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Characterisation of the Muscle Protein Synthetic Response to Resistance Exercise in Healthy Adults: A Systematic Review and Exploratory Meta-Analysis. 健康成年人肌肉蛋白合成对阻力运动反应的特征:系统回顾与探索性元分析》。
Q3 Medicine Pub Date : 2024-04-30 eCollection Date: 2024-01-01 DOI: 10.1155/2024/3184356
Robert W Davies, Arthur E Lynch, Uttam Kumar, Philip M Jakeman

Methods: Five electronic databases (PubMed (Medline), Web of Science, Embase, Sport Discus, and Cochrane Library) were searched for controlled trials that assessed the MPS response to RE in healthy, adult humans, postabsorptive state. Individual study and random-effects meta-analysis arewere used to inform the effects of RE and covariates on MPS. Results from 79 controlled trials with 237 participants were analysed.

Results: Analysis of the pooled effects revealed robust increases in MPS following RE (weighted mean difference (WMD): 0.032% h-1, 95% CI: [0.024, 0.041] % h-1, I2 = 92%, k = 37, P < 0.001). However, the magnitude of the increase in MPS was lower in older adults (>50 y: WMD: 0.015% h-1, 95% CI: [0.007, 0.022] % h-1, I2 = 76%, k = 12, P = 0.002) compared to younger adults (<35 y: WMD: 0.041% h-1, 95% CI: [0.030, 0.052] % h-1, I2 = 88%, k = 25, P < 0.001). Individual studies have reported that the temporal proximity of the RE, muscle group, muscle protein fraction, RE training experience, and the loading parameters of the RE (i.e., intensity, workload, and effort) appeared to affect the MPS response to RE, whereas sex or type of muscle contraction does not.

Conclusion: A single bout of RE can sustain measurable increases in postabsorptive MPS soon after RE cessation and up to 48 h post-RE. However, there is substantial heterogeneity in the magnitude and time course of the MPS response between trials, which appears to be influenced by participants' age and/or the loading parameters of the RE itself.

方法:在五个电子数据库(PubMed (Medline)、Web of Science、Embase、Sport Discus 和 Cochrane Library)中搜索了评估健康成年人在吸收后状态下对 RE 的 MPS 反应的对照试验。使用了单项研究和随机效应荟萃分析来了解 RE 和协变量对 MPS 的影响。分析了来自 79 项对照试验、237 名参与者的结果:汇总效应分析表明,RE 可显著提高 MPS(加权平均差 (WMD):0.032% h-1,95% CI:[0.024, 0.041] % h-1,I2 = 92%,k = 37,P < 0.001)。然而,老年人(50 岁以上)的 MPS 增加幅度较低:WMD:0.015% h-1,95% CI:[0.007, 0.022] % h-1,I2 = 76%,k = 12,P = 0.002)与年轻人相比(-1,95% CI:[0.030, 0.052] % h-1,I2 = 88%,k = 25,P < 0.001)。个别研究报告显示,RE 的时间接近程度、肌肉群、肌肉蛋白组分、RE 训练经验和 RE 的负荷参数(即强度、工作量和努力程度)似乎会影响 MPS 对 RE 的反应,而性别或肌肉收缩类型则不会:结论:单次 RE 可使吸收后 MPS 在 RE 停止后不久和 RE 后 48 小时内保持可测量的增长。然而,不同试验之间 MPS 反应的程度和时间过程存在很大差异,这似乎受到参与者年龄和/或 RE 本身负荷参数的影响。
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引用次数: 0
DYNEELAX Robotic Arthrometer Reliability and Feasibility on Healthy and Anterior Cruciate Ligament Injured/Reconstructed Persons DYNEELAX 机器人关节测量仪在健康人和前交叉韧带损伤/重建者身上的可靠性和可行性
Q3 Medicine Pub Date : 2024-04-15 DOI: 10.1155/2024/3413466
Nuno Nascimento, Roula Kotsifaki, Emmanouil T Papakostas, Bashir A Zikria, Khalid Alkhelaifi, Elisabet Hagert, B. Olory, Pieter D’Hooghe, Rod Whiteley
Background Anterior cruciate ligament (ACL) injuries are commonly assessed using clinical examination and magnetic resonance imaging, but these methods have limitations in reproducibility and quantification. Instrumented laxity measurements using devices, like the DYNEELAX®, offer an alternative approach. However, to date, there is no human data on the DYNEELAX® and the reliability of these devices remains a subject of debate, and there is no consensus on appropriate knee tightening levels for testing. We hypothesized that the DYNEELAX®, with standardized knee tightening, would provide reliable measurements of knee laxity in adult volunteers. Methods This prospective cohort study involved 48 pain-free adult volunteers. Laxity measurements were taken using a robotic-type motorized instrument (DYNEELAX®) on two separate occasions, at least 1 h and no more than 8 h apart, with knee tightening forces of 90 N ± 5 N. Metrics of anterior tibial translation and internal/external tibial axial rotations were recorded. Results The device displayed excellent intrarater reliability for all the metrics, with intraclass correlation coefficients ranging from 0.91 to 0.96. Anterior translation exhibited the highest reliability (intraclass correlation coefficient = 0.96), with a minimum detectable change of 0.83 mm. Conclusions DYNEELAX® is reliable in measuring knee laxity in adult volunteers when using standardized stabilizing knee tightening forces of 90 ± 5 N. The most sensitive measurement parameters (in terms of minimum detectable change as a proportion of the observed range) were anterior translation (in mm) at 150 N and secondary compliance.
背景 前交叉韧带(ACL)损伤通常通过临床检查和磁共振成像进行评估,但这些方法在可重复性和量化方面存在局限性。使用仪器(如 DYNEELAX®)进行松弛测量提供了另一种方法。然而,迄今为止,还没有关于 DYNEELAX® 的人体数据,这些设备的可靠性仍是一个争论的话题,而且对于测试时合适的膝关节收紧程度也没有达成共识。我们假设,DYNEELAX® 在标准化膝关节收紧的情况下,能对成年志愿者的膝关节松弛程度进行可靠的测量。方法 这项前瞻性队列研究涉及 48 名无痛成年志愿者。使用机器人式电动仪器(DYNEELAX®)进行松弛度测量,两次测量时间间隔至少 1 小时,不超过 8 小时,膝关节拉紧力为 90 N ± 5 N。记录胫骨前移和胫骨轴向内/外旋转的指标。结果 该装置的所有指标都显示出极佳的内部相关可靠性,类内相关系数在 0.91 至 0.96 之间。前方平移的可靠性最高(类内相关系数 = 0.96),可检测到的最小变化为 0.83 毫米。结论 DYNEELAX® 在测量成年志愿者的膝关节松弛度时,使用 90 ± 5 N 的标准化稳定膝关节拉紧力是可靠的。最灵敏的测量参数(就最小可检测到的变化占观察范围的比例而言)是 150 N 时的前移(单位:毫米)和次级顺应性。
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引用次数: 0
Effects of Static Stretching on the Blood Circulation of Human Tendon In Vivo 静态拉伸对体内人体肌腱血液循环的影响
Q3 Medicine Pub Date : 2024-04-10 DOI: 10.1155/2024/4413113
Ayaka Yasuda, K. Kubo
The purpose of this study is to compare the effects of 2- and 5 min of static stretching protocols on the changes in blood circulation of tendon (as well as muscle) and heart rate. Twelve healthy males (age: 26.2 ± 9.1 yrs) volunteered for this study. Before, during stretching, during the recovery period (30 min), blood circulation (oxyhemoglobin; oxy, deoxyhemoglobin; deoxy, blood volume; THb, oxygen saturation; StO2) of the Achilles tendon and medial gastrocnemius muscle were measured using red laser lights and near-infrared spectroscopy. In addition, heart rate was measured during the experimental period. For 2- and 5 min of static stretching, oxy, deoxy, THb, and StO2 of the tendon did not change during or after stretching. Regarding muscle blood circulation, oxy and StO2 decreased, and deoxy and THb increased during 2- and 5 min of static stretching but returned immediately upon completion. In addition, heart rate significantly reduced during and after stretching, whereas the changes in blood volume of tendon and muscle during stretching were not associated with those in heart rate (except for the relationship between tendon THb and heart rate in 2 min of static stretching). These results suggest that static stretching showed no change in tendon blood circulation, although muscle blood circulation during stretching was altered. In addition, significant heart rate reduction with static stretching was not associated with changes in tendon and muscle blood circulation.
本研究旨在比较 2 分钟和 5 分钟静态拉伸方案对肌腱(以及肌肉)血液循环和心率变化的影响。12 名健康男性(年龄:26.2 ± 9.1 岁)自愿参加了这项研究。在拉伸前、拉伸过程中和恢复期(30 分钟),使用红色激光灯和近红外光谱仪测量了跟腱和内侧腓肠肌的血液循环(氧血红蛋白;氧、脱氧血红蛋白;脱氧、血容量;THb、血氧饱和度;StO2)。此外,还测量了实验期间的心率。在 2 分钟和 5 分钟的静态拉伸中,肌腱的氧、脱氧、THb 和 StO2 在拉伸过程中和拉伸后都没有变化。在肌肉血液循环方面,在静态拉伸 2 分钟和 5 分钟期间,氧和 StO2 下降,脱氧和 THb 上升,但在拉伸结束后立即恢复。此外,拉伸过程中和拉伸后心率明显降低,而拉伸过程中肌腱和肌肉血容量的变化与心率的变化无关(静态拉伸 2 分钟内肌腱 THb 与心率的关系除外)。这些结果表明,静态拉伸没有改变肌腱的血液循环,但拉伸时肌肉的血液循环发生了改变。此外,静态拉伸时心率的明显降低与肌腱和肌肉血液循环的变化无关。
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引用次数: 0
Exploring the Relationship between Ultrasonographic Measures of the Quadriceps and Knee Extensor Muscle Fitness in Endurance-Trained Individuals 探究耐力训练者股四头肌超声波测量值与膝关节伸肌力量之间的关系
Q3 Medicine Pub Date : 2024-04-08 DOI: 10.1155/2024/3415740
Caleb C. Voskuil, Monique D. Dudar, Joshua C. Carr
Background B-mode ultrasonography is an accessible and cost-effective method to assess muscle size and quality through muscle thickness (MT) and echo intensity (EI), respectively. Muscle thickness and EI have demonstrated relationships with maximal strength and local muscle endurance, providing a noninvasive and efficient modality to examine muscle fitness. However, these relationships have not been quantified in the individual quadriceps muscles of habitually endurance-trained populations, which may provide information to practitioners regarding rehabilitation and performance. Methods Twenty-three participants (males: N = 10; females: N = 13) underwent B-mode ultrasonography to assess MT, EI, and adipose tissue thickness-corrected echo intensity (cEI) in the vastus intermedius (VI), vastus lateralis (VL), and rectus femoris (RF). Muscle fitness was evaluated through maximal strength (1RM) and local muscle endurance (4 sets to failure at 50% 1RM) during dynamic knee extension. Relationships between ultrasonography outcomes and muscle fitness were examined through stepwise multiple linear regression. Results The results indicate that VI cEI is the strongest predictor of 1RM strength (r = −0.643), while no ultrasonography-derived measures significantly predicted local muscle endurance. Conclusion The study demonstrates that ultrasonography, specifically measures of cEI in the VI, has the greatest association with maximal strength in endurance-trained individuals. These findings suggest monitoring VI muscle size and quality may benefit practitioners who aim to improve knee extension strength for performance or following injury. In addition, the findings support the use of EI examinations in trained populations.
背景 B 型超声波检查是通过肌肉厚度(MT)和回声强度(EI)分别评估肌肉大小和质量的一种简便、经济的方法。肌肉厚度和 EI 已证明与最大力量和局部肌肉耐力有关,为检查肌肉健康提供了一种无创、高效的方法。然而,这些关系尚未在习惯性耐力训练人群的个别股四头肌中得到量化,这可能会为从业人员提供有关康复和表现的信息。方法 23 名参与者(男性:10 人;女性:13 人)接受了 B 型超声波检查,以评估中股阔肌(VI)、外股阔肌(VL)和股直肌(RF)的 MT、EI 和脂肪组织厚度校正回波强度(cEI)。在膝关节动态伸展过程中,通过最大力量(1RM)和局部肌肉耐力(4 组,每组 50%1RM)评估肌肉健康状况。通过逐步多元线性回归研究了超声波检查结果与肌肉健康状况之间的关系。结果 结果表明,VI cEI 是预测 1RM 力量的最强指标(r = -0.643),而超声波成像衍生指标均不能显著预测局部肌肉耐力。结论 该研究表明,超声波检查,特别是测量 VI 的 cEI,与耐力训练者的最大力量关系最大。这些研究结果表明,监测 VI 肌肉的大小和质量可能会对旨在提高膝关节伸展力量以提高成绩或伤后恢复的从业人员有所帮助。此外,研究结果还支持在训练人群中使用EI检查。
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引用次数: 0
Longitudinal Monitoring of Biomechanical and Psychological State in Collegiate Female Basketball Athletes Using Principal Component Analysis 利用主成分分析法纵向监测大学女子篮球运动员的生物力学和心理状态
Q3 Medicine Pub Date : 2024-04-03 DOI: 10.1155/2024/7858835
J. Keogh, M. Ruder, Kaylee White, Momchil G. Gavrilov, Stuart M Phillips, Jennifer J. Heisz, Matthew J Jordan, Dylan Kobsar
Background The growth in participation in collegiate athletics has been accompanied by increased sport-related injuries. The complex and multifactorial nature of sports injuries highlights the importance of monitoring athletes prospectively using a novel and integrated biopsychosocial approach, as opposed to contemporary practices that silo these facets of health. Methods Data collected over two competitive basketball seasons were used in a principal component analysis (PCA) model with the following objectives: (i) investigate whether biomechanical PCs (i.e., on-court and countermovement jump (CMJ) metrics) were correlated with psychological state across a season and (ii) explore whether subject-specific significant fluctuations could be detected using minimum detectable change statistics. Weekly CMJ (force plates) and on-court data (inertial measurement units), as well as psychological state (questionnaire) data, were collected on the female collegiate basketball team for two seasons. Results While some relationships (n = 2) were identified between biomechanical PCs and psychological state metrics, the magnitude of these associations was weak (r = |0.18-0.19|, p < 0.05), and no other overarching associations were identified at the group level. However, post-hoc case study analysis showed subject-specific relationships that highlight the potential utility of red-flagging meaningful fluctuations from normative biomechanical and psychological patterns. Conclusion Overall, this work demonstrates the potential of advanced analytical modeling to characterize components of and detect statistically and clinically relevant fluctuations in student-athlete performance, health, and well-being and the need for more tailored and athlete-centered monitoring practices.
背景 大学田径运动参与人数的增长伴随着运动相关损伤的增加。运动损伤具有复杂性和多因素性,这突出了采用新颖的综合生物心理社会方法对运动员进行前瞻性监测的重要性,而不是采用将这些健康因素割裂开来的现代做法。方法 将两个篮球赛季收集的数据用于主成分分析(PCA)模型,目的如下:(i) 研究生物力学主成分(即场上和反向运动跳跃(CMJ)指标)是否与整个赛季的心理状态相关;(ii) 利用最小可检测变化统计量探讨是否可以检测到特定受试者的显著波动。在大学女子篮球队中收集了两个赛季的每周 CMJ(力板)和场上数据(惯性测量单位)以及心理状态(问卷)数据。结果 虽然在生物力学 PC 和心理状态指标之间发现了一些关系(n = 2),但这些关系的程度很弱(r = |0.18-0.19|,p < 0.05),而且在群体水平上没有发现其他总体关系。不过,事后个案研究分析显示了特定受试者之间的关系,这凸显了从正常生物力学和心理模式中红旗标出有意义波动的潜在作用。结论 总体而言,这项研究表明,先进的分析建模有可能描述学生运动员成绩、健康和幸福的组成部分,并检测出与统计和临床相关的波动,同时也表明有必要采取更有针对性的、以运动员为中心的监测措施。
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引用次数: 0
Muscle Tone, Stiffness, and Elasticity in Elite Female Cyclists after Consecutive Short Competitions 连续短距离比赛后精英女子自行车运动员的肌肉张力、僵硬度和弹性
Q3 Medicine Pub Date : 2024-04-02 DOI: 10.1155/2024/2434494
Cristina Rotllan, F. Corbi, Ginés Viscor
Background For professional road cyclists, most overload injuries affect the lower limbs. They are mostly represented by contractures or muscle shortening, characterised by a variation of muscular tone, stiffness, and elasticity. This real-life study aimed to assess specific mechanical parameters in top-class female cyclists who participated in 3 races a week. Hypothesis. Muscle tone, stiffness, and elasticity will be affected immediately after competition and at the end of the week due to accumulated fatigue. Methods Six professional cyclists were evaluated. This pilot study consisted of a controlled trial and three days of competition, with rest days between them. MyotonPRO was used to measure tone, stiffness, and elasticity in six leg muscles: vastus lateralis (VL), vastus medialis (VM), rectus femoris (RF), biceps femoris (BF), lateral gastrocnemius (LG), and medial gastrocnemius (MG). Daily basal and pre- and postrace measures were carried through to the 3 races in a week. Results The muscular tone of VL, VM, LG, and MG and the stiffness of VL, VM, RF, BF, LG, and MG decreased after races. VL and RF were mostly affected by (p=0.05) and (p=0.009), respectively. Basal elasticity improved over time until the last day. Conclusions Muscle tone and stiffness decreased after a very intense and exhausting cycling endurance competition. Basal elasticity improved immediately after the race and continued this trend until the end of the week. More research is needed on changes in mechanical properties in competition and risk prevention of injuries.
背景 对于专业公路自行车运动员来说,大多数超负荷损伤都会影响到下肢。它们大多表现为挛缩或肌肉缩短,其特征是肌肉张力、僵硬度和弹性的变化。这项真实研究旨在评估每周参加 3 场比赛的顶级女性自行车运动员的特定机械参数。假设由于累积的疲劳,肌肉张力、僵硬度和弹性在比赛结束后和一周结束时会立即受到影响。方法 对六名专业自行车运动员进行评估。这项试验性研究包括一次对照试验和三天比赛,中间休息一天。MyotonPRO 用于测量六块腿部肌肉的张力、硬度和弹性,这六块肌肉是:外侧阔肌(VL)、内侧阔肌(VM)、股直肌(RF)、股二头肌(BF)、外侧腓肠肌(LG)和内侧腓肠肌(MG)。在一周内的 3 场比赛中,每天都进行基础测量和赛前赛后测量。结果 比赛后,VL、VM、LG 和 MG 的肌肉张力以及 VL、VM、RF、BF、LG 和 MG 的硬度均有所下降。VL和RF受到的影响最大,分别为(p=0.05)和(p=0.009)。随着时间的推移,直到最后一天,基础弹性都有所改善。结论 肌肉张力和僵硬度在非常激烈和耗尽体力的自行车耐力比赛后有所下降。基础弹性在比赛结束后立即得到改善,这一趋势一直持续到一周结束。需要对比赛中机械性能的变化和预防受伤的风险进行更多的研究。
{"title":"Muscle Tone, Stiffness, and Elasticity in Elite Female Cyclists after Consecutive Short Competitions","authors":"Cristina Rotllan, F. Corbi, Ginés Viscor","doi":"10.1155/2024/2434494","DOIUrl":"https://doi.org/10.1155/2024/2434494","url":null,"abstract":"Background For professional road cyclists, most overload injuries affect the lower limbs. They are mostly represented by contractures or muscle shortening, characterised by a variation of muscular tone, stiffness, and elasticity. This real-life study aimed to assess specific mechanical parameters in top-class female cyclists who participated in 3 races a week. Hypothesis. Muscle tone, stiffness, and elasticity will be affected immediately after competition and at the end of the week due to accumulated fatigue. Methods Six professional cyclists were evaluated. This pilot study consisted of a controlled trial and three days of competition, with rest days between them. MyotonPRO was used to measure tone, stiffness, and elasticity in six leg muscles: vastus lateralis (VL), vastus medialis (VM), rectus femoris (RF), biceps femoris (BF), lateral gastrocnemius (LG), and medial gastrocnemius (MG). Daily basal and pre- and postrace measures were carried through to the 3 races in a week. Results The muscular tone of VL, VM, LG, and MG and the stiffness of VL, VM, RF, BF, LG, and MG decreased after races. VL and RF were mostly affected by (p=0.05) and (p=0.009), respectively. Basal elasticity improved over time until the last day. Conclusions Muscle tone and stiffness decreased after a very intense and exhausting cycling endurance competition. Basal elasticity improved immediately after the race and continued this trend until the end of the week. More research is needed on changes in mechanical properties in competition and risk prevention of injuries.","PeriodicalId":75247,"journal":{"name":"Translational sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140751845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Different Methods of Winning, Losing, and Training in Combat Sports and Their Relationship with Overall Competitive Winningness 搏击运动中不同的胜负和训练方法及其与总体竞胜能力的关系
Q3 Medicine Pub Date : 2024-02-21 DOI: 10.1155/2024/5531981
Oliver R. Barley, Craig A. Harms
This study aimed to investigate how overall competitive winningness in combat sports depended on patterns of victory and loss, as well as training habits. Competitors (N = 280) from several combat sports participated in the study. The online survey included questions on self-reported patterns of victory (and loss), training habits, general demographics (e.g., age), and sport-specific information (e.g., stage of career and competitive style). Overall, it was found across four models that reflected diversity of winningness in combat sports that the most important predictors of competitive winningness were loss by points (negative), loss by submission (negative), loss (negative) or victory (positive) by throw or technical fall, and loss (negative) or victory (positive) by knockout. The findings applied to amateur and regional/state athletes, and rarely to karate or tae kwon do. Findings around demographics or training habits were largely unremarkable, outside of a relationship between higher training loads and less career winning in wrestlers. Results show that while winning via a finishing sequence (e.g., knockout or submission) is preferable to the judge’s decision or points, the matter of victory is less important than the methods by which an athlete loses. In grappling-only sports, we observed a trend that more losses via finishing sequence were worse for careers than losing by points. In fact, having most of one’s losses coming via judge’s decision or points was beneficial in wrestling and judo, perhaps due to athletes taking less risks and having better defence. These findings may aid practitioners developing effective tactics and training programs.
本研究旨在探讨搏击运动中的整体竞胜能力如何取决于胜负模式和训练习惯。来自多个搏击项目的选手(280 人)参与了研究。在线调查包括有关自我报告的胜利(和失败)模式、训练习惯、一般人口统计学(如年龄)和特定运动信息(如职业生涯阶段和竞技风格)的问题。总之,在反映搏击运动胜负多样性的四个模型中发现,预测竞技胜负的最重要因素是点数失利(负)、降服失利(负)、摔倒或技术性摔倒失利(负)或获胜(正),以及击倒失利(负)或获胜(正)。研究结果适用于业余运动员和地区/州运动员,很少适用于空手道或跆拳道。与人口统计学或训练习惯有关的研究结果基本上没有什么特别之处,只是在摔跤运动员中发现了较高的训练负荷与较少的职业胜利之间的关系。结果表明,虽然通过终结顺序(如击倒或降服)获胜比裁判判定或点数更可取,但胜利的重要性不如运动员输掉比赛的方法。在纯擒拿运动中,我们观察到一种趋势,即通过终结顺序输掉的比赛比通过点数输掉的比赛更不利于运动员的职业生涯。事实上,在摔跤和柔道比赛中,通过裁判判定或点数输掉的比赛占多数,这对运动员的职业生涯有利,这可能是由于运动员冒的风险更少,防御能力更强。这些发现可能有助于从业人员制定有效的战术和训练计划。
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引用次数: 0
Biomarkers in Endurance Exercise: Individualized Regulation and Predictive Value 耐力运动中的生物标志物:个性化调节和预测价值
Q3 Medicine Pub Date : 2023-12-14 DOI: 10.1155/2023/6614990
Sebastian Hacker, Johannes Keck, Thomas Reichel, Klaus Eder, R. Ringseis, Karsten Krüger, Britta Krüger
The high interindividual variability of exercise response complicates the efficient use of blood-based biomarkers in sports. To address this problem, a useful algorithm to characterize the individual regulation and predictive value of different candidate markers will be developed. Forty-nine participants completed two identical exercise trials. Blood samples were collected before, immediately after, 3 hours after, and 24 hours after completion of exercise. Plasma concentrations of interleukin (IL-) 1RA, IL-6, IL-8, IL-10, IL-15, creatine kinase (CK), cortisol, c-reactive protein (CRP), lactate dehydrogenase (LDH), and thiobarbituric acid reactive substances (TBARS) were measured. Individualized regulation was analyzed using k-means clustering and a Group Assignment Quality (GAQ) score. Regression trees with a bootstrapped-aggregated approach were used to assess the predictive qualities of the markers. For most of the markers studied, a distinction can be made between individuals who show a stronger or weaker response to a particular endurance training program. The regulation of IL-6, IL-8, IL-10, and CK exhibited a high degree of stability within the individuals. Regarding the predictive power of the markers, for all dependent variables, the most accurate predictions were obtained for cortisol and IL-8 based on the baseline value. For CK, a good prediction of recovery of maximal strength and subjective feeling of exhaustion can be made. For IL-1RA and TBARS, especially their reregulation can be predicted if the baseline level is known. Focusing individual variations in biomarker responses, our results suggest the combined use of IL-6, IL-8, IL-10, and CK for the personalized management of stress and recovery cycles following endurance exercise.
运动反应的个体间差异很大,这使得在体育运动中有效使用基于血液的生物标志物变得更加复杂。为解决这一问题,我们将开发一种有用的算法,用于描述不同候选标志物的个体调节和预测价值。49 名参与者完成了两项相同的运动试验。分别在运动前、运动后、运动后 3 小时和运动后 24 小时采集血液样本。测量血浆中白细胞介素 (IL-) 1RA、IL-6、IL-8、IL-10、IL-15、肌酸激酶 (CK)、皮质醇、c 反应蛋白 (CRP)、乳酸脱氢酶 (LDH) 和硫代巴比妥酸活性物质 (TBARS) 的浓度。使用 k-means 聚类和组分配质量(GAQ)评分对个体化调节进行了分析。采用自引导聚合法的回归树评估了标记物的预测性。对于所研究的大多数标记物,可以区分出对特定耐力训练计划反应较强或较弱的个体。IL-6、IL-8、IL-10 和 CK 的调节在个体内部表现出高度的稳定性。关于标记物的预测能力,对于所有因变量,皮质醇和 IL-8 的预测最准确的依据是基线值。对于 CK,可以很好地预测最大力量的恢复情况和主观疲惫感。对于 IL-1RA 和 TBARS,如果知道基线水平,尤其可以预测它们的重新调节。针对生物标志物反应的个体差异,我们的研究结果表明,可以综合利用 IL-6、IL-8、IL-10 和 CK 对耐力运动后的压力和恢复周期进行个性化管理。
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引用次数: 0
Physician Perceptions of Cannabidiol (CBD) and Cannabis in Sports Medicine and Performance 医生对运动医学和运动表现中的大麻二酚(CBD)和大麻的看法
Q3 Medicine Pub Date : 2023-12-11 DOI: 10.1155/2023/8824466
Brendon Ross, Thomas Trojian, D. Cushman
Objectives. There is growing evidence regarding cannabinoid use in sports medicine and performance, especially cannabidiol (CBD). This study aims to determine if sports medicine physicians are recommending cannabinoids for therapeutic purposes, as well as analyze perceptions of cannabinoids within sports medicine and performance. Methods. Physician members of the American Medical Society for Sports Medicine (AMSSM) completed an anonymous survey on demographics, CBD and Cannabis recommendations, as well as attitudes toward cannabinoid products within sports medicine. Factors associated with CBD and cannabis recommendations as well as perceptual differences were found using multivariate regression modelling. Results. Responses from 333 physicians were recorded. The following groups were less likely to agree with allowing cannabis for recreational purposes: female gender (coeff. = 0.79 (0.33–1.25), p = 0.001 ), increasing age (coeff. = 0.04 (0.02, 0.07), p   <   0.001 ), and rural respondents (compared to baseline urban, coeff. = 1.16 (0.36, 1.95), p = 0.004 ). Similarly, these three factors were associated with a higher likelihood of disagreeing with WADA removing cannabis from the prohibited substance list and with the NCAA allowing CBD use by collegiate athletes ( p ≤ 0.045 ). CBD was less likely to be recommended by pediatricians, rural physicians, and academic physicians ( p ≤ 0.030 ). Male physicians and younger physicians were less likely to identify cannabis as performance-enhancing ( p ≤ 0.042 ). Conclusions. Sports medicine physicians have varying views on cannabinoids. While sports medicine physicians generally have favorable attitudes toward CBD and cannabis, these perceptions appear to be significantly affected by age, practice type, and gender.
目的。越来越多的证据表明大麻素(尤其是大麻二酚 (CBD))可用于运动医学和运动表现。本研究旨在确定运动医学医生是否推荐大麻素用于治疗目的,并分析运动医学和运动表现中对大麻素的看法。研究方法。美国运动医学医学会 (AMSSM) 的医生成员完成了一项匿名调查,内容涉及人口统计学、CBD 和大麻推荐以及对运动医学中大麻产品的态度。使用多元回归建模法发现了与 CBD 和大麻推荐相关的因素以及认知差异。结果。共记录了 333 名医生的回答。以下群体不太可能同意允许将大麻用于娱乐目的:女性(系数 = 0.79 (0.33-1.25), p = 0.001)、年龄增长(系数 = 0.04 (0.02, 0.07), p < 0.001)和农村受访者(与基线城市相比,系数 = 1.16 (0.36, 1.95), p = 0.004)。同样,这三个因素也与不同意世界反兴奋剂机构将大麻从禁用物质清单中删除以及不同意国家大学生体育协会允许大学生运动员使用 CBD 的可能性较高有关(p ≤ 0.045)。儿科医生、乡村医生和学术医生推荐使用 CBD 的可能性较低(P ≤ 0.030)。男性医生和年轻医生不太可能将大麻认定为提高成绩的药物 ( p ≤ 0.042 )。结论。运动医学医生对大麻素的看法各不相同。虽然运动医学医生普遍对 CBD 和大麻持赞成态度,但这些看法似乎受到年龄、执业类型和性别的显著影响。
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引用次数: 0
Be Aware of the Benefits of Drafting in Sports and Take Your Advantage: A Meta-Analysis 意识到在运动中起草的好处并发挥你的优势:一项荟萃分析
Q3 Medicine Pub Date : 2023-11-08 DOI: 10.1155/2023/3254847
Floor A. P. van den Brandt, Mohammed Khudair, Florentina J. Hettinga, Marije T. Elferink-Gemser
Purpose. In competitive sports, optimizing performance is the key. An interesting venue to explore is to consider drafting as a pacing strategy. The purpose of this study is to identify the magnitude of drafting benefits for biomechanical, physiological, and psychobiological parameters in and between athletes in cycling, kayaking, running, skating, skiing, and swimming. Design. A systematic review and meta-analysis. Methods. Systematic searches were performed in PubMed, Web of Science, and Embase databases. Results. In total, 205 studies were found, from which 22 were relevant (including 232 participants and 548 observations). Methodological quality was high for all the included articles. The meta-analyses for all parameters indicated strong evidence for a benefit of drafting, with moderate effects between leading and drafting athletes found for the heart rate (3.9%), VO2 (8.9%), power output (11.3%), and rating of perceived exertion (10.4%). Large effect sizes were found for blood lactate (24.2%), VE (16.2%), and EMG (56.4%). A moderator analysis showed differences between sports on the effect of drafting with most benefits in cycling. Discussion. Based on the observed effects of drafting in the biomechanical, physiological, and psychobiological parameters, it can be considered as an element of pacing, a strategy to conserve energy and optimize performance. Conclusion. There is strong evidence that drafting benefits athletes, with varying levels of effect for athletes in different sports. Knowledge about the magnitude of benefits can be used to improve training sessions, race strategies, and performance in competition.
目的。在竞技体育中,优化表现是关键。一个值得探索的有趣方法是将起草作为一种节奏策略。本研究的目的是确定在骑自行车、皮划艇、跑步、滑冰、滑雪和游泳运动员之间的生物力学、生理和心理生物学参数的牵伸效益的大小。设计。系统回顾和荟萃分析。方法。在PubMed、Web of Science和Embase数据库中进行系统搜索。结果。共发现205项研究,其中22项相关(包括232名参与者和548项观察)。所有纳入的文章的方法学质量都很高。所有参数的荟萃分析都有力地证明了牵伸运动的好处,领跑运动员和牵伸运动员在心率(3.9%)、耗氧量(8.9%)、功率输出(11.3%)和感知运动等级(10.4%)方面的影响中等。血乳酸(24.2%)、VE(16.2%)和肌电图(56.4%)的效应值较大。一项调节分析显示,不同运动对起草效果的影响差异最大的是骑自行车。讨论。根据观察到的牵伸在生物力学、生理和心理生物学参数方面的影响,它可以被认为是一种节奏要素,一种节约能量和优化表现的策略。结论。有强有力的证据表明,起草有利于运动员,对不同运动项目的运动员有不同程度的影响。有关益处大小的知识可以用于改进训练课程、比赛策略和比赛表现。
{"title":"Be Aware of the Benefits of Drafting in Sports and Take Your Advantage: A Meta-Analysis","authors":"Floor A. P. van den Brandt, Mohammed Khudair, Florentina J. Hettinga, Marije T. Elferink-Gemser","doi":"10.1155/2023/3254847","DOIUrl":"https://doi.org/10.1155/2023/3254847","url":null,"abstract":"Purpose. In competitive sports, optimizing performance is the key. An interesting venue to explore is to consider drafting as a pacing strategy. The purpose of this study is to identify the magnitude of drafting benefits for biomechanical, physiological, and psychobiological parameters in and between athletes in cycling, kayaking, running, skating, skiing, and swimming. Design. A systematic review and meta-analysis. Methods. Systematic searches were performed in PubMed, Web of Science, and Embase databases. Results. In total, 205 studies were found, from which 22 were relevant (including 232 participants and 548 observations). Methodological quality was high for all the included articles. The meta-analyses for all parameters indicated strong evidence for a benefit of drafting, with moderate effects between leading and drafting athletes found for the heart rate (3.9%), VO2 (8.9%), power output (11.3%), and rating of perceived exertion (10.4%). Large effect sizes were found for blood lactate (24.2%), VE (16.2%), and EMG (56.4%). A moderator analysis showed differences between sports on the effect of drafting with most benefits in cycling. Discussion. Based on the observed effects of drafting in the biomechanical, physiological, and psychobiological parameters, it can be considered as an element of pacing, a strategy to conserve energy and optimize performance. Conclusion. There is strong evidence that drafting benefits athletes, with varying levels of effect for athletes in different sports. Knowledge about the magnitude of benefits can be used to improve training sessions, race strategies, and performance in competition.","PeriodicalId":75247,"journal":{"name":"Translational sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135341482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Translational sports medicine
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