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Biomedical subjects

Y Koutedakis

Publications and source records attributed to Y Koutedakis.

At least 19 recordsLinked to original sources

The effect of eccentric exercise on position sense and joint reaction angle of the lower limbs.

Impaired position sense and impaired joint reaction angle of the lower limbs after muscle-damaging activities is a serious functional limitation that may lead to an increased risk of injury, particularly in older populations. The purpose of the present study was to examine whether position sense and joint reaction angle to release can be affected by eccentric exercise-induced muscle damage. Twelve women underwent an isokinetic exercise session of the lower limb. Isometric peak torque, delayed-onset muscle soreness, serum creatine kinase, position sense, and knee joint reaction angle to release were examined before, immediately after, and 24, 48, and 72 h post-exercise. Due to the effect of eccentric exercise, subjects persistently placed their lower limb at a more extended position, representing a shorter knee extensor muscle. Eccentric exercise increased the knee reaction angle of the lower limb after release from 0 degrees and 15 degrees but not from 30 degrees and 45 degrees . Position sense and joint reaction to release were similarly affected by eccentric exercise and independently of visual feedback. Position sense was impaired only immediately post-exercise (probably due to muscle fatigue), whereas impairment of the reaction angle to release persisted up to 3 days post-exercise (probably due to muscle damage). Attenuation of position sense and joint reaction angle of the lower limbs after damaging activities is a serious functional limitation that may lead to an increase risk of injury, particularly in older populations.

Adult↗

The effect of performance feedback on cardiorespiratory fitness field tests.

We investigated the effects of performance feedback (PF) on predicting maximal oxygen uptake (VO2 max) using the 20 m Multistage Shuttle Run Test (MST) and 20 m Square Shuttle Test (SST). The agreement between these two field tests in relation to laboratory VO2 max was also examined. Forty healthy males (age: 21.5+/-2.3; BMI: 23.7+/-2.0) randomly performed four indirect VO2 max tests; that is the MST and SST, as well as a modified version of MST (MSTMD) and SST (SSTMD). During MST and SST subjects received PF with respect to both test stage and running pace. In contrast, MSTMD and SSTMD incorporated auditory feedback which solely emitted signals regulating the running pace. Participants also performed a laboratory VO2 max treadmill test (TT). ANOVA demonstrated significant mean predicted VO2 max decrements in both MSTMD (p<0.001) and SSTMD (p<0.05) compared to MST and SST, respectively. In predicting TTVO2 max, the '95% limits of agreement' analysis indicated errors equal to 3.6+/-9.6 and 1.4+/-10.3 ml kg-1 min-1 with coefficients of variation of +/-10.0% and +/-10.9%, for MST and MSTMD, respectively. The corresponding '95% limits of agreement' values for SST and SSTMD were 0.1+/-5.0 and -1.1+/-6.1 ml kg-1 min-1 with coefficients of variation of +/-5.4% and +/-6.7%, respectively. It is concluded that the application of PF leads to superior field testing performances.

Adult↗

The effects of acute exercise on serum adiponectin and resistin levels and their relation to insulin sensitivity in overweight males.

The purpose of this study was to investigate the effects of a submaximal aerobic exercise bout on adiponectin and resistin levels as well as insulin sensitivity, until 48 h post-exercise in healthy overweight males. Nine subjects performed an exercise bout at an intensity corresponding to approximately 65% of their maximal oxygen consumption for 45 min. Adiponectin, resistin, cortisol, insulin, glucose and insulin sensitivity were measured prior to exercise, immediately after exercise as well as 24 and 48 h after exercise. Data were analyzed using repeated measures ANOVA while Pearson's correlations were performed to identify possible relationship among the assessed variables. There were no significant differences for adiponectin (microg ml(-1)) [pre, 3.61(0.73); post, 3.15(0.43); 24 h, 3.15(0.81); 48 h, 3.37(0.76)] or resistin (ng ml(-1)) [pre, 0.19(0.03); post, 0.13(0.03); 24 h, 0.23(0.04); 48 h, 0.23(0.03)] across time. Insulin sensitivity increased and insulin concentration decreased significantly only immediately after exercise. Furthermore, no significant correlations were observed among the variables assessed except for the expected between insulin level and insulin sensitivity. These results indicate that a submaximal aerobic workout does not result in significant changes in adiponectin and resistin up to 48 h post-exercise. Furthermore, it appears that adiponectin or resistin is not associated with insulin sensitivity.

Adiponectin↗

Contribution of muscular strength in cardiorespiratory fitness tests.

AIM: Reports from laboratory-based studies have revealed a relationship between resistance training and endurance performance in both trained and untrained individuals. The purpose of the present study was to investigate the contribution of lower extremity muscular strength levels in performing cardiorespiratory fitness tests in laboratory, as well as field-based settings. METHODS: Within 2 weeks 38 healthy males (age 21.6+/-2.5 years, body mass index--BMI--24.4+/-2.2) performed three maximal oxygen uptake (VO(2max)) assessments using the 20 m multistage shuttle run test (MSR), the 20 m square shuttle run test (SSR), and a maximal treadmill test (MT) to exhaustion. Data were also obtained from knee flexion and extension isokinetic dynamometry at 60 degrees xs(-1). RESULTS: MSR performance correlated with the peak torque generated from both legs at r=0.63 (P<0.001). The equivalent for SSR was significant at r=0.44 (P<0.05), while MT demonstrated a non-significant positive correlation coefficient (r=0.34, P>0.05). Stepwise regression analyses revealed that the inclusion of leg strength parameters increased the coefficient of determination by 9% (P<0.001) and 4% (P<0.05) in the MSR and SSR, respectively. The MT model was not significantly associated with any of the isokinetic indices studied. CONCLUSIONS: Although moderately significant, the present coefficients suggest that performance in the present field-based cardiorespiratory fitness tasks is affected to a certain extent by lower extremity muscular strength. The latter also demonstrates a positive relationship with laboratory-based performance.

Adolescent↗

Comparison between leg and arm eccentric exercises of the same relative intensity on indices of muscle damage.

Many exercise models have demonstrated associations between eccentric muscle actions and muscle damage. However, the magnitude of muscle damage varies among the models. It appears that responses to eccentric exercise are different between leg and arm muscles but this has not been systematically clarified. This study compared leg and arm eccentric exercises of the same relative intensity for indices of muscle damage. Eleven healthy untrained males [Age: 21.2 (1.0) years, Height: 179.4 (3.0) cm, Weight: 78.4 (3.1) kg] performed a sub-maximal eccentric exercise of the knee extensors (LEGS) and the elbow flexors (ARMS), separately. Both LEGS and ARMS consisted of six sets of 12 repetitions with an intensity corresponding to 75% of the predetermined maximal eccentric peak torque (EPT) of each muscle. Range of motion (ROM), delayed onset muscle soreness (DOMS), serum creatine kinase (CK) and lactate dehydrogenase (LDH) activities, myoglobin (Mb) concentration, and muscle strength [EPT and isometric peak torque (IPT)] were assessed before and 24, 48, 72, and 96 h following exercise. Significant (P < 0.05) changes in DOMS and ROM were observed up to 96 h after both exercise bouts, and the magnitude of the change was similar between LEGS and ARMS. Increases in CK and Mb were significantly (P < 0.05) larger after ARMS than LEGS at 72 and 96 h post-exercise. EPT and IPT were significantly (P < 0.05) lower than the baseline up to 96 h post-exercise for ARMS but were fully recovered by 96 h post-exercise for LEGS. Decreases in muscle strength were significantly (p < 0.05) larger following ARMS than LEGS at 48, 72, and 96 h post-exercise for EPT, and from 24 h to 96 h post-exercise for IPT. These results suggest that the magnitude of muscle damage is greater and the recovery of muscle function was slower after eccentric exercise of arm elbow flexors than the knee extensors.

Adult↗

The effects of muscle damage on running economy in healthy males.

Published information on aspects related to muscle damage and running economy is both limited and contradictory. To contribute to the current debate, we investigated the effects of an eccentric exercise session on selected muscle damage indices in relation to running economy using 10 (mean age 23 +/- 1 years) healthy male volunteers. The eccentric exercise session consisted of 120 (12 x 10) maximal voluntary repetitions by each randomly selected leg at the angular velocity of 1.05 rad . s (-1). Muscle damage (creatine kinase, delayed onset muscle soreness, range of movement, and eccentric, concentric and isometric [at 60 degrees and 110 degrees knee flexion] peak torque) and running economy (oxygen consumption, pulmonary ventilation, respiratory exchange ratio and breaths per minute during treadmill running at 133 and 200 m . min (-1)) indicators, were assessed pre-, 24-, 48-, 72- as well as 96-h after exercise. All muscle damage indicators revealed significant changes at almost all time-points of assessment compared to pre-exercise data (p < 0.05). However, none of the running economy parameters disclosed any significant change throughout the study (p > 0.05). It was concluded that changes in muscle damage and muscle performance as measured in this study are not reflected by concomitant alterations in running economy at submaximal intensities.

Adult↗

Characterization of anti-myosin monoclonal antibodies.

The characterization of monoclonal antibodies (MAbs) with regard to reactivity and specificity is important for the successful application as a molecular probe and/or diagnostic reagent. Furthermore, it is recognized that some monoclonal reagents perform well in some assay systems but not others. In this study, the reactivity profiles of two anti-myosin MAbs (H1 and DH2, raised against human cardiac myosin) were evaluated in enzyme-linked immunosorbent assay (ELISA), slot-blotting, and immunocytochemistry. Both antibodies performed well in slot-blotting against myosin heavy chain preparations from cardiac and skeletal muscle and from non-human sources. In general, MAb H1 demonstrated strong to moderate reactivity in all assay systems, whilst MAb DH2 faired poorly in ELISA. MAb H1 also showed reactivity to synthetic peptides of myosin, one of which possessed a motif (ERRDA, single amino acid code) that was found in other human and nonhuman myosin protein sequences that could explain its cross-reactive profile. Intriguingly, this motif was found on viral and other pathogenic agents associated with myocarditis. Hence, it is speculated that this region could give some credence to the mechanism of molecular mimicry associated with some cardiac diseases. Overall, MAb H1 may serve as a useful probe of myosin structure.

Amino Acid Motifs↗

Enhancing the efficacy of the 20 m multistage shuttle run test.

OBJECTIVE: Maximal oxygen uptake (Vo(2max)) of 44 ml kg(-1) min(-1) is an accepted criterion (Vo(2CR)) below which health and fitness for young male adults may be compromised. New algorithms validated for Vo(2CR) screening using the 20 m multistage shuttle run test (20mMST) were developed. METHODS: Vo(2max) was assessed in 110 males using a stationary gas analyser in a treadmill test (TT) and in 40 of these subjects using a portable gas analyser in the 20mMST. Vo(2max) predicted from the 20mMST in 70 subjects was used for cross validation. Two equations predicting Vo(2max) during 20mMST (EQ(MST)) and TT (EQ(TT)) were developed. RESULTS: Significant energy cost variance (EC(V)) was detected between TT and 20mMST (p<0.001), correlated significantly with subject height, and was a significant predictor of Vo(2max) differences between TT and 20mMST. The r(2) of EQ(MST) was 0.92 (p<0.001). Predicted Vo(2max) values from EQ(MST) correlated with directly measured 20mMST Vo(2max) at r = 0.96 (p<0.001). ANOVA detected no mean difference (p>0.05) between predicted and measured values. Prevalence of low fitness based on Vo(2CR) was 0.37. McNemar chi(2) indicated significant differences in sensitivity (p<0.001) and specificity (p<0.05) between the original 20mMST equation (EQ(LEG)) and EQ(TT), regarding Vo(2CR) screening. Cohen's kappa demonstrated higher agreement with TT Vo(2max) for EQ(TT) (p<0.001) than EQ(LEG) (p<0.05). TT Vo(2max) correlated with the end result of both EQ(LEG) and EQ(TT) at r = 0.75 (p<0.001). Unlike EQ(TT) (p>0.05), mean predicted Vo(2max) from EQ(LEG) was significantly higher compared to TT Vo(2max) (p<0.001). CONCLUSION: These algorithms increase the efficacy of 20mMST to accurately evaluate aspects of health and fitness.

Adult↗

Does living in urban or rural settings affect aspects of physical fitness in children? An allometric approach.

OBJECTIVE: The aim of this study was to investigate physical fitness in relation to fatness in urban and rural Greek children by means of allometric scaling. METHODS: The sample consisted of 360 (189 urban and 171 rural; age 12.3+/-0.42 years) boys and 247 (125 urban and 122 rural; age 12.3+/-0.43 years) girls. The sample was highly representative (32-64%) of all 12 year old children registered in the prefecture of Trikala, Greece. All volunteers were assessed for BMI and % body fat, as well as sit and reach, basketball throw (BT), vertical jump (VJ), handgrip strength (HG), 40 m sprint, agility run, and 20 m shuttle run. To correct for possible associations between fatness and fitness, a single cause allometric scaling was employed using the natural logarithms (ln) of fitness parameters that were significantly correlated with the ln body fat. RESULTS: Independent-samples t tests revealed that VJ (p<0.05) was significantly higher in boys living in urban settings compared to their rural counterparts. Similarly, BT was found to be significantly better (p<0.05) in urban girls, whereas HG was significantly higher (p<0.05) in rural girls. CONCLUSION: Considering that (a) only three out of the 14 possible cases (seven fitness parameters for boys and seven for girls) were significantly different between urban and rural children, and (b) these differences were not uniformly distributed in children living in either urban or rural environments, it is concluded that the place of residence has no clear impact on physical fitness as studied herein.

Anthropometry↗

The effects of a single bout of exercise on resting energy expenditure and respiratory exchange ratio.

We investigated the effects of a single bout of aerobic and resistance exercise of similar relative intensity and duration on resting energy expenditure (REE) and substrate utilisation. Ten young healthy males volunteered [age 22 (1.8) years, weight 76 (7.9) kg, height 176 (4.1) cm, percentage body fat 10.5 (4.0)%; mean (SEM)]. They randomly underwent three conditions in which they either lifted weights for 60 min at 70-75% of 1-RM (WL), ran for 60 min at 70-75% of maximal oxygen intake (R) or did not exercise (C). REE and substrate utilisation, determined via respiratory exchange ratio ( R), were measured prior to exercise, and 10, 24, 48 and 72 h post-exercise. It was revealed that REE was significantly elevated ( P<0.05) 10 and 24 h after the end of WL [2,124 (78) and 2,081 (76) kcal, respectively] compared to pre-exercise [1,972 (82) kcal]. REE was also significantly increased ( P<0.05) 10 and 48 h after the completion of R [2,150 (73) and 1,995 (74) kcal, respectively] compared to pre-exercise data [1,862 (70) kcal]. R was lower 10 and 24 h following either WL or R [0.813 (0.043); 0.843 (0.040) and 0.818 (0.021); 0.832 (0.021), respectively] compared to baseline measurements [0.870 (0.025) and 0.876 (0.04), respectively]. Creatine kinase was significantly elevated ( P<0.05) 24 h after both WL and R, whereas delayed onset muscle soreness became significantly elevated ( P<0.05) 24 h after only WL. There were no significant changes for any treatment in thyroid hormones (T(3) and T(4)). These results suggest that a single bout of either WL or R exercise, characterised by the same relative intensity and duration, increase REE and fat oxidation for at least 24 h post-exercise.

Adult↗

Enhancing specificity in proxy-design for the assessment of bioenergetics.

The purpose of this study was to examine the hypothesis that improved prediction of bioenergetics may be achieved when proxies are designed to simulate closely gold standard laboratory protocols. To accomplish this, a modified 'square' variation (SST) of the classical 20m Multistage Shuttle Run Test (MST) was designed aiming to reduce the stopping, turning and side-stepping manoeuvres. Within two weeks, 50 male volunteers (age 21.5+/-1.6, BMI 24.4+/-2.2) randomly underwent three maximal oxygen uptake (VO2max) assessments using a treadmill test (TT), the SST and MST. To assess SST reproducibility, 10 randomly-selected subjects performed the test twice. Validity results showed that mean predicted VO2max from SST was not significantly different compared to TT VO2max (p>0.05). In contrast, the equivalent value from MST was significantly higher (p<0.001) than TT. Furthermore, TT VO2max correlated with SST and MST at r=0.88 (p<0.001) and r=0.61 (p<0.05), respectively. The '95% limits of agreement' analysis (LIM(AG)) for SST and MST indicated a range of error equal to -0.5+/-5.4 and 8.1+/-8.0 (ml.kg(-1).min(-1)) with a coefficient of variation of +/-6 and +/-8.2%, respectively. Test-retest results for SST revealed no mean difference in VO2max (p>0.05) and a correlation coefficient of r=0.98 (p<0.001), while LIM(AG) demonstrated a range of error equal to -0.2+/-2.6 (ml.kg(-1).min(-1)) with a coefficient of variation of +/-5.6%. It is concluded that, compared to MST, the SST had a higher agreement with TT. The latter may well be explained by the closer simulation in bioenergetics between the two protocols (ie, the continuous nature of SST provides a closer proxy of TT).

Adult↗

Greek adolescents, fitness, fatness, fat intake, activity, and coronary heart disease risk.

BACKGROUND: A dramatic increase in adult mortality rates from coronary heart disease (CHD) in Greece, accompanied by increased prevalence of CHD risk factors in children, has been documented. However, there is controversy about the independent effects of certain lifestyle parameters on primary CHD risk factors. AIMS AND METHODS: To examine the association between CHD risk factors (HDL-C, LDL-C, HDL-C/TC, triglycerides, systolic and diastolic blood pressure) and lifestyle parameters (fitness, fatness, fat intake, and physical activity) in 210 12-year old Greek pupils. RESULTS: Correcting for the fixed factors of gender and maturation, analyses of covariance (ANCOVA) with backward elimination of the lifestyle covariates revealed significant associations between three CHD risk factors (HDL-C, HDL-C/TC, systolic blood pressure) and physical activity levels. In contrast, the covariates aerobic fitness, fatness and fat intake failed to reach significance with any of the CHD risk factors. CONCLUSIONS: In Greek schoolchildren, primary CHD risk factors are mainly associated with physical activity levels, independently of fitness, fatness, and/or fat intake. Prevention strategies should concentrate on enhancing physical activity early in life, if the increased prevalence of Greek adult CHD mortality is to be diminished.

Adolescent↗

National physical education curriculum: motor and cardiovascular health related fitness in Greek adolescents.

BACKGROUND: State school physical education (PE) programmes are common throughout Greece. However, it is not known if the main objectives of the Greek PE curriculum are achieved. OBJECTIVE: To assess the current national PE curriculum in relation to selected motor and cardiovascular health related fitness parameters. METHODS: A sample of 84 Greek schoolboys (mean (SD) age 13.6 (0.3) years, height 160.7 (8.6) cm, weight 50 (10.8) kg) volunteered. Forty three indicated participation only in school PE classes and habitual free play (PE group). The remaining 41 were involved in extracurricular organised physical activities in addition to school PE and habitual free play (PE+ group). The subjects underwent anthropometric, motor (flexibility, balance, standing broad jump, hand grip, sit ups, and plate tapping), and cardiovascular health related (percentage body fat, aerobic fitness, and physical activity) fitness assessments. RESULTS: Children in the PE group had inferior motor and cardiovascular health related fitness profiles compared with those in the PE+ group. Body fat (20.3 (8.8) v 13.9 (3.5); p<0.001), aerobic fitness (34.7 (3.7) v 43.9 (4.2); p<0.001), and time spent in intensive physical activity (0.2 (0.2) v 0.7 (0.3); p<0.001) showed the greatest differences between the two groups. In the pupils in the PE group, these were lower than the levels proposed to be necessary to combat future health risks. Adjustments for confounding variables showed a decrease in the significance of motor fitness, but not in cardiovascular health related parameters. CONCLUSIONS: The national PE curriculum for Greek secondary schools does not achieve the required levels of motor and cardiovascular health related fitness and should be reconsidered.

Adolescent↗

Inspiratory muscle training improves rowing performance.

PURPOSE: To investigate the effects of a period of resistive inspiratory muscle training (IMT) upon rowing performance. METHODS: Performance was appraised in 14 female competitive rowers at the commencement and after 11 wk of inspiratory muscle training on a rowing ergometer by using a 6-min all-out effort and a 5000-m trial. IMT consisted of 30 inspiratory efforts twice daily. Each effort required the subject to inspire against a resistance equivalent to 50% peak inspiratory mouth pressure (PImax) by using an inspiratory muscle training device. Seven of the rowers, who formed the placebo group, used the same device but performed 60 breaths once daily with an inspiratory resistance equivalent to 15% PImax. RESULTS: The inspiratory muscle strength of the training group increased by 44 +/- 25 cm H2O (45.3 +/- 29.7%) compared with only 6 +/- 11 cm H2O (5.3 +/- 9.8%) of the placebo group (P < 0.05 within and between groups). The distance covered in the 6-min all-out effort increased by 3.5 +/- 1.2% in the training group compared with 1.6 +/- 1.0% in the placebo group (P < 0.05). The time in the 5000-m trial decreased by 36 +/- 9 s (3.1 +/- 0.8%) in the training group compared with only 11 +/- 8 s (0.9 +/- 0.6%) in the placebo group (P < 0.05). Furthermore, the resistance of the training group to inspiratory muscle fatigue after the 6-min all-out effort was improved from an 11.2 +/- 4.3% deficit in PImax to only 3.0 +/- 1.6% (P < 0.05) pre- and post-intervention, respectively. CONCLUSIONS: IMT improves rowing performance on the 6-min all-out effort and the 5000-m trial.

Adult↗

Specific respiratory warm-up improves rowing performance and exertional dyspnea.

PURPOSE: The purpose of this study was a) to compare the effect of three different warm-up protocols upon rowing performance and perception of dyspnea, and b) to identify the functional significance of a respiratory warm-up. METHODS: A group of well-trained club rowers (N = 14) performed a 6-min all-out rowing simulation (Concept II). We examined differences in mean power output and dyspnea measures (modified CR-Borg scale) under three different conditions: after a submaximal rowing warm-up (SWU), a specific rowing warm-up (RWU), and a specific rowing warm-up with the addition of a respiratory warm-up (RWUplus) protocol. RESULTS: Mean power output during the 6-min all-out rowing effort increased by 1.2% after the RWUplus compared with that obtained after the RWU (P < 0.05) which, in turn, was by 3.2% higher than the performance after the SWU (P < 0.01). Similarly, after the RWUplus, dyspnea was 0.6 +/- 0.1 (P < 0.05) units of the Borg scale lower compared with the dyspnea after the RWU and 0.8 +/- 0.2 (P < 0.05) units lower than the dyspnea after the SWU. CONCLUSION: These data suggest that a combination of a respiratory warm-up protocol together with a specific rowing warm-up is more effective than a specific rowing warm-up or a submaximal warm-up alone as a preparation for rowing performance.

Adult↗

The influence of prior activity upon inspiratory muscle strength in rowers and non-rowers.

The aim of this study was to investigate whether a 'warm-up' phenomenon in the strength of the inspiratory muscles exists, and, under this assumption, whether whole body warm-up protocols or a specific respiratory warm-up is more effective in this respect. Eleven club level rowers performed a rowing warm-up, and twelve university students performed a general cycling warm-up. Both groups also performed a specific respiratory warm-up. Inspiratory muscle strength (Mueller manoeuvre) and lung function (flow-volume loops) were measured before and after the three conditions. Isokinetic strength during knee extension was measured before and after the rowing warm-up. The two whole body warm-up protocols had no effect on inspiratory muscle strength or any lung function parameter despite the significant (3.8+/-SD 1.4%; p<0.05) increase in peak torque that the rowing warm-up elicited. The respiratory warm-up induced a significant increase in inspiratory mouth pressure (8.5+/-1.8%; p<0.0001) but not in any other lung function parameter. Following the rowing incremental test to exhaustion, maximum inspiratory pressure decreased by 7.0+/-2.0%, which is an indication of respiratory muscle fatigue. These data suggest that the inspiratory muscle strength can be enhanced with preliminary activity, a phenomenon similar to the one known to exist for other skeletal muscles. In addition, a specific respiratory warm-up is more effective in this respect than whole body protocols.

Adult↗

The effects of rest and subsequent training on selected physiological parameters in professional female classical dancers.

The purpose of this study was to assess the effects of a six-week summer break and of dance preparations at the beginning of the new season following the break, on selected physiological parameters. Seventeen professional ballerinas (mean age 27.2 +/- 1.4 years, mean height 160.2 +/- 6.2 cm) volunteered. They were assessed just before and immediately after their normal summer break, during which very little or no physical work was reported. Eight of these dancers were assessed for a third time, 2-3 months after the end of the break, while they were into preparing for the new season. More specifically, compared to pre-break data, the six-weeks of holiday was followed by a 15% overall increase in the three flexibility tests (from 334 to 386 degrees, P < 0.01), a 14% increase in peak anaerobic power (from 350 to 400 watts; P < 0.01), a 16% increase in leg strength (from 143 to 166 Nm; P < 0.01) (i.e. the mean performance of left and right knee extension added to the mean performance of left and right knee flexion), and a 10% increase in VO2max (from 41.2 to 45.2 ml/kg/min; P < 0.05). The third set of data, 2-3 months after the end of the break, revealed further significant increases by 24% in leg-strength (P < 0.005) and 17% in VO2max (P < 0.01) compared to pre-holiday data. Despite the lack of a control group, the present results fit with the hypothesis of a degree of "burnout" at the end of the season, which negatively affected the mechanisms of fitness and conditioning. A six-week summer-break can act as a restorer of these mechanisms. Two to three months into the new season, positive adaptations to exercise appeared to confirm recovery from the "burnout" or overtraining phenomenon. More research is required on the effects of demanding dance schedules on fitness and conditioning, and how such schedules might adversely affect dance performance and dancers' careers.

Adult↗

Seasonal variations of injury and overtraining in elite athletes.

OBJECTIVE: To assess reported injuries and cases of overtraining in relation to training and competition cycles, aerobic versus anaerobic sport, and gender. METHODS: A total of 163 elite male and 94 elite female athletes from eight different sports volunteered. They reported 212 musculoskeletal injuries and 38 cases of the overtraining syndrome. These injuries and cases of overtraining were then arranged according to the training or competition cycle in which they occurred, whether the sufferers were male or female athletes, and the metabolic characteristics of the sports in which the injuries and overtraining occurred. RESULTS: The preparation (October to February), precompetition (March to May), and competition (June to August) cycles were associated with 9%, 19%, and 32% of the injuries reported by the men, respectively, and with 8%, 10%, and 22% of the injuries reported by the women, respectively. For the same cycles, cases of overtraining were found to be 15%, 24%, and 35% for the men, respectively, and 4%, 7%, and 15% for the women, respectively. For both men and women, the competition cycle produced significantly more injuries and incidents of overtraining than the preparation and precompetition cycles (p < 0.05 vs p < 0.005). Similarly, precompetition revealed significantly more injuries (p < 0.05) in men, but not in women, compared with the preparation cycle. Also, male athletes reported a significantly higher number of injuries during the precompetition (p < 0.05) and competition (p < 0.01) cycles, and more cases of overtraining during the competition cycle (p < 0.01) than did their female counterparts. No differences were found when the data were arranged according to dominant metabolic characteristics of the sports in which the injuries and overtraining occurred. CONCLUSIONS: Elite athletes are more likely to become injured or overtrained during the precompetition and, especially, competition cycles than in the preparation cycle. Parallel seasonal variations were also found when data were analyzed for aerobic versus anaerobic sport and gender.

Adult↗