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Biomedical subjects

Y Koutedakis

Publications and source records attributed to Y Koutedakis.

33 records · Page 2Linked to original sources
PubMed1997

Knee flexion to extension peak torque ratios and low-back injuries in highly active individuals.

The purpose of this study was to investigate for possible relationships between knee flexion to extension peak torque ratios (F1/Ext(rat)) and low-back injuries in highly active males and females. Forty-eight male (age 25.9 +/- 4.5 years) and 41 female (age 27.3 +/- 2.6 years) competitive rowers, and 20 male (age 26.6 +/- 6.0 years) professional ballet dancers volunteered for the study. Each subject performed a test of lumbar and knee flexor flexibility, isokinetic dynamometry and completed a self-administered questionnaire. Flexibility was assessed by using the sit-and-reach test. Knee flexion to extension peak torques were bilaterally monitored at the angular velocities of 1.04 and 4.19 rad x s(-1). The questionnaire was designed to obtain information regarding the number of days off action (e.g., training, competition, and rehearsals), due to low-back injuries, for the 12-month period prior to testing. Results revealed significant negative correlation coefficients between knee F1/Ext(rat), obtained at 1.04 rad x s(-1), and days off physical activity for oarsmen (r = - 0.69; p < 0.01), oarswomen (r = -0.62; p < 0.01) and male dancers (r = -0.57; p < 0.05). No such correlations were found for either knee F1/ Ext(rat) obtained at the angular velocity of 4.19 rad x s(-1) or between the sit-and-reach test results and low-back injuries. A sub-group of 22 female rowers was re-tested after a 6-8 month period, during which a special hamstring strength training programme was introduced. The main conclusions were: a) the lower the F1/Ext(rat) the greater the degree of low-back injury, b) at least in female rowers, 6-8 months of hamstring strength training can contribute to a reduction of the incidence of low-back injury, and c) isokinetic assessment of quadriceps and hamstrings obtained at lower compared to higher angular velocities is more prognostic of low back injury.

Adult↗
PubMed1995

Seasonal variation in fitness parameters in competitive athletes.

In many sports, training for successful competition has become virtually a year-round endeavour. To assist in better preparation, a competitor's year may be divided into phases such as off-season and in-season, indicating reduced or increased competition commitments, respectively. A number of studies have described the effects of seasons or periods of competition, training, detraining and reduced training on aspects of physical fitness. Depending on performance level, the type of sport and the fitness parameter in question, the swings in fitness variables reported may be as high as 18% from one season to another. In elite competitors, anaerobic parameters, heart frequencies, subcutaneous fat, flexibility and haemoglobin levels remain relatively unchanged throughout the year. Aerobic metabolism and muscular strength may demonstrate noticeable (mostly unfavourable) changes, and plasma hormonal levels normally follow changes in training intensities. Aspects related to long term fatigue and genetics, and to appropriate training are just a few explanations for these observations. It is still not known whether greater fitness gains attainable with longer off-season training programmes can be successfully maintained over the duration of the competition season. However, the consensus would seem to be that specialised training (based on technique and competition tactics only) is inadequate for fitness maintenance and/or improvements. This is perhaps supported by the general trends found in the literature regarding muscular strength: while supervised off-season conditioning programmes may result in significant improvements for both recreational and competitive athletes, no such changes are normally observed after competition seasons. These findings may reflect, amongst other factors, a lack of optimal training intensity to bring about strength increases during in-season periods. In novices and in athletes at low competitive levels, training seasons may lead to considerable functional improvements of the cardiorespiratory system, coupled with occasional increases in muscular strength and decreases in body fat. Relatively low fitness levels at the beginning of training have been put forward as an explanation for these improvements. Seasons of training and competition result in no significant changes in flexibility measurements. Similar changes to those found in novices and in athletes at low competitive levels may also be seen in children and adolescents engaged in sport, although their fitness improvements are consistent with normal patterns of growth and development. No differences have been identified between male and female athletes participating at different competition levels.

Adolescent↗
PubMed1995

Body composition measurement in elite heavyweight oarswomen: a comparison of five methods.

The study was designed to evaluate the range of body composition in elite heavyweight oarswomen as well as the level of agreement between various methods used to measure this variable. Percent body fat was determined at the start of the competitive season by densitometry, taken to represent the reference standard, and measurement of total body potassium, skinfold thicknesses, bioelectrical impedance analysis and body mass index. The athletes were studied within a two week period with all measurements in any individual taken during one morning. We demonstrated a surprisingly large range of percent fat between these oarswomen, 13.6 to 29.3% by densitometry, which was a feature common to all methods. Percent body fat by total body potassium was lower (p < 0.05) while from body mass index higher (p < 0.01) than the reference value from densitometry. Similar methodologies generated significantly different estimates of % fat (SFT1 versus SFT2, p < 0.01 and BIAv versus BIAB, p < 0.01) highlighting the potential problems that may arise with the use of different regression equations to convert primary measurements into % fat. The limits of agreement between various methods were wide and reflect the large variability about the estimated mean bias. Practically this negates the correction of "non reference" values by adding or subtracting the mean difference or bias between the techniques in individuals. These methodological problems need to be considered when setting specific body composition targets for an athlete.

Adipose Tissue↗
PubMed1995

Maximal voluntary quadriceps strength patterns in Olympic overtrained athletes.

Peak torques were studied in 10 elite male overtrained athletes and 10 controls matched for sex, age, sport, and performance level. Isokinetic concentric (CON) and eccentric (ECC) maximal voluntary contractions (MVC) of quadriceps muscle were assessed at the angular velocities of 60 degrees, 120 degrees, and 180 degrees.s-1. Sustained isometric MVCs were also measured at knee angles of 10 degrees, 45 degrees, and 80 degrees of flexion. Six seconds after the beginning of each isometric MVC, a 40-Hz electrical stimulation was superimposed on the MVC for a further 6 s. The overtrained subjects developed significantly smaller CON peak torques at 180 degrees.s-1 (P < 0.001), although ECC torques were similar at all three velocities. ECC/CON ratios were higher in the overtrained subjects at 120 degrees.s-1 (P < 0.01) and 180 degrees.s-1 (P < 0.001) compared with the controls. Isometric MVCs at 10 degrees and 45 degrees knee flexion were lower in the overtrained at P < 0.01 and P < 0.05, respectively. Also in the overtrained subjects, at knee angle of 10 degrees, the addition of the electrical stimulation to the isometric MVC produced an increase (P < 0.05) in torque levels. It is suggested that impaired central drive may account for the present findings.

Adult↗
PubMed1994

The effects of two different periods of weight-reduction on selected performance parameters in elite lightweight oarswomen.

Six successful members of the British Women's Lightweight Rowing Team were assessed before and after two-month (1990) and four-month (1991) periods of weight-reduction controlled by reduced caloric intake, while engaged in their normal physical training. Fat free mass (FFM) was calculated from body weight (BW) by utilising total body potassium measurements. Maximal oxygen intake (VO2max), respiratory anaerobic threshold (Tvent), upper body anaerobic peak power (PP) and mean power (MP) outputs, and knee flexor (KF) and extensor (KE) isokinetic peak torques were among the physiological parameters assessed. No statistical differences were noted between the data obtained prior to the two weight-reduction periods, and both periods resulted in lower BW (p < 0.001) and FFM (p < 0.05); approximately 50% of the lost BW was FFM. At the end of the two-month weight-reduction period Tvent (p < 0.02) and KF (p < 0.02) decreased. In contrast, a similar BW loss during the four-month period was associated with higher VO2max (p < 0.01) and PP (p < 0.05) compared with values prior to weight reduction. Comparisons between the percentage changes pre to post BW loss showed that the longer weight-reduction period was associated with significantly improved VO2max (p < 0.01), Tvent (p < 0.005), PP (p < 0.05) and KF (p < 0.05). We conclude: a) the proportion (50%) of weight lost as FFM in the present elite rowers is higher than the suggested optimal figure of 22%, and b) compared to four months, 6-7% of BW loss over two months may adversely influence fitness-related parameters in international lightweight oarswomen.

Adipose Tissue↗
PubMed1993

Seasonal variation of selected performance parameters in épée fencers.

In this study, anthropometric measurements were carried out on seven British international male épée fencers, using a maximal treadmill running test, a 20-s Wingate-type test, and isokinetic dynamometry. Testing was conducted on two occasions, 5 to 6 months apart, during mid-off-season (preparation) and mid-in-season (competition) periods. Maximal oxygen intake (VO2max) and maximal respiratory exchange ratio (Rmax) were among the parameters obtained from the treadmill test, while peak and mean anaerobic power outputs were measured during a 20-s maximal effort. Knee extensor and flexor muscle forces from both dominant (leading) and non-dominant (trailing) legs were assessed at 1.04, 3.14 and 4.19 rad sec-1. Statistical analyses revealed lower mean VO2max (P < 0.05) and mean Rmax values (P < 0.02) at the in-season assessments compared with off-season. In-season testing also demonstrated significantly lower peak torques for both dominant and non-dominant knee extensors compared with off-season assessments at all velocities (P < 0.05 to P < 0.004). Furthermore, in-season peak torque for the non-dominant leg flexors was lower (P < 0.03) at 4.19 rad sec-1 than off-season. We conclude that current training practices may account for the observed seasonal variations in performance related physiological parameters in fencers.

Adult↗
PubMed1993

Serum enzyme activities in individuals with different levels of physical fitness.

Serum creatine phosphokinase (CPK), aspartate aminotransferase (AST), and alanine aminotransferase (ALT) activities were assayed in 15 healthy but untrained subjects (US) and seven Olympic rowers (OR). Blood samples were obtained at rest, and five and 60 minutes after an ergometer test, during which cardiorespiratory data were obtained. OR demonstrated higher resting CPK (p < 0.001) and AST (p < 0.05) levels than the US. CPK and AST reached their highest levels five minutes after the end of the ergometer test in both groups, whilst peak ALT was reached five and 60 minutes post-test in the US and OR respectively. Fitness parameters and serum enzyme levels were better correlated in the OR group. It is concluded that: (1) exercise temporarily increases the activities of serum AST, ALT, and CPK, (2) increased physical fitness has no bearing on resting serum ALT enzyme levels, although this was not the case with AST and CPK, and (3) exercise duration rather than fitness levels seems to be related to serum CPK, AST, and ALT activities.

Adult↗
PubMed1992

Seasonal deterioration of selected physiological variables in elite male skiers.

The purpose of this study was to determine whether seasonal deterioration in physiological variables could be observed in skiers. Eighteen international male British downhill, free-style, and speed skiers were subjected to a maximal treadmill running test, a 30-s Wingate test, and isokinetic dynamometry at the beginning, middle, and end of the 1989-90 competition season. Maximal oxygen intake (VO2max) and respiratory anaerobic threshold (T vent) were among the parameters measured on the treadmill test, while peak and mean power outputs were measured during the Wingate test. During dynamometry, knee flexors and extensors were bilaterally assessed at 1.04 and 3.14 rad.s-1. Mean VO2max (p < 0.01) and mean T vent (p < 0.05) were lower at the end compared to the beginning, but not compared to the middle of the competition season. The isokinetic test demonstrated lower mean peak torques at 1.04 rad.s-1, for the knee extensors measured at the end of the season, compared with both the start (p < 0.01) and the middle (p < 0.05). Also at 1.04 rad.s-1, knee flexors produced lower torques at the end than the start of the season (p < 0.05). No further statistical differences were found. It was concluded that seasonal deterioration in key physiological variables such as aerobic endurance and muscle strength, can be observed in elite alpine skiers, and that in-season fitness training programmes should take account of this.

Anaerobic Threshold↗
PubMed1992

Sport and the overtraining syndrome: immunological aspects.

Acute exercise of varying severity and corresponding levels of long term competition and training have been found to affect various components of the immune system including lymphocyte subsets, immunoglobulin levels, the mononuclear phagocytic system, polymorphonuclear leukocytes and cytokines, especially IL-1, IL-2, IL-6 and TNF. A tentative trend may be discerned whereby light to moderate exercise may increase immune responsiveness but high-level competition sport, especially if it involves extensive endurance training, may lead to a degree of immunosuppression. Such immune malfunction may be a component of the overtraining syndrome, in which recurrent infections during periods of maximum training or competition stress may form part of the syndrome. Evidence is presented that such overworked muscle may fail to supply adequate glutamine for normal lymphocyte function. Principles of an overtraining treatment strategy are suggested.

Cytokines↗
PubMed1992

Plasma amino acid concentrations in the overtraining syndrome: possible effects on the immune system.

Overtraining and long-term exercise are associated with an impairment of immune function. We provide evidence in support of the hypothesis that the supply of glutamine, a key fuel for cells of the immune system, is impaired in these conditions and that this may contribute to immunosuppression. Plasma glutamine concentration was decreased in overtrained athletes and after long-term exercise (marathon race) and was increased after short-term, high intensity exercise (sprinting). Branched chain amino acid supplementation during long-term exercise was shown to prevent this decrease in the plasma glutamine level. Overtraining was without effect on the rate of T-lymphocyte proliferation in vitro or on the plasma levels of interleukin-1 and -6, suggesting that immune function is not impaired in this condition. Given the proposed importance of glutamine for cells of the immune system, it is concluded that the decrease in plasma glutamine concentration in overtraining and following long-term exercise, and not an intrinsic defect in T lymphocyte function, may contribute to the immune deficiency reported in these conditions.

Adult↗
PubMed1990

Rest in underperforming elite competitors.

This study examines the effects of 3-5 weeks of physical rest on selected physical, physiological and psychological parameters obtained from 12 Olympic but latterly underperforming competitors and their matched control subjects. Cardiorespiratory data were directly determined from their work to volitional exhaustion on either a treadmill, cycle, or rowing ergometer. Anaerobic power and capacity were evaluated through modified Wingate tests. For psychometric assessments, the Profile of Mood States (POMS) was used. For the Olympic competitors, one-way analyses of variance (ANOVA) revealed significant increases (p less than 0.05) in body weight, maximum respiratory exchange ratio, maximum oxygen consumption, and heart rate at the anaerobic threshold, following the rest period. There was also a significant reduction in fatigue and mood profile score, and a significant increase in vigour. No significant changes were found in the matched control subjects. The present data show that resting for 3-5 weeks assists underperforming elite competitors to improve their aerobic performance.

Adult↗
PubMed1986

A modified Wingate test for measuring anaerobic work of the upper body in junior rowers.

Eight elite junior oarsmen (ER) and sixteen club level rowers (CR) were tested for upper body strength (trunk, arms) and for mean, peak and minimum power outputs using the Double-Arm Anaerobic Work Test (DAAWT). This test is a modified version of the original Wingate test whereby athletes can be tested using trunk and both arms simultaneously. Multiple Discriminant Analysis was used to determine if the DAAWT variables alone were sensitive enough to discriminate between the two groups. Additionally, Pearson's correlation coefficients and ANOVA were employed. Results indicate that mean power and power difference expressed in absolute values (Watts) could successfully classify junior oarsmen into appropriate groups (91.8%, P less than 0.001). In addition, there was a fairly high correlation (r = 0.81) between mean power and strength in the ER. The strongest ER demonstrated the least fatigue while highly significant differences between the groups in most of the other variables examined have also been demonstrated.

Adolescent↗
PubMed1985

Lactic acid removal and heart rate frequencies during recovery after strenuous rowing exercise.

Three tests were conducted to assess the effectiveness of three different intensities of exercise both in reducing blood lactic acid (LA) levels and in influencing subjects' heart rate (HR), following a 2000 m race in a rowing boat. In the first and second tests these variables were investigated during a 13 min recovery exercise at 60% and 40% of the preceding maximum rowing speed respectively. In the third test the subjects had a resting recovery. The results include a significant increase (P less than 0.001) in the rate of lactate removal following the 40% recovery compared with the 60% and resting recoveries. The HRs were significantly lower during the last minute of resting recovery compared with 40% and 60% recoveries (P less than 0.001). The same was true when 40% recovery was compared with 60% recovery (P less than 0.001). The present data suggest firstly that 40% of the maximum rowing speed is an appropriate pace for effective LA removal and secondly that, at least for trained rowers, 86% of their maximum HR can be taken as an indication of work of an intensity at or above anaerobic threshold.

Adult↗