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PubMed2000

The female athlete triad.

The female athlete triad is defined as the combination of disordered eating, amenorrhea and osteoporosis. This disorder often goes unrecognized. The consequences of lost bone mineral density can be devastating for the female athlete. Premature osteoporotic fractures can occur, and lost bone mineral density may never be regained. Early recognition of the female athlete triad can be accomplished by the family physician through risk factor assessment and screening questions. Instituting an appropriate diet and moderating the frequency of exercise may result in the natural return of menses. Hormone replacement therapy should be considered early to prevent the loss of bone density. A collaborative effort among coaches, athletic trainers, parents, athletes and physicians is optimal for the recognition and prevention of the triad. Increased education of parents, coaches and athletes in the health risks of the female athlete triad can prevent a potentially life-threatening illness.

Amenorrhea↗
PubMed2000

Effects of three-day bed rest on metabolic, hormonal and circulatory responses to an oral glucose load in endurance or strength trained athletes and untrained subjects.

The study was designed to find out (1) whether the effect of 3-day bed rest on blood glucose (BG) and plasma insulin (IRI) responses to glucose ingestion depends on preceding physical activity and (2) whether plasma adrenaline (A), noradrenaline (NA) and cardiovascular changes following a glucose load are modified by bed rest. Eleven sedentary students (22.5+/-0.3 yrs), 8 long distance runners (18.6+/-0.3 yrs) and 10 strength trained athletes (21.2+/-2.1 yrs) were examined before and after bed rest. Plasma IRI, BG, NA, A, heart rate (HR), and blood pressure (BP) were measured during 2 hrs following glucose (75 g) ingestion. The responses of BG and IRI to glucose load were calculated as incremental areas under the curves (auc). Both in athletes and untrained subjects bed rest markedly increased IRIauc, while BGauc was elevated only in sedentary subjects (p<0.05). The greatest increases in IRIauc and IRI/BG ratios were found in the endurance athletes. The data from all subjects (n = 29) revealed that the initial plasma NA and glucose-induced increases in NA and A were lowered after bed rest (p < 0.01). These effects were most pronounced in the endurance athletes. Bed rest did not influence HR or BP in any group. It is concluded that (1) the athletes have more adequate compensation for the bed-rest-induced decrement in insulin sensitivity than sedentary men; (2) three-day bed rest diminishes basal sympathetic activity and attenuates sympathoadrenal response to oral glucose; (3) endurance athletes have greater sympathetic inhibition than strength athletes or sedentary men.

Administration, Oral↗
PubMed2001

Echocardiographic and ambulatory electrocardiographic findings in elite water-polo athletes.

The aim of this study was to investigate the echocardiographic and electrocardiographic findings in top water-polo athletes and test the hypothesis that their hearts exhibit dilatation associated with hypertrophy secondary to the mixed type (isotonic and isometric) of exercise they are subjected to. Eighteen athletes of the Greek national water-polo team and 15 healthy sedentary men serving as controls were studied. All underwent an echocardiogram, a standard 12-lead ECG and 24-h ECG monitoring. In athletes, as compared to healthy controls, an increase was detected in the following indices: left ventricular (LV) end-diastolic diameter index (EDDI-LV) (by 10%; P = 0.02), interventricular septal thickness (IVS) (by 32%; P<0.001), thickness of the posterior wall (PW) (by 29%; P<0.001), relative wall thickness (IVS + PW/EDD-LV) (by 12%; P < 0.001) and LV mass index (by 82%; P < 0.001). Mild asymmetric thickening of the septum (IVS/PW = 1.40 and 1.37) was measured in two athletes. LV fractional shortening was normal. Standard 12-lead ECG abnormalities (LV hypertrophy or abnormal repolarization pattern) were observed in 33% of athletes. Athletes had sinus bradycardia during day and night, respiratory arrhythmia (RA) (83% vs 40% of controls; P = 0.03) and sinus pauses (SP) (39% vs 0% of controls; P = 0.02), with occassional arrhythmias and conduction abnormalities. We conclude that top water-polo athletes have dilatation combined with substantial hypertrophy and normal systolic function of the LV In addition they present bradycardia, RA and SP, with occassional arrhythmias and conduction abnormalities.

Adaptation, Physiological↗
PubMed2001

Electrocardiographic findings in athletes: the prevalence of left ventricular hypertrophy and conduction defects.

OBJECTIVES: To determine whether there are electrocardiographic differences or distinctive abnormalities between athletes and sedentary subjects, and to verify the relationship between vagal activity measured by heart rate variability (SD of all normal-to-normal intervals [SDNN]) and possible electrocardiographic abnormalities. SUBJECTS AND METHODS: Resting electrocardiograms and heart rate variability measurements were performed separately during a single visit on 100 athletes and 50 nonathlete control subjects aged 18 to 55 years. The athletes were from the following various sports disciplines: long-distance running, mountain biking, cross-country skiing, biathlon, speed skating, swimming and triathlon. RESULTS AND CONCLUSIONS: There were significantly longer RR intervals, PR intervals and QT intervals in athletes than in control subjects (all P<0.05). The QRS complex and QTc did not show significant differences (both P>0.05). The prevalence of left ventricular hypertrophy (LVH) and incomplete right bundle branch block (IRBBB) was 10% and 7%, respectively, in athletes, but these conditions were absent in control subjects; among athletes, 2% presented with both conditions. LVH and IRBBB were more common among long-distance runners (six of 14 and four of 14, respectively) and could be attributed to normal, long term adaptation to intense, repeated exercise. LVH was related to age (P=0.04), whereas IRBBB was influenced by the number of years of training in the respective sports discipline (P=0.03). The mean SDNN value was significantly more elevated in athletes (P=0.0001), reflecting a higher parasympathetic tone than in sedentary control subjects. However, there was no relationship between vagal activity and LVH or IRBBB (both P>0.05).

Adolescent↗
PubMed2001

Short-term heart rate variability in young athletes.

OBJECTIVES: The purpose of this study was to determine whether the type of training in a young population differentiates heart rate variability parameters between athlete groups and sedentary subjects. METHODS: The effect of different types of physical training on heart rate variability was evaluated in 10 aerobic trained athletes, in 7 anaerobic trained athletes, in 7 rugby players (mixed type training) and in 10 sedentary control subjects. All groups were age matched (18-34 years). Electrocardiogram tracings were recorded digitally in the supine position and standing position. Measures of heart rate variability were obtained, from both time- and frequency analysis of 10 min resting heart rate. After these tests, blood pressure was measured using an automatic inflation cuff. RESULTS: Resting heart rate was lower in aerobic and mixed type athletes compared to controls. Only aerobic athletes had evidence of increased vagal activity in the time domain compared with control subjects (increased SDNN supine, increased rMSSD supine and standing and pNN50 standing). In the frequency domain, aerobic athletes presented with both higher low-frequency and high-frequency power in the standing position and low-frequency power in the supine position compared to controls. CONCLUSIONS: It can be concluded that heart rate variability is affected by chronic exercise, especially in endurance trained athletes. This infers that especially aerobic exercising can have beneficial effects on the cardiovascular risk profile.

Adolescent↗
PubMed2001

Use of oral creatine as an ergogenic aid for increased sports performance: perceptions of adolescent athletes.

BACKGROUND: Competitive athletes, including adolescents, seek ways to gain advantage over competitors. One ergogenic aid is creatine, a naturally occurring nitrogen compound found primarily in skeletal muscle. Increasing creatine levels may prolong skeletal muscle activity, enhancing work output. METHODS: A questionnaire assessing awareness and use of creatine supplementation was completed by 674 athletes from 11 high schools. Data were statistically analyzed to determine variation among groups. RESULTS: Of those surveyed, 75% had knowledge of creatine supplements, and 16% used creatine to enhance athletic performance. Percentage of use increased with age and grade level. Awareness and use were greater among boys than girls. Adverse effects were reported by 26%. Most athletes consumed creatine using a method inconsistent with scientific recommendations. CONCLUSIONS: Use of creatine by adolescent athletes is significant and inconsistent with optimal dosing. Physicians, athletic trainers, and coaches should disseminate proper information and advise these adolescent athletes.

Administration, Oral↗
PubMed2001

Drug use patterns among high school athletes and nonathletes.

This study examined drug use patterns and perceptions of drug intervention programs among adolescent interscholastic athletes and nonathletes. In particular, it explored the issue of whether participation in high school athletics is related to a healthier lifestyle and decreased use of recreational drugs and ergogenic aids. One thousand five hundred fifteen Massachusetts high school students completed a 150-item survey that assessed illicit and nonillicit substance use. Chi-square analyses revealed that athletes were significantly less likely to use cocaine and psychedelics, and were less likely to smoke cigarettes, compared with nonathletes. Conversely, nonathletes were less likely to use creatine than were athletes. There was no difference in the use of anabolic steroids and androstenedione between athletes and nonathletes. Descriptive analyses appear to indicate that drug interventions for athletes are falling short of their objectives. This study suggests that athletes have a healthier lifestyle and that the efficacy of intervention programs must be further examined.

Adolescent↗
PubMed2002

Hormone plasma levels from pituitary-gonadal axis in performance athletes after the 400 m run.

BACKGROUND: The aim of this study was to compare the concentration changes in hormones from pituitary - gonadal axis, induced by the 400 m run in the well-trained athletes (vice-champions in the Hall and Summer Athletic World Championship in 1999) to the changes observed in the competitors with shorter training period and achieving worse final results. METHODS: This research was conducted on 6 males - members of the Polish Olympic Team, who won vice-championship in the Hall and Summer World Championships 1999 and 6 athletes trained in the academic sport clubs. In the recent investigation, the 400 m run was assumed to be a stimulating impulse for evoking hormonal changes. The blood samples were taken from the elbow vein before the run, immediately after the effort and after the 24-hour rest. In the serum, the luteinizing hormone (LH), follicle-stimulating hormone (FSH), total testosterone (TT), free testosterone (FT) as well as the sex hormones-binding globulin (SHBG) concentrations were determined. RESULTS: During our research, immediately after the 400 m run in group I - the top class sportsmen - the statistically significant increase in both gonadotrophins (LH, FSH) was determined as well as the decrease in the total and free testosterone. In the group II - the athletes with the lower training level - the increase in FSH and the total and free testosterone concentrations was noticed. There were no statistically significant differences in the SHBG concentration. After-effort increase in the lactic acid concentration was observed in both groups. In the master group I, the increase in lactic acid concentration was higher than in group II. In both groups after the 24-hour restitution, the examined parameters, except LH levels in the group I, showed the concentrations similar to those before the effort. Analysis of the time needed to cover the distance of the race showed that the athletes from group I covered the distance of 400 m in the shorter time. CONCLUSIONS: The group of master class athletes, whose average intensive training period was 8 years, had higher VO(2max) and higher after-effort increase in the lactic acid concentration than in the group of sportsmen with the shorter training period (4 years), who had lower VO(2max), worse sport results and lower after-effort increase in the lactic acid concentration, gave different hormonal response (particularly TT, FT concentration) for the same exercise impulse. The difference based on the fact, that after the run in group I the decrease in the total and free testosterone levels and in group II the increase in the same parameters were observed. The observed hormonal changes in the master class athletes induced by the years-long anaerobic training might provide evidence for the reduction of functional reserves in gonads when compared to the group of less trained sportsmen.

Adult↗
PubMed2002

The microrheological behavior of young and old red blood cells in athletes.

Previous studies have shown a difference in rheological properties of young versus senescent RBCs. There are data that the athletes blood has more young RBCs than untrained people. Our research was a comparative study of the microrheological properties of young and old RBCs in athletes and in untrained people that was as control group. In athletes (men, n=24) and group of the control (men, n=20) the following parameters were measured: RBC aggregation (ARBC; Myrenne aggregometer) and deformability, RBC suspension and plasma viscosity as well as osmolarity, albumin, globulin and fibrinogen concentration, MCHC. Red cells were density (i.e., age) fractionated by the method of Murphy. After centrifugation the top 10% of the packed cell column (RBCtop, relatively young cells) and the bottom 10% (RBCbot, relatively old cells) were resuspended at 40.0+/-0.4% (in plasma) for aggregation, deformation and suspension viscosity measurements. It was found significant difference in aggregation and rigidity of the all RBC subpopulations between athletes and control group. The difference in aggregation was associated with reduced fibrinogen and increased ratio albumin/globulin in athletes. Besides, the correlation between aggregation RBCtop and RBCbot with fibrinogen was decreased in athletes. It was one of the cause of high fluidity of the RBCtop- and RBCbot suspensions and whole blood in athletes and more effective oxygen transport than in untrained people.

Blood Viscosity↗
PubMed2003

Surgical treatment for posterior tibial tendonitis in young competitive athletes.

The surgical treatment and outcome of eight competitive athletes with posterior tibial tendonitis refractory to nonsurgical treatment was retrospectively reviewed. There were one professional, five collegiate, and two high school athletes with an average age of 22 years. All athletes had failed nonsurgical treatments including nonsteroidal anti-inflammatory drugs, physical therapy, custom shoe inserts, walking boots, or casts. Surgical debridement of the posterior tibial tendon was performed in all eight. Postoperatively, the athletes were treated in a cast or walking boot for 4 weeks. At the most recent follow-up, averaging 22 months, seven athletes had returned to full sports participation without difficulty. One athlete indicated that he had occasional pain with medial to lateral stressing maneuvers but could participate in his sport. Overall, each athlete reported satisfaction with his or her outcome with seven rating it as "excellent" and one as "good."

Adolescent↗
PubMed2003

Sports vision testing of selected athletic participants in the 1997 and 1998 AAU Junior Olympic Games.

BACKGROUND: Sports vision researchers have attempted to establish the need for vision care services for athletes and the relationship between visual skills and athletic success. METHODS: Data collected from sports vision screenings at the 1997 and 1998 Amateur Athletic Union AAU Junior Olympic Games was compiled for analysis. Four hundred forty-nine athletes, ranging in ages from 5 to 19 years old and representing 12 sports, were part of the sports vision epidemiology project conducted by the American Optometric Association Sports Vision Section. Protocols from the AOA Sports Vision Section were used to assess the visual systems of athletes participating in the games. The history included evaluation of the use of vision care services, refractive correction type, and symptomology. The screening assessed visual acuity, contrast sensitivity, ocular alignment, eye-hand dominance, handspeed, footspeed, speed of stereopsis, speed of recognition, eye movements, hand-eye coordination, anterior-segment health, and posterior-segment health. Performance testing was analyzed by age group and sport. RESULTS: In this population of athletes, eye care was under-utilized. The performance testing indicated an increase in performance with increasing age for most tests. With increasing age, there was a decrease in the number of fixation losses, an increase in footspeed, and a decrease in handspeed. The norms for the performance tests are reported by age group and by sport. CONCLUSIONS: The results of this study imply that athletic populations at all levels are in need of eye care services. The norms derived from this investigation act as a standard for the evaluation of vision performance using the AOA Sports Vision Testing Battery.

Adolescent↗
PubMed2001

A Review of Sudden Cardiac Death in Young Athletes and Strategies for Preparticipation Cardiovascular Screening.

OBJECTIVES: To provide the reader with an overview of the many causes of sudden cardiac death in young athletes and to present various strategies for preparticipation cardiovascular screening. DATA SOURCE: A MEDLINE search using the phrase sudden cardiac death and the key word athlete for the years 1980 to 2000. DATA SYNTHESIS: Sudden cardiac death is a rare event in athletics. More than 20 different causes have been described, but most cases result from a few distinct entities. Most afflicted athletes have no symptoms before death. Many attempts have been made to detect those at risk for sudden cardiac death before athletic participation. At this time, a thorough history and physical examination are the most efficient screening methods for detecting cardiovascular abnormalities. Studies show that the current status of preparticipation cardiovascular screening of high school and college athletes nationwide is poor. CONCLUSIONS AND RECOMMENDATIONS: The use of diagnostic tests to screen for cardiovascular abnormalities is ineffective and inefficient. The most prudent and effective methods of preparticipation screening for cardiovascular abnormalities at this time are a history and physical examination in accordance with the American Heart Association guidelines. Athletic trainers must ensure that their institutions comply with these minimum standards.

Journal Article↗
PubMedDate not supplied

Exercise-induced bronchospasm in male athletes at Karachi.

BACKGROUND: Exercise is one of the most common precipitant of acute asthma encountered in clinical practice. To determine frequency of Exercise-induced Bronchospasm (EIB) in male athletes, who had represented or were aspiring to represent at national and/or international level. Athletes of different departments and institutes, district, provincial and national squad who were residing, practicing and attending training camps at Karachi during November 2000 to January 2002 were included. METHODS: It's an observational study on the frequency of EIB in athletes. A 21-item structured and pre-tested questionnaire was given for personal, biological and environmental information and an acquaintance session was conducted with each athlete to explain the procedure. Six minutes of competitive field free running Peak expiratory flow (PEF) rate, pulse rate and oxygen saturation were measured at 5-min, 15-min and 30-min. A player was considered EIB positive based on a post exercise decrement in PEF rate > or = 15% at any defined point of time. RESULTS: The mean age of participating athletes was 27 +/- 6 years. Out of the one hundred and seventy-nine (n = 179) athletes who participated in the study, 13 (7%) were found to be EIB positive. CONCLUSION: Our findings indicate that a significant number of our athletes suffer from EIB. It is suggested that either the department or national sports body should take the responsibility of screening for EIB making it a part of their training sessions.

Adolescent↗
PubMed2004

Evidence-Based Medicine: What Is It and How Does It Apply to Athletic Training?

OBJECTIVE: To introduce the concept of evidence-based medicine (EBM) to athletic trainers. This overview provides information on how EBM can affect the clinical practice of athletic training and enhance the care given to patients. DATA SOURCES: We searched the MEDLINE and CINHAL bibliographic databases using the terms evidence-based medicine and best practice and the online Index to Abstracts of Cochrane Reviews by group (injury, musculoskeletal injuries, and musculoskeletal) to identify reviews on topics pertinent to athletic training. DATA SYNTHESIS: Evidence-based medical practice has 5 components: defining a clinically relevant question, searching for the best evidence, appraising the quality of the evidence, applying the evidence to clinical practice, and evaluating the process. Evidence-based medicine integrates the research evidence, clinician's expertise, and patient's preferences to guide clinical decision making. Critical to this effort is the availability of quality research on the effectiveness of sports medicine techniques. Athletic training outcomes research is lagging behind that of other health care professions. RECOMMENDATIONS: Athletic trainers need to embrace the critical-thinking skills to assess the medical literature and incorporate it into their clinical practice. The profession should encourage more clinically related research and enhance the scientific foundation of athletic training. Evidence-based medicine provides an important next step in the growth of the athletic training profession.

Journal Article↗
PubMed2004

The Stress and Coping Responses of Certified Graduate Athletic Training Students.

OBJECTIVE: To assess the sources of stress and coping responses of certified graduate athletic training students. DESIGN AND SETTING: We interviewed certified graduate athletic training students 3 times over a 9-month period. We transcribed the interviews verbatim and used grounded theory analytic procedures to inductively analyze the participants' sources of stress and coping responses. SUBJECTS: Three male and 3 female certified graduate athletic training students from a postcertification graduate athletic training program volunteered to participate in this investigation. The participants were full-time graduate students, with a mean age of 23 years, who had worked an average of 1.5 years as certified athletic trainers at the time of the first interview. MEASUREMENTS: We used grounded theory analytic procedures to inductively analyze the participants' sources of stress and coping responses. RESULTS: A total of 6 general sources of stress and 11 coping dimensions were revealed. The stress dimensions were labeled athletic training duties, comparing job duties, responsibilities as student, time management, social evaluation, and future concerns. The coping responses were planning, instrumental social support, adjusting to job responsibilities, positive evaluations, emotional social support, humor, wishful thinking, religion, mental or behavioral disengagement, activities outside the profession, and other outcomes. CONCLUSIONS: Certified graduate athletic training students should be encouraged to use problem-focused (eg, seeking advice, planning) and emotion-focused (eg, positive evaluations, humor) forms of coping with stress.

Journal Article↗
PubMed2004

A Skinfold Model to Predict Fat-Free Mass in Female Athletes.

OBJECTIVE: Despite widespread use of skinfolds to estimate body fatness, few prediction models have been validated on female athletes. Most skinfold models have been validated with hydrodensitometry, which does not account for the variability in bone density that may exist among female athletes. Our purpose was to develop a skinfold model that predicts fat-free mass (FFM) in female collegiate athletes. DESIGN AND SETTING: A skinfold model was developed using dual-energy x-ray absorptiometry (DEXA) as the criterion method. Four skinfold measures (abdominal, suprailiac, thigh, triceps), height, and weight were entered into a regression model. The best model was developed and validated by calculating the predicted error sum of squares statistic. SUBJECTS: Study participants included 101 National Collegiate Athletic Association Division I female athletes (age = 20.3 +/- 1.4 years, height = 166.7 +/- 7.8 cm, mass = 63.1 +/- 8.1 kg) from several sports. MEASUREMENTS: Each participant's FFM was measured via DEXA. Skinfold thicknesses were measured and entered into the regression model. RESULTS: The final regression model included mass and abdominal and thigh skinfolds: FFM = 8.51 + (0.809 x mass) - (0.178 x abdominal skinfold) - (0.225 x thigh skinfold). The model showed excellent predictive ability (R = 0.98, standard error of the estimate = 1.1 kg). Pairwise comparisons indicated that prediction error showed no overprediction or underprediction bias. CONCLUSIONS: In female collegiate athletes, FFM can be predicted accurately from body mass and abdominal and thigh skinfolds. This model is practical and can be used in most athletic settings.

Journal Article↗
PubMed2005

The use of a standardized pre-participation physical examination form in Turkish adolescent athletes.

OBJECTIVE: The pre-participation physical examination (PPE) has become the standard of care for athletes of all ages. The PPE is generally intended to identify medical conditions that may affect safe and effective participation in organized sports. The aim of this study is to validate and to implement a standardized questionnaire in Turkish language, which might aid Turkish physicians during the PPE. METHODS: A total of 1350 athletes visiting the yearly PPE of the Directorate of Sports and Youth in Isparta, Turkey were asked to participate in this study between October 2001 and November 2001. Eight hundred and ten (60%) students accepted to fill out the questionnaire. A self-reported questionnaire that includes 2 parts has been administered. The first part included questions on socio-demographics. Second part is a translated PPE evaluation form. The questionnaire has been piloted in 15 adolescent students. Athletes have been examined afterwards by one of the medical practitioner and he used the questionnaire (PPE Evaluation Form) to identify additional problems in each athlete. RESULTS: Participants were predominantly male, with higher family income and social security, active at an amateur level, participated in team, and in contact sports. Internal consistency of the PPE form was Cronbach alpha=0.69. Thirty-one (3.8%) athletes had significant findings that needed further evaluation. No one was disqualified after follow-up. Eight items, which asked for certain cardiovascular risk factors, had significant relation to cardiovascular findings of PPE [Chi-Square (1) = 7.4-99.6, p<0.01]. An additional 132 (16.3%) athletes had significant problems that never had been adequately evaluated or treated but which were not likely to affect safe sports participation. CONCLUSION: The Turkish PPE form seems to be promising tool to support the physician during PPE. Using a standardized and valid PPE tool might diminish the dependency of primary care physicians to technological equipment, which are mostly not available in developing countries' primary health care settings and would also reduce the costs of PPE, which might not be affordable for athletes without social security.

Adolescent↗
PubMed1992

Dietary and biochemical indices of nutritional status in male athletes and controls.

To determine whether physical exercise affects biochemical indices of nutritional status, we compared four groups of male athletes (total n = 427) with two control groups (n = 150). Data about their nutrient intake for 1 month were obtained from a 122-item food frequency questionnaire. An estimate for leisure energy expenditure (EE) was calculated from a 15-item physical activity questionnaire. Athletes were grouped according to their EE (ModEE and HighEE athletes) and weight (light = less than 75 kg; heavy = greater than or equal to 75 kg), and controls according to their weight. Mean energy intake in ModEE and HighEE athletes was 2805-3260 kcal/day. Leisure EE significantly (p less than 0.0001) affected energy and nutrient intakes. Energy, riboflavin and calcium intakes were also higher in heavy subjects (P = 0.0006-0.03). The estimated percentage of subjects with deficient dietary intakes, calculated from probability analyses, was 0-6, depending on group and nutrient. Erythrocyte transketolase activation coefficient (E-TKAC) was highest in controls (1.17 +/- 0.0008; p = 0.001). Serum magnesium was highest (p = 0.01) in ModEE athletes (0.85 +/- 0.006 mmol/L). No intergroup differences were found for plasma ascorbic acid, serum zinc or serum ferritin concentration, whereas blood hemoglobin was lowest (p less than 0.001) in HighEE athletes (149 +/- 0.5 g/L). Ten percent of the control subjects had E-TKAC greater than 1.24. Percentage of other values outside reference range was 0-4, depending on group and indicator. Since lowered blood hemoglobin concentration can be explained by hemodilution, we conclude that sports training did not have a negative effect on biochemical indices of thiamin, vitamin C, magnesium, iron, or zinc status in Finnish male athletes.

Adult↗