 had a better specificity (83%) than Q3 (77%) and Q4 (64%). Combined question sets revealed that three swimmers, two triathletes, and two controls, who answered negatively to all question sets, had a PC20 < 8 mg/mL. Questionnaires on symptoms and on associated nociceptive sensations may help to detect AHR as well in athletes and controls, although for some subgroups of athletes such as swimmers and triathletes and in some controls, false negative questionnaires can be observed and AHR underreported.

Adult↗

Early and late effects of exercise and athletic training on neural mechanisms controlling heart rate.

OBJECTIVE: This study addresses the long term and short term effects of heavy dynamic exercise on neural control of heart rate. METHODS: A group of healthy controls was compared with (1) a group of trained athletes during a period of yearly rest (detrained) and (2) a group of trained athletes at the peak of their training routine. Additionally, a group of 10 controls was studied 1, 24, and 48 h after a single bout of maximal dynamic exercise. Spectral analysis of RR interval variability provided markers of sympathetic (low frequency, LF, 0.10 Hz) and vagal (high frequency, HF, 0.25 Hz) modulation of the sinoatrial node. RESULTS: (1) In detrained athletes resting bradycardia was accompanied by a predominant HF rhythmic component suggestive of a prevailing vagal tone. (2) Trained athletes showed a resting bradycardia together with high LF values, thus suggesting a more complex neural interaction modulating heart rate. An additional longitudinal part of the study, performed on a group of detrained athletes who were examined for the second time after resuming training, confirmed the finding of a prevailing LF component in resting conditions. (3) In the 10 control subjects maximal dynamic exercise induced an increase in LF which outlasted the cessation of exercise up to 24 h, suggesting a persistent sympathetic activation. (4) Passive tilt, a manoeuvre which enhances sympathetic drive, produced a greater enhancement of the LF component in trained athletes than in control subjects. CONCLUSIONS: The cardiac sympathetic excitation outlasting heavy dynamic exercise may explain the coexistence of training bradycardia with signs of enhanced sympathetic activity in trained champion athletes.

Adolescent↗

Hypertrophic cardiomyopathy: a common cause of sudden death in the young competitive athlete.

The causes of sudden, unexpected death in highly-conditioned competitive athletes are summarized. In the vast majority of young athletes (less than 35 years of age) sudden death is due to underlying structural cardiovascular disease. Hypertrophic cardiomyopathy appears to be the most common cause of such deaths and may account for about one-half of the sudden deaths in a youthful athletic population. Cardiovascular abnormalities that appear to be less frequent important causes of sudden death include anomalous origin of the left coronary artery from the anterior sinus of Valsalva, ruptured aorta (due to cystic medial necrosis), idiopathic concentric left ventricular hypertrophy and coronary artery atherosclerosis. Other diseases which are probably particularly uncommon causes of sudden death in the young athlete include mitral valve prolapse, aortic valvular stenosis, acute myocarditis, QT interval prolongation syndromes, hypoplasia of the coronary arteries or sarcoidosis. Cardiovascular disease in young athletes is usually unsuspected during life. In only about 25% of those competitive athletes who die suddenly is underlying disease identified prior to participation and rarely is the correct clinical diagnosis made. In contrast, when sudden death occurs in older competitive or recreational athletes (over 35 years of age) it is usually due to coronary artery disease.

Adolescent↗

Induction of supraventricular tachyarrhythmia at rest and during exercise with transoesophageal atrial pacing in the electrophysiological evaluation of asymptomatic athletes with Wolff-Parkinson-White syndrome.

Even today there is controversy as regards the best approach to asymptomatic or slightly symptomatic athletes with the WPW syndrome as regards fitness for sports activity, especially in some countries where the doctor is responsible for certifying sports fitness. This study concerns 84 asymptomatic or slightly symptomatic athletes (66 males, 18 females, mean age 21.7 years, range 12-44 years) who underwent a stimulation protocol the end-point of which was the induction of atrial fibrillation (or, if not possible, atrial tachyarrhythmia) in the basal state and during bicycle stress test with transesophageal atrial pacing. The 81 athletes in whom the end-point was reached were divided into two groups: Group I includes the 32 athletes with the shortest R-R interval between pre-excited beats less than or equal to 240 ms in the basal state and/or less than or equal to 210 ms during bicycle ergometer test, Group II includes the other 49 patients. The evaluation during exercise was not carried out in four athletes because of serious haemodynamic compromise due to the arrhythmia induced in the basal state. Only 21/32 athletes would have been included in Group I if only evaluated in the basal state. In 30/81 athletes (37%), there was discrepancy between the result of stimulation and the result of the usual non-invasive evaluation (Holter monitoring, ergometric stress test, ajmaline test). On average, 40 min are required for the performance of the study protocol except when the induced arrhythmia lasts more than 5 min.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Ventricular arrhythmias in the athlete.

Life-threatening ventricular arrhythmias in the athlete nearly always occur in the presence of structural heart disease. In the last few years, 2 new causes of life-threatening arrhythmias have been described in patients with normal hearts-that of the Brugada syndrome and that of commotio cordis. Non-life-threatening premature ventricular beats and even nonsustained ventricular tachycardia are not rare, and although usually benign, can be secondary to cardiomyopathies. Athletes with symptoms of syncope, especially if exertional, warrant a complete evaluation. The treatment of athletes and other individuals with life-threatening ventricular arrhythmias has been revolutionized by the implantable cardioverter defibrillator, a device that affords excellent protection from sudden death. Defining those athletes who would benefit from the implantable defibrillator is not always clear. Furthermore, participation in competitive athletics for athletes with life-threatening arrhythmias or structural heart disease known to put the athlete at risk for life-threatening arrhythmias is usually prohibited.

Adult↗

Autonomic differences between athletes and nonathletes: spectral analysis approach.

The purpose of this study was to assess the adaptive effects of endurance training on autonomic function in athletes with spectral analysis of cardiovascular variability signals. Continuous ECG, arterial blood pressure (ABP), and respiratory signals were recorded from 15 athletes (VO2max > 55 mL.min-1.kg-1) and 15 nonathletes (VO2max < 45 mL.min-1.kg-1) during 10 min at sitting position. Autonomic function was assessed by low frequency power (LF power: 0.06-0.14 Hz) and high frequency power (HF power: the region of the respiratory frequency based on respiratory spectrum) obtained from the autospectra of RR interval, systolic arterial pressure (SAP), and diastolic arterial pressure (DAP) variability signals. The spontaneous baroreflex sensitivity was evaluated by the moduli, BRSLF and BRSHF, of the transfer function between RR interval and SAP variability in LF and HF bands. The resting HR in athletes was significantly lower than that in nonathletes. The HF power, an index of parasympathetic activity, in RR interval spectra were significantly higher in athletes than in nonathletes. Meanwhile, the LF power (an indicator of sympathetic activities contributing to RR interval and of ABP variabilities) showed no significant difference between both groups, although that of athletes was slightly less than that of nonathletes. Also, BRSLF and BRSHF were not significantly different between athletes and nonathletes. These results indicate that endurance training results in the enhanced vagal activities in athletes, which may contribute in part to the resting bradycardia.

Adult↗

Comparison of body composition assessment among lean black and white male collegiate athletes.

Variations in the density of the fat-free mass (DFFM) across ethnic groups is a critical factor that invalidates the use of body fat equations. It has also been suggested that resistance trained athletes may have higher body densities (BDs) than untrained subjects. Thus, the validity of using anthropometric (ANT) equations, which have mainly been derived on white nonathletic groups, has been questioned for athletic white and black men. This study compared BD and percent body fat (%BF) between 34 white (20 +/- 1 yr, 184 +/- 11 cm, 84 +/- 12 kg, 25 +/- 3 BMI) and 30 black (20 +/- 1 yr, 182 +/- 9 cm, 84 +/- 12 kg, 25 +/- 2 BMI) male collegiate athletes and determined the accuracy of 5 ANT equations in estimating %BF. Subjects were underwater weighed (UWW), and skinfold measurements were obtained from the chest, mid-axillary, abdomen, suprailiac, subscapula, triceps, and thigh. BD was obtained from UWW and estimated from the five skinfold equations. From UWW, significant (P < or = 0.05) differences were found for BD (1.075 +/- 0.007 vs 1.0817 +/- 0.009), but not for %BF (10.49 +/- 2.8 vs 11.59 +/- 3.4) for white and black subjects, respectively. Differences were noted for subcutaneous skinfold sites (abdominal (vertical), suprailiac, and thigh), sum of three and seven skinfolds, and proportion of subscapular subcutaneous fat. One out of five and five out of five ANT equations (Siri conversions) yielded significantly lower estimates compared with UWW %BF for the white and black athletes, respectively. Use of the Schutte equation for the black athletes resulted in overpredictions of %BF for five out of five equations. In addition, the Schutte equation offered slightly greater accuracy than did the Siri equation for estimating %BF in black athletes. These data confirm earlier concerns that ANT equations derived on general populations may not be as accurate for athletic populations and also suggest that correction equations are necessary for converting BD into %BF for populations differing with respect to race or training status.

Adult↗