Pub Date : 2024-12-22DOI: 10.1007/s00421-024-05692-z
Thierry Busso, Sébastien Chalencon
Purpose: This study aimed to investigate whether the variable dose-response model, with estimates free to vary over time, can account for overreaching during intensified training in swimmers.
Methods: A time-varying model using a recursive least squares algorithm was applied to data from eight swimmers collected over 61 weeks, comprising five training cycles. Each data set included daily training load calculated from pool kilometers and dry land training equivalents, and performance measured twice weekly from 50 m trials. Weekly changes in model parameters were used to calculate the model impulse response that is defined as the time course of performance after a single training session.
Results: Functional overreaching was evidenced by a significant decline in performance within four cycles of increased training, followed by a peak in performance after two or three weeks of reduced training. Model estimates from the time-varying model provided markers to distinguish overreaching from acute fatigue during intensified training. When an increase in training led to a decrease in performance, the characteristics of the modelled impulse responses showed a significant increase in the acute negative effect and a decrease in the delayed positive effect of a single workout.
Conclusions: Weekly variations in estimates from a time-varying model could be useful in diagnosing overreaching from changes in the acute negative effect and delayed positive effect of training. This information provided by the model at a particular point in the training process could help practitioners to re-adjust subsequent training.
{"title":"Differentiating acute fatigue and overreaching during intensified training using a recursive least squares algorithm combined with the variable dose-response model.","authors":"Thierry Busso, Sébastien Chalencon","doi":"10.1007/s00421-024-05692-z","DOIUrl":"https://doi.org/10.1007/s00421-024-05692-z","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate whether the variable dose-response model, with estimates free to vary over time, can account for overreaching during intensified training in swimmers.</p><p><strong>Methods: </strong>A time-varying model using a recursive least squares algorithm was applied to data from eight swimmers collected over 61 weeks, comprising five training cycles. Each data set included daily training load calculated from pool kilometers and dry land training equivalents, and performance measured twice weekly from 50 m trials. Weekly changes in model parameters were used to calculate the model impulse response that is defined as the time course of performance after a single training session.</p><p><strong>Results: </strong>Functional overreaching was evidenced by a significant decline in performance within four cycles of increased training, followed by a peak in performance after two or three weeks of reduced training. Model estimates from the time-varying model provided markers to distinguish overreaching from acute fatigue during intensified training. When an increase in training led to a decrease in performance, the characteristics of the modelled impulse responses showed a significant increase in the acute negative effect and a decrease in the delayed positive effect of a single workout.</p><p><strong>Conclusions: </strong>Weekly variations in estimates from a time-varying model could be useful in diagnosing overreaching from changes in the acute negative effect and delayed positive effect of training. This information provided by the model at a particular point in the training process could help practitioners to re-adjust subsequent training.</p>","PeriodicalId":12005,"journal":{"name":"European Journal of Applied Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Alpine skiing races are physically demanding events characterized by numerous repeated near-maximal activations of the lower limb muscles. Although this type of task is known to induce neuromuscular fatigue, electromyographic activity (EMG) adaptations after repeated maximal-intensity skiing have not been previously investigated.
Methods: Six skiers completed a 6-turns section with (FAT) and without performing 30 giant slalom (GS) turns (CONT). Isometric knee extensors maximal force (Fmax) was measured before and immediately after both conditions. On-snow EMG activity of VM, VL, RF, BF, SMST and GM muscles were compared between conditions for both the outside (OL) and inside (IL) legs using turn-averaged EMG amplitude (RMSOL and RMSIL) and EMG mean power frequency (MPFOL and MPFIL). EMG time-frequency maps were also computed and compared between conditions using statistical parametric mapping (SPM) analysis.
Results: Fmax was significantly lower after FAT (-20.1%, p < 0.001), but did not change after CONT. RMSOL was lower in FAT for BF (-26.8%, p = 0.020). RMSIL was lower in FAT for VM (-24.7%, p = 0.036) and GM (-27.3%, p = 0.021). MPFOL was lower in FAT for VM (-8.2%, p = 0.028), VL (-11.3%, p = 0.025), RF (-13.1%, p = 0.007), SMST (-9.3%, p = 0.004) and GM (-7.4%, p = 0.034). MPFIL was lower in FAT for VM (-13.0%, p = 0.016) and RF (-11.1%, p = 0.034). SPM analysis indicated that the initiation phase of the turn was specifically affected.
Conclusion: Thirty GS turns led to a substantial decrease in Fmax and altered motor command, as indicated by reduced EMG frequency content, specifically in the initiation phase of the turn. The present pilot data highlight the importance of characterizing neuromuscular fatigue in competitive GS skiing.
目的:高山滑雪比赛是一项体力要求很高的运动,其特点是下肢肌肉多次重复的接近最大的激活。虽然这种类型的任务已知会引起神经肌肉疲劳,但在重复的最大强度滑雪后肌电图活动(EMG)适应性尚未被研究过。方法:6名滑雪者完成了6个转弯(FAT),而没有进行30个大回转(GS)转弯(CONT)。在两种条件之前和之后立即测量等长膝关节伸肌最大力(Fmax)。利用旋转平均肌电信号振幅(RMSOL和RMSIL)和平均工频(MPFOL和MPFIL),比较了外腿(OL)和内腿(IL)条件下VM、VL、RF、BF、SMST和GM肌肉的雪上肌电信号活动。使用统计参数映射(SPM)分析计算并比较不同条件下的肌电时频图。结果:FAT后Fmax显著降低(-20.1%),p OL显著降低(-26.8%,p = 0.020)。RMSIL在VM (-24.7%, p = 0.036)和GM (-27.3%, p = 0.021)中的FAT较低。VM MPFOL是低脂肪(-8.2%,p = 0.028),六世(-11.3%,p = 0.025),射频(-13.1%,p = 0.007), SMST (-9.3%, p = 0.004)和通用汽车(-7.4%,p = 0.034)。MPFIL降低VM (-13.0%, p = 0.016)和RF (-11.1%, p = 0.034)的FAT。SPM分析表明,弯的起始阶段受到特别的影响。结论:30个GS圈导致Fmax显著降低,运动指令改变,这可以从EMG频率含量的降低中看出,特别是在旋转开始阶段。目前的试验数据强调了在竞技GS滑雪中表征神经肌肉疲劳的重要性。
{"title":"Fatigue-induced changes in electromyographic activity after repeated racing turns: a pilot study.","authors":"Mickael Chollet, Pierre Samozino, Baptiste Morel, Maximilien Bowen, Alhammoud Marine, Frédérique Hintzy","doi":"10.1007/s00421-024-05691-0","DOIUrl":"https://doi.org/10.1007/s00421-024-05691-0","url":null,"abstract":"<p><strong>Purpose: </strong>Alpine skiing races are physically demanding events characterized by numerous repeated near-maximal activations of the lower limb muscles. Although this type of task is known to induce neuromuscular fatigue, electromyographic activity (EMG) adaptations after repeated maximal-intensity skiing have not been previously investigated.</p><p><strong>Methods: </strong>Six skiers completed a 6-turns section with (FAT) and without performing 30 giant slalom (GS) turns (CONT). Isometric knee extensors maximal force (F<sub>max</sub>) was measured before and immediately after both conditions. On-snow EMG activity of VM, VL, RF, BF, SMST and GM muscles were compared between conditions for both the outside (OL) and inside (IL) legs using turn-averaged EMG amplitude (RMS<sub>OL</sub> and RMS<sub>IL</sub>) and EMG mean power frequency (MPF<sub>OL</sub> and MPF<sub>IL</sub>). EMG time-frequency maps were also computed and compared between conditions using statistical parametric mapping (SPM) analysis.</p><p><strong>Results: </strong>F<sub>max</sub> was significantly lower after FAT (-20.1%, p < 0.001), but did not change after CONT. RMS<sub>OL</sub> was lower in FAT for BF (-26.8%, p = 0.020). RMS<sub>IL</sub> was lower in FAT for VM (-24.7%, p = 0.036) and GM (-27.3%, p = 0.021). MPF<sub>OL</sub> was lower in FAT for VM (-8.2%, p = 0.028), VL (-11.3%, p = 0.025), RF (-13.1%, p = 0.007), SMST (-9.3%, p = 0.004) and GM (-7.4%, p = 0.034). MPF<sub>IL</sub> was lower in FAT for VM (-13.0%, p = 0.016) and RF (-11.1%, p = 0.034). SPM analysis indicated that the initiation phase of the turn was specifically affected.</p><p><strong>Conclusion: </strong>Thirty GS turns led to a substantial decrease in F<sub>max</sub> and altered motor command, as indicated by reduced EMG frequency content, specifically in the initiation phase of the turn. The present pilot data highlight the importance of characterizing neuromuscular fatigue in competitive GS skiing.</p>","PeriodicalId":12005,"journal":{"name":"European Journal of Applied Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-19DOI: 10.1007/s00421-024-05671-4
Thomas G Cable, Mark P Funnell, Kirsty M Reynolds, Ella F Hudson, Heather Z Macrae, Drusus A Johnson, Lee Taylor, Liam M Heaney, Stephen A Mears, Stephen J Bailey, Lewis J James
Purpose: 7 days L-citrulline supplementation has been reported to improve blood pressure, O2 kinetics, gastrointestinal (GI) perfusion and endurance cycling performance through increasing arterial blood flow. In situations where blood volume is compromised (e.g., hyperthermia/hypohydration), L-citrulline may improve thermoregulation and exercise performance by redistributing blood flow to aid heat loss and/or muscle function. This study assessed 7 days L-citrulline supplementation on running performance in the heat, whilst mildly hypohydrated.
Methods: 13 endurance runners (2 female, 31 ± 8 y, O2peak 60 ± 6 mL/kg/min) participated in a randomised crossover study with 7 days L-citrulline (CIT; 6 g/d) or placebo (maltodextrin powder; PLA) supplementation. Participants completed a 50 min running 'preload' at 65% O2peak (32 °C, 50% relative humidity) to induce hyperthermia and hypohydration before a 3 km running time trial (TT). Body mass and blood samples were collected at baseline, pre-preload, post-preload and post-TT, whilst core and skin temperature, heart rate and perceptual responses were collected periodically throughout.
Results: TT performance was not different between trials (CIT 865 ± 142 s; PLA 892 ± 154 s; P = 0.437). Core and skin temperature and heart rate (P ≥ 0.270), hydration (sweat rate, plasma volume, osmolality) indices (P ≥ 0.216), GI damage (P ≥ 0.260) and perceptual responses (P ≥ 0.610) were not different between trials during the preload and TT.
Conclusions: 7 days of L-citrulline supplementation had no effect on 3 km running performance in the heat or any effects on thermoregulation or GI damage in trained runners in a hypohydrated state.
{"title":"7 days of L-citrulline supplementation does not improve running performance in the heat whilst in a hypohydrated state.","authors":"Thomas G Cable, Mark P Funnell, Kirsty M Reynolds, Ella F Hudson, Heather Z Macrae, Drusus A Johnson, Lee Taylor, Liam M Heaney, Stephen A Mears, Stephen J Bailey, Lewis J James","doi":"10.1007/s00421-024-05671-4","DOIUrl":"https://doi.org/10.1007/s00421-024-05671-4","url":null,"abstract":"<p><strong>Purpose: </strong>7 days L-citrulline supplementation has been reported to improve blood pressure, <math><mover><mtext>V</mtext> <mo>.</mo></mover> </math> O<sub>2</sub> kinetics, gastrointestinal (GI) perfusion and endurance cycling performance through increasing arterial blood flow. In situations where blood volume is compromised (e.g., hyperthermia/hypohydration), L-citrulline may improve thermoregulation and exercise performance by redistributing blood flow to aid heat loss and/or muscle function. This study assessed 7 days L-citrulline supplementation on running performance in the heat, whilst mildly hypohydrated.</p><p><strong>Methods: </strong>13 endurance runners (2 female, 31 ± 8 y, <math><mover><mtext>V</mtext> <mo>.</mo></mover> </math> O<sub>2</sub>peak 60 ± 6 mL/kg/min) participated in a randomised crossover study with 7 days L-citrulline (CIT; 6 g/d) or placebo (maltodextrin powder; PLA) supplementation. Participants completed a 50 min running 'preload' at 65% <math><mover><mtext>V</mtext> <mo>.</mo></mover> </math> O<sub>2</sub>peak (32 °C, 50% relative humidity) to induce hyperthermia and hypohydration before a 3 km running time trial (TT). Body mass and blood samples were collected at baseline, pre-preload, post-preload and post-TT, whilst core and skin temperature, heart rate and perceptual responses were collected periodically throughout.</p><p><strong>Results: </strong>TT performance was not different between trials (CIT 865 ± 142 s; PLA 892 ± 154 s; P = 0.437). Core and skin temperature and heart rate (P ≥ 0.270), hydration (sweat rate, plasma volume, osmolality) indices (P ≥ 0.216), GI damage (P ≥ 0.260) and perceptual responses (P ≥ 0.610) were not different between trials during the preload and TT.</p><p><strong>Conclusions: </strong>7 days of L-citrulline supplementation had no effect on 3 km running performance in the heat or any effects on thermoregulation or GI damage in trained runners in a hypohydrated state.</p>","PeriodicalId":12005,"journal":{"name":"European Journal of Applied Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-18DOI: 10.1007/s00421-024-05688-9
Jihai Li, Zhidong Zhou, Sihai Hao, Liuhong Zang
Background: A systematic evaluation and network meta-analysis (NMA) using randomized controlled trials (RCTs) was conducted to investigate the effects of different exercise intensities and dosages on the mental health of college students.
Methods: A systematic search of eight electronic databases of RCTs involving mental health exercise interventions for college students was conducted, which included data from the inception of the databases through July 2024. Two independent reviewers assessed the quality of the literature. Pairwise, network, and dose‒response meta-analyses were conducted via random-effects models to analyze the effects of exercise on college students' mental health.
Results: A total of 48 RCTs (3951 patients) were included. Light, moderate, and vigorous exercise were all significantly effective at reducing symptoms of depression, anxiety and stress, whereas very light exercise was only effective at reducing symptoms of depression and stress. Surface under the cumulative ranking curve (SUCRA) probability ranking revealed that vigorous exercise had the highest probability of being the best intervention intensity to improve depression and stress symptoms, and the best exercise intensity to improve anxiety symptoms was moderate. The minimum threshold for overall exercise intervention for depressive symptoms was 150 METs-min per week, the benefits provided after doses above 1300 METs-min per week were less pronounced, and the predicted maximum significant response dose was 860 METs-min per week, which was the same as the predicted data for moderate exercise.
Conclusion: Very light, light, moderate, and vigorous exercise are all potentially effective exercise intensities for improving the mental health of college students, with no significant difference in effectiveness across the four exercise intensities. SUCRA rankings revealed that vigorous exercise is the most effective intervention for depression and stress and that moderate exercise is the most effective intervention for anxiety. Exercise interventions for depressive symptoms have a low dosage threshold, are simple and easy to administer, and are good treatments for psychological problems in college students.
背景:采用随机对照试验(rct)的系统评价和网络荟萃分析(NMA),探讨不同运动强度和剂量对大学生心理健康的影响。方法:系统检索8个涉及大学生心理健康运动干预的随机对照试验电子数据库,数据自数据库建立之日起至2024年7月止。两位独立的审稿人评估了文献的质量。采用随机效应模型对运动对大学生心理健康的影响进行两两、网络和剂量-反应meta分析。结果:共纳入48项rct(3951例患者)。轻度、中度和剧烈运动对减轻抑郁、焦虑和压力症状都有显著效果,而非常轻微的运动只对减轻抑郁和压力症状有效。累积排序曲线(SUCRA)概率排序表显示,剧烈运动是改善抑郁和应激症状的最佳干预强度的概率最高,而改善焦虑症状的最佳干预强度为中等。整体运动干预对抑郁症状的最低阈值为每周150 met -min,剂量超过每周1300 met -min后提供的益处不太明显,预测的最大显著反应剂量为每周860 met -min,这与中度运动的预测数据相同。结论:极轻运动、轻度运动、中等运动和剧烈运动都是改善大学生心理健康的潜在有效运动强度,四种运动强度之间的效果无显著差异。SUCRA排名显示,剧烈运动是对抑郁和压力最有效的干预,适度运动是对焦虑最有效的干预。运动干预抑郁症状的剂量阈值低,操作简单,易于实施,是治疗大学生心理问题的良好方法。
{"title":"Optimal intensity and dose of exercise to improve university students' mental health: a systematic review and network meta-analysis of 48 randomized controlled trials.","authors":"Jihai Li, Zhidong Zhou, Sihai Hao, Liuhong Zang","doi":"10.1007/s00421-024-05688-9","DOIUrl":"https://doi.org/10.1007/s00421-024-05688-9","url":null,"abstract":"<p><strong>Background: </strong>A systematic evaluation and network meta-analysis (NMA) using randomized controlled trials (RCTs) was conducted to investigate the effects of different exercise intensities and dosages on the mental health of college students.</p><p><strong>Methods: </strong>A systematic search of eight electronic databases of RCTs involving mental health exercise interventions for college students was conducted, which included data from the inception of the databases through July 2024. Two independent reviewers assessed the quality of the literature. Pairwise, network, and dose‒response meta-analyses were conducted via random-effects models to analyze the effects of exercise on college students' mental health.</p><p><strong>Results: </strong>A total of 48 RCTs (3951 patients) were included. Light, moderate, and vigorous exercise were all significantly effective at reducing symptoms of depression, anxiety and stress, whereas very light exercise was only effective at reducing symptoms of depression and stress. Surface under the cumulative ranking curve (SUCRA) probability ranking revealed that vigorous exercise had the highest probability of being the best intervention intensity to improve depression and stress symptoms, and the best exercise intensity to improve anxiety symptoms was moderate. The minimum threshold for overall exercise intervention for depressive symptoms was 150 METs-min per week, the benefits provided after doses above 1300 METs-min per week were less pronounced, and the predicted maximum significant response dose was 860 METs-min per week, which was the same as the predicted data for moderate exercise.</p><p><strong>Conclusion: </strong>Very light, light, moderate, and vigorous exercise are all potentially effective exercise intensities for improving the mental health of college students, with no significant difference in effectiveness across the four exercise intensities. SUCRA rankings revealed that vigorous exercise is the most effective intervention for depression and stress and that moderate exercise is the most effective intervention for anxiety. Exercise interventions for depressive symptoms have a low dosage threshold, are simple and easy to administer, and are good treatments for psychological problems in college students.</p>","PeriodicalId":12005,"journal":{"name":"European Journal of Applied Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-17DOI: 10.1007/s00421-024-05685-y
Rebecca S Weller, Jaro Govaerts, Rachel Akkermans, Douglas M Jones, Hein A Daanen
Cold-induced vasodilation (CIVD) is a physiological response characterized by cyclic vasodilation occurring within 5-10 min of cold exposure, predominantly in the fingers and toes. This study aimed to determine the roles of body dimensions, specifically surface-to-mass (SM) ratio and sex in modulating CIVD responses. Thirty-nine participants (mean ± SD age: 24 ± 3 yr; height: 174 ± 28 cm; weight: 75.3 ± 15.2 kg; 20 males & 19 females) completed a 30-min immersion of the digits in ice water while sitting in a thermoneutral room (22 °C). Skin temperature was measured continuously on the anterior pads of the index, middle, ring, and little finger to assess CIVD parameters (onset time (tonset), minimum finger temperature (Tmin), maximum finger temperature (Tmax), mean finger temperature (Tmean), and CIVDwaves). A negative relationship was observed between Tmax and SM ratio (r = - 0.39, p = 0.001) and Tmean and SM ratio (r = - 0.32, p = 0.001), indicating that individuals with smaller SM ratios exhibited enhanced CIVD responses. A subgroup of 7 males and 7 females with identical anthropometrics from the original cohort showed no differences between any CIVD parameter: Tmean (Males: 8.0 ± 1.9 °C; Females: 8.9 ± 1.6 °C, p = 0.36), Tmax (Males: 11.2 ± 3.1 °C; Females: 13.1 ± 1.2 °C, p = 0.16), Tmin (Males: 5.9 ± 1.4 °C; Females: 5.0 ± 1.7 °C, p = 0.31), and tonset (Males: 12.0 ± 4.4 min; Females: 9.6 ± 3.6 min, p = 0.28). Therefore, body dimensions seem to play a crucial role in modulating CIVD responses, whereas sex does not.
冷诱导血管舒张(CIVD)是一种生理反应,其特征是在冷暴露5-10分钟内发生循环血管舒张,主要发生在手指和脚趾。本研究旨在确定身体尺寸,特别是体表质量比(SM)和性别在调节CIVD反应中的作用。39名参与者(平均±SD年龄:24±3岁;高度:174±28 cm;重量:75.3±15.2 kg;20名男性和19名女性)坐在温度中性的房间(22°C)中,将手指浸泡在冰水中30分钟。连续测量食指、中指、无名指和小指前垫的皮肤温度,以评估CIVD参数(发病时间(tonset)、最低手指温度(Tmin)、最高手指温度(Tmax)、平均手指温度(Tmean)和CIVDwaves)。Tmax与SM比值呈负相关(r = - 0.39, p = 0.001), Tmean与SM比值呈负相关(r = - 0.32, p = 0.001),表明SM比值越小个体的CIVD反应越强。原始队列中具有相同人体测量学的7名男性和7名女性的亚组在任何CIVD参数之间没有差异:平均(男性:8.0±1.9°C;女性:8.9±1.6°C, p = 0.36),最高温度(男性:11.2±3.1°C;女性:13.1±1.2°C, p = 0.16), Tmin(男性:5.9±1.4°C;女性:5.0±1.7°C, p = 0.31), tonset(男性:12.0±4.4分钟;女性:9.6±3.6 min, p = 0.28)。因此,身体尺寸似乎在调节CIVD反应中起着至关重要的作用,而性别则没有。
{"title":"Influence of body dimensions and sex on cold-induced vasodilation.","authors":"Rebecca S Weller, Jaro Govaerts, Rachel Akkermans, Douglas M Jones, Hein A Daanen","doi":"10.1007/s00421-024-05685-y","DOIUrl":"https://doi.org/10.1007/s00421-024-05685-y","url":null,"abstract":"<p><p>Cold-induced vasodilation (CIVD) is a physiological response characterized by cyclic vasodilation occurring within 5-10 min of cold exposure, predominantly in the fingers and toes. This study aimed to determine the roles of body dimensions, specifically surface-to-mass (SM) ratio and sex in modulating CIVD responses. Thirty-nine participants (mean ± SD age: 24 ± 3 yr; height: 174 ± 28 cm; weight: 75.3 ± 15.2 kg; 20 males & 19 females) completed a 30-min immersion of the digits in ice water while sitting in a thermoneutral room (22 °C). Skin temperature was measured continuously on the anterior pads of the index, middle, ring, and little finger to assess CIVD parameters (onset time (t<sub>onset</sub>), minimum finger temperature (T<sub>min</sub>), maximum finger temperature (T<sub>max</sub>), mean finger temperature (T<sub>mean</sub>), and CIVD<sub>waves</sub>). A negative relationship was observed between T<sub>max</sub> and SM ratio (r = - 0.39, p = 0.001) and T<sub>mean</sub> and SM ratio (r = - 0.32, p = 0.001), indicating that individuals with smaller SM ratios exhibited enhanced CIVD responses. A subgroup of 7 males and 7 females with identical anthropometrics from the original cohort showed no differences between any CIVD parameter: T<sub>mean</sub> (Males: 8.0 ± 1.9 °C; Females: 8.9 ± 1.6 °C, p = 0.36), T<sub>max</sub> (Males: 11.2 ± 3.1 °C; Females: 13.1 ± 1.2 °C, p = 0.16), T<sub>min</sub> (Males: 5.9 ± 1.4 °C; Females: 5.0 ± 1.7 °C, p = 0.31), and t<sub>onset</sub> (Males: 12.0 ± 4.4 min; Females: 9.6 ± 3.6 min, p = 0.28). Therefore, body dimensions seem to play a crucial role in modulating CIVD responses, whereas sex does not.</p>","PeriodicalId":12005,"journal":{"name":"European Journal of Applied Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Maximal oxygen consumption (VO2max), the predominant index of cardiorespiratory fitness (CRF), is a predictor of whole-body function and longevity in humans. The central cardiac function and the skeletal muscle's capacity to use oxygen are key determinants of VO2max. Murine Double Minute 2 (MDM2), mainly known as an oncogene, could regulate myocardial hypertrophy, skeletal muscle angiogenesis, and oxidative phosphorylation. A prevalent single nucleotide polymorphism in the MDM2 promoter (SNP309) substitutes a T for a G, supporting a greater transcriptional activity. We aim to assess whether SNP309 impacts intrinsic CRF.
Methods: 82 young healthy nonathletic male and female adults aged 23 ± 2 years performed cardiorespiratory exercise testing to determine their VO2max (mL kg-1 min-1). The genomic DNAs isolated from saliva were genotyped using Taqman-based qPCR.
Results: A one-way ANOVA showed that SNP309 influenced relative VO2max in the whole cohort (p = 0.044) and in men (p = 0.009), remaining non-significant in women (p = 0.133). VO2max was higher in TT homozygotes than in GT heterozygotes (whole cohort, 47 ± 12 vs. 42 ± 6 mL kg-1 min-1, p = 0.030; men, 53 ± 8 vs. 45 ± 6 mL kg-1 min-1, p = 0.011). A contingency analysis revealed a positive association between SNP309 in men in which the TT genotype was more frequent in the high VO2max group (p = 0.006). When considering G as the dominant allele, men bearing a G allele had lower relative VO2max than TT homozygotes (47 ± 7 vs. 53 ± 8, GG/GT vs. TT, p = 0.010). Conversely, women bearing a G allele had a higher relative VO2max than TT homozygotes (39 ± 5 vs. 34 ± 7, GG/GT vs. TT, p = 0.047).
Conclusion: SNP309 impacts VO2max in a sex-dependent manner in our cohort.
目的:最大耗氧量(VO2max)是衡量心肺适能(CRF)的主要指标,是人类全身功能和寿命的预测指标。心脏中枢功能和骨骼肌利用氧气的能力是VO2max的关键决定因素。小鼠双分钟2 (MDM2)主要被认为是一种致癌基因,可以调节心肌肥大、骨骼肌血管生成和氧化磷酸化。MDM2启动子中普遍存在的单核苷酸多态性(SNP309)用T代替G,支持更大的转录活性。我们的目的是评估SNP309是否影响内在CRF。方法:82名年龄23±2岁的年轻非运动男性和女性成人进行心肺运动试验,测定其VO2max (mL kg-1 min-1)。采用基于taqman的qPCR方法对从唾液中分离的基因组dna进行基因分型。结果:单因素方差分析显示,SNP309影响整个队列(p = 0.044)和男性(p = 0.009)的相对VO2max,在女性中无显著影响(p = 0.133)。TT纯合子的VO2max高于GT杂合子(整个队列,47±12 vs 42±6 mL kg-1 min-1, p = 0.030;男人,53±8与45±6毫升公斤最低为1,p = 0.011)。一项偶然性分析显示,在高VO2max组中TT基因型更常见的男性中,SNP309与TT基因型呈正相关(p = 0.006)。当考虑G为显性等位基因时,携带G等位基因的男性相对VO2max低于TT纯合子(47±7 vs. 53±8,GG/GT vs. TT, p = 0.010)。相反,携带G等位基因的女性相对VO2max高于TT纯合子(39±5 vs. 34±7,GG/GT vs. TT, p = 0.047)。结论:SNP309在我们的队列中以性别依赖的方式影响VO2max。
{"title":"The MDM2 SNP309 differentially impacts cardiorespiratory fitness in young healthy women and men.","authors":"Ghazal Haddadi, Brian Lam, Sokaina Akhtar, Loren Yavelberg, Veronica Jamnik, Emilie Roudier","doi":"10.1007/s00421-024-05682-1","DOIUrl":"https://doi.org/10.1007/s00421-024-05682-1","url":null,"abstract":"<p><strong>Purpose: </strong>Maximal oxygen consumption (VO<sub>2</sub>max), the predominant index of cardiorespiratory fitness (CRF), is a predictor of whole-body function and longevity in humans. The central cardiac function and the skeletal muscle's capacity to use oxygen are key determinants of VO<sub>2</sub>max. Murine Double Minute 2 (MDM2), mainly known as an oncogene, could regulate myocardial hypertrophy, skeletal muscle angiogenesis, and oxidative phosphorylation. A prevalent single nucleotide polymorphism in the MDM2 promoter (SNP309) substitutes a T for a G, supporting a greater transcriptional activity. We aim to assess whether SNP309 impacts intrinsic CRF.</p><p><strong>Methods: </strong>82 young healthy nonathletic male and female adults aged 23 ± 2 years performed cardiorespiratory exercise testing to determine their VO<sub>2</sub>max (mL kg<sup>-1</sup> min<sup>-1</sup>). The genomic DNAs isolated from saliva were genotyped using Taqman-based qPCR.</p><p><strong>Results: </strong>A one-way ANOVA showed that SNP309 influenced relative VO<sub>2</sub>max in the whole cohort (p = 0.044) and in men (p = 0.009), remaining non-significant in women (p = 0.133). VO<sub>2</sub>max was higher in TT homozygotes than in GT heterozygotes (whole cohort, 47 ± 12 vs. 42 ± 6 mL kg<sup>-1</sup> min<sup>-1</sup>, p = 0.030; men, 53 ± 8 vs. 45 ± 6 mL kg<sup>-1</sup> min<sup>-1</sup>, p = 0.011). A contingency analysis revealed a positive association between SNP309 in men in which the TT genotype was more frequent in the high VO<sub>2</sub>max group (p = 0.006). When considering G as the dominant allele, men bearing a G allele had lower relative VO<sub>2</sub>max than TT homozygotes (47 ± 7 vs. 53 ± 8, GG/GT vs. TT, p = 0.010). Conversely, women bearing a G allele had a higher relative VO<sub>2</sub>max than TT homozygotes (39 ± 5 vs. 34 ± 7, GG/GT vs. TT, p = 0.047).</p><p><strong>Conclusion: </strong>SNP309 impacts VO<sub>2</sub>max in a sex-dependent manner in our cohort.</p>","PeriodicalId":12005,"journal":{"name":"European Journal of Applied Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-14DOI: 10.1007/s00421-024-05680-3
Ítalo Vinícius, Cayque Brietzke, Paulo Franco-Alvarenga, Gustavo Vasconcelos, Bryan Saunders, Tony Meireles Santos, Flávio Oliveira Pires
Introduction: Evidence that caffeine supplementation is effective to improve performance in cycling time trials has been obtained in single rather than multiple time trials. We investigated whether 5 mg.kg-1 of caffeine enhanced performance in multiple 4 km cycling time trials (TT4km) conducted within the same day and across different days.
Methods: After selection of eligible cyclists and familiarization with the TT4km, thirteen well-trained cyclists participated in a balanced placebo-controlled designed with two caffeine sessions (CAF-1 and CAF-2) and a placebo session. In each session, cyclists performed a baseline TT4km before caffeine, and two supplemented TT4km (50 min and 80 min after supplementation). Relative and absolute reliability were obtained through intraclass coefficient correlation and standard error of the measurement (SEM), respectively. The cyclists' performance responses to caffeine were classified as beneficial, unchanged, and adverse by calculating the change between caffeine and placebo relative to SEM.
Results: Caffeine enhanced performance in the first supplemented TT4km in CAF-1 and CAF-2 (0.5% and 1.8%, respectively), although only CAF-2 was significantly different from placebo (p < 0.001). Analysis with grouped data showed good absolute and relative reliability of caffeine effects within and across days. However, analysis of individual data showed that 38% and 31% of the cyclists changed their classification of responsiveness to caffeine between the supplemented trials across days.
Conclusions: Despite the good reliability of caffeine to enhance performance in a single TT4km performed within and across days, individual analysis challenged the use of caffeine supplementation protocols based on grouped data.
{"title":"Efficacy of caffeine as an ergogenic aid in multiple cycling time trials.","authors":"Ítalo Vinícius, Cayque Brietzke, Paulo Franco-Alvarenga, Gustavo Vasconcelos, Bryan Saunders, Tony Meireles Santos, Flávio Oliveira Pires","doi":"10.1007/s00421-024-05680-3","DOIUrl":"https://doi.org/10.1007/s00421-024-05680-3","url":null,"abstract":"<p><strong>Introduction: </strong>Evidence that caffeine supplementation is effective to improve performance in cycling time trials has been obtained in single rather than multiple time trials. We investigated whether 5 mg.kg<sup>-1</sup> of caffeine enhanced performance in multiple 4 km cycling time trials (TT4km) conducted within the same day and across different days.</p><p><strong>Methods: </strong>After selection of eligible cyclists and familiarization with the TT4km, thirteen well-trained cyclists participated in a balanced placebo-controlled designed with two caffeine sessions (CAF-1 and CAF-2) and a placebo session. In each session, cyclists performed a baseline TT4km before caffeine, and two supplemented TT4km (50 min and 80 min after supplementation). Relative and absolute reliability were obtained through intraclass coefficient correlation and standard error of the measurement (SEM), respectively. The cyclists' performance responses to caffeine were classified as beneficial, unchanged, and adverse by calculating the change between caffeine and placebo relative to SEM.</p><p><strong>Results: </strong>Caffeine enhanced performance in the first supplemented TT4km in CAF-1 and CAF-2 (0.5% and 1.8%, respectively), although only CAF-2 was significantly different from placebo (p < 0.001). Analysis with grouped data showed good absolute and relative reliability of caffeine effects within and across days. However, analysis of individual data showed that 38% and 31% of the cyclists changed their classification of responsiveness to caffeine between the supplemented trials across days.</p><p><strong>Conclusions: </strong>Despite the good reliability of caffeine to enhance performance in a single TT4km performed within and across days, individual analysis challenged the use of caffeine supplementation protocols based on grouped data.</p>","PeriodicalId":12005,"journal":{"name":"European Journal of Applied Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-13DOI: 10.1007/s00421-024-05689-8
Alejandro R Triviño, Carlos Díaz-Romero, Juan J Martin-Olmedo, Pablo Jiménez-Martínez, Carlos Alix-Fages, Magdalena Cwiklinska, Daniela Pérez, Lucas Jurado-Fasoli
Carbohydrate (CHO) intake during exercise could decrease the subjective perceived exertion and promote recovery; however, the effects of intra-training CHO ingestion remain uncertain in CrossFit® (CF) sessions. Therefore, the aim of this randomized, triple-blind, placebo-controlled crossover trial was to investigate the effect of acute CHO intake during a CF session on the delayed onset muscle soreness (DOMS), the perceived exertion (RPE), performance, recovery, and metabolic markers (capillary lactate and glucose) in CF athletes. Twenty-three male athletes trained in CF ingested CHO (60 g of maltodextrin + fructose) or a placebo (PLA) during a CF session. DOMS was assessed 24 and 48 h after the CF session. The Counter Movement Jump (CMJ) test and the Deep Squat test at 70% of the athlete's body weight (AST70) were performed before, immediately after, and 24 h after the session. Perceived exertion, Feeling Scale (FS), Gastrointestinal Distress Score (GDS), heart rate, capillary lactate, and glucose were assessed across the session. CHO supplementation did not improve DOMS (all P ≥ 0.127), CMJ, or AST70 parameters (all P ≥ 0.053) compared to PLA. There were no differences between CHO and PLA in RPE, FS, GDS, heart rate (all P ≥ 0.088), performance (e.g., nº of repetitions; all P ≥ 0.556), or lactate levels (P = 0.810). However, glucose levels increased from the back squat to the WOD and remained stable after the AMRAP (P < 0.001). In conclusion, acute CHO intake during a CF session did not improve DOMS, perceived exertion, performance, recovery, or metabolic markers in CF athletes. TRN: NCT06440343. Date: 2024-05-10.
{"title":"Acute effects of intra-training carbohydrate ingestion in CrossFit® trained adults: a randomized, triple-blind, placebo-controlled crossover trial.","authors":"Alejandro R Triviño, Carlos Díaz-Romero, Juan J Martin-Olmedo, Pablo Jiménez-Martínez, Carlos Alix-Fages, Magdalena Cwiklinska, Daniela Pérez, Lucas Jurado-Fasoli","doi":"10.1007/s00421-024-05689-8","DOIUrl":"https://doi.org/10.1007/s00421-024-05689-8","url":null,"abstract":"<p><p>Carbohydrate (CHO) intake during exercise could decrease the subjective perceived exertion and promote recovery; however, the effects of intra-training CHO ingestion remain uncertain in CrossFit® (CF) sessions. Therefore, the aim of this randomized, triple-blind, placebo-controlled crossover trial was to investigate the effect of acute CHO intake during a CF session on the delayed onset muscle soreness (DOMS), the perceived exertion (RPE), performance, recovery, and metabolic markers (capillary lactate and glucose) in CF athletes. Twenty-three male athletes trained in CF ingested CHO (60 g of maltodextrin + fructose) or a placebo (PLA) during a CF session. DOMS was assessed 24 and 48 h after the CF session. The Counter Movement Jump (CMJ) test and the Deep Squat test at 70% of the athlete's body weight (AST70) were performed before, immediately after, and 24 h after the session. Perceived exertion, Feeling Scale (FS), Gastrointestinal Distress Score (GDS), heart rate, capillary lactate, and glucose were assessed across the session. CHO supplementation did not improve DOMS (all P ≥ 0.127), CMJ, or AST70 parameters (all P ≥ 0.053) compared to PLA. There were no differences between CHO and PLA in RPE, FS, GDS, heart rate (all P ≥ 0.088), performance (e.g., nº of repetitions; all P ≥ 0.556), or lactate levels (P = 0.810). However, glucose levels increased from the back squat to the WOD and remained stable after the AMRAP (P < 0.001). In conclusion, acute CHO intake during a CF session did not improve DOMS, perceived exertion, performance, recovery, or metabolic markers in CF athletes. TRN: NCT06440343. Date: 2024-05-10.</p>","PeriodicalId":12005,"journal":{"name":"European Journal of Applied Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-11DOI: 10.1007/s00421-024-05678-x
Julien Ducas, Alvaro Pano-Rodriguez, Guillaume Vadez, Jacques Abboud
Purpose: This study aimed to investigate whether lumbar delayed-onset muscle soreness (DOMS) impacts the magnitude of the flexion relaxation phenomenon regionally.
Methods: Eighteen adult participants (9 men and 9 women) performed flexion extension movement under two conditions (with and without DOMS). Lumbar muscle activation strategies were recorded using high-density surface electromyography (HDsEMG) on both sides of the trunk. To determine the spatial distribution of flexion relaxation phenomenon, flexion relaxation ratio of muscle activity was computed for all electrodes of the HDsEMG grid and the coordinates of the centroid (average position of flexion relaxation ratio across the HDsEMG grid) in the mediolateral and craniocaudal axis were calculated.
Results: The results revealed a cranial shift (~ 6 mm) of flexion relaxation phenomenon within the lumbar extensor muscles when DOMS was present (both sides: p < 0.05), possibly attributed to the increased recruitment of lumbar stabilizing muscles located caudally, which may serve as a guarding mechanism to pain.
Conclusion: These results highlight the importance of evaluating the entire lumbar region when assessing the flexion relaxation phenomenon.
{"title":"Regional flexion relaxation phenomenon in lumbar extensor muscles under delayed-onset muscle soreness: high-density surface electromyography insights.","authors":"Julien Ducas, Alvaro Pano-Rodriguez, Guillaume Vadez, Jacques Abboud","doi":"10.1007/s00421-024-05678-x","DOIUrl":"https://doi.org/10.1007/s00421-024-05678-x","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate whether lumbar delayed-onset muscle soreness (DOMS) impacts the magnitude of the flexion relaxation phenomenon regionally.</p><p><strong>Methods: </strong>Eighteen adult participants (9 men and 9 women) performed flexion extension movement under two conditions (with and without DOMS). Lumbar muscle activation strategies were recorded using high-density surface electromyography (HDsEMG) on both sides of the trunk. To determine the spatial distribution of flexion relaxation phenomenon, flexion relaxation ratio of muscle activity was computed for all electrodes of the HDsEMG grid and the coordinates of the centroid (average position of flexion relaxation ratio across the HDsEMG grid) in the mediolateral and craniocaudal axis were calculated.</p><p><strong>Results: </strong>The results revealed a cranial shift (~ 6 mm) of flexion relaxation phenomenon within the lumbar extensor muscles when DOMS was present (both sides: p < 0.05), possibly attributed to the increased recruitment of lumbar stabilizing muscles located caudally, which may serve as a guarding mechanism to pain.</p><p><strong>Conclusion: </strong>These results highlight the importance of evaluating the entire lumbar region when assessing the flexion relaxation phenomenon.</p>","PeriodicalId":12005,"journal":{"name":"European Journal of Applied Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-10DOI: 10.1007/s00421-024-05684-z
Oscar Crisafulli, Venere Quintiero, Luca Grattarola, Giorgio Bottoni, Giuseppe Giovanetti, Massimo Negro, Emanuela Lavaselli, Giuseppe D'Antona
Purpose: The risk of exercise-induced rhabdomyolysis, followed by abrupt creatine kinase (CK) augmentation, associated with carnitine palmitoyl transferase II (CPTII) deficiency causes patients to abstain from physical training. However, the exercise adjustment to the disease-induced metabolic impairment, accompanied by a tailored nutritional and supplementation strategy, could make sporting activity feasible, even at a competitive level. Here, we report the case of an 18-year-old male basketball player at a competitive level diagnosed for CPTII deficiency after a rhabdomyolytic event. Subsequent genetic analysis revealed the previously unreported c.1741C > T genetic mutation.
Methods: The patient underwent a battery of tests to evaluate nutrition (indirect calorimetry; 8-day food records), hydration (bioimpedance analysis), and the use of energy substrates during exercise (cardiopulmonary exercise test, CPET).
Result: Inadequate macronutrients distribution with respect to the reference values for CPTII deficiency, an optimal hydration status, and a non-physiological prevalence of carbohydrates consumption all along the CPET, accentuated with workload augmentation, were found. Based on the results, the patient was provided with a personalized nutritional (carbohydrate = 50-55%, fat = 20%, and protein = 25-30% of total energy) and supplementation (medium-chain triglycerides, β-alanine, and creatine citrate) plan, and indications on the exercise intensity to be adopted to avoid the contribution of fat to energy production. Monitoring of CK for the five months following the resumption of sporting activity shows that the patient no longer had rhabdomyolysis.
Conclusion: These findings suggest that tailoring exercise, nutrition and supplementation upon the disease-induced metabolic limitation makes sport activity at a competitive level feasible in a CPTII-deficient patient, prompting further analysis on larger cohorts.
{"title":"The first case of a competitive basketball player affected by carnitine palmitoyl transferase II deficiency presenting an undescribed compound heterozygous genetic mutation.","authors":"Oscar Crisafulli, Venere Quintiero, Luca Grattarola, Giorgio Bottoni, Giuseppe Giovanetti, Massimo Negro, Emanuela Lavaselli, Giuseppe D'Antona","doi":"10.1007/s00421-024-05684-z","DOIUrl":"https://doi.org/10.1007/s00421-024-05684-z","url":null,"abstract":"<p><strong>Purpose: </strong>The risk of exercise-induced rhabdomyolysis, followed by abrupt creatine kinase (CK) augmentation, associated with carnitine palmitoyl transferase II (CPTII) deficiency causes patients to abstain from physical training. However, the exercise adjustment to the disease-induced metabolic impairment, accompanied by a tailored nutritional and supplementation strategy, could make sporting activity feasible, even at a competitive level. Here, we report the case of an 18-year-old male basketball player at a competitive level diagnosed for CPTII deficiency after a rhabdomyolytic event. Subsequent genetic analysis revealed the previously unreported c.1741C > T genetic mutation.</p><p><strong>Methods: </strong>The patient underwent a battery of tests to evaluate nutrition (indirect calorimetry; 8-day food records), hydration (bioimpedance analysis), and the use of energy substrates during exercise (cardiopulmonary exercise test, CPET).</p><p><strong>Result: </strong>Inadequate macronutrients distribution with respect to the reference values for CPTII deficiency, an optimal hydration status, and a non-physiological prevalence of carbohydrates consumption all along the CPET, accentuated with workload augmentation, were found. Based on the results, the patient was provided with a personalized nutritional (carbohydrate = 50-55%, fat = 20%, and protein = 25-30% of total energy) and supplementation (medium-chain triglycerides, β-alanine, and creatine citrate) plan, and indications on the exercise intensity to be adopted to avoid the contribution of fat to energy production. Monitoring of CK for the five months following the resumption of sporting activity shows that the patient no longer had rhabdomyolysis.</p><p><strong>Conclusion: </strong>These findings suggest that tailoring exercise, nutrition and supplementation upon the disease-induced metabolic limitation makes sport activity at a competitive level feasible in a CPTII-deficient patient, prompting further analysis on larger cohorts.</p>","PeriodicalId":12005,"journal":{"name":"European Journal of Applied Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}