The master female triathlete

The world of triathlon has expanded to include all ages and both sexes. One of the largest growing age groups is the master female athlete. It is important for the physical therapist to understand the special needs of this population in order to adequately care for master female athletes so they can participate at a high level and injury-free. Biology of aging, injury prevention and a suggested training program are presented in this Masterclass article.     

The postpartum triathlete

The postpartum period in a woman's life is filled with numerous changes, including physical changes, changes in sleep habits, and learning how to best care for a newborn. A common goal among postpartum women is to either begin or resume an active lifestyle, which often includes physical activity such as running, biking and swimming. The postpartum athlete may discover barriers that prevent her from returning to or beginning an exercise routine. These obstacles include muscle weakness, fatigue, depression and physical changes that require exercise modification. The physical therapist is well-suited to properly assess, treat and manage the care of the postpartum athlete. Postpartum athletes wishing to begin or resume training for triathlons require special consideration, as the triathlete must balance training to compete in three different sports.The purpose of the paper is to identify the unique physical and physiological changes that occur to the female during the postpartum period. In addition, injuries that are more commonly seen during the postpartum period will be discussed. Recommendations for beginning or resuming an exercise program will be reviewed. Lastly, sport-specific training for the postpartum triathlete, including challenges presented with each triathlon component, will be discussed.     

Tennis: a physiological profile during match play.

Heart rate (HR), hematocrit, hemoglobin, blood glucose, and plasma concentrations of lactate, cortisol, and testosterone were monitored in 10 male subjects (Division I, 20.3 +/- 2.5 yrs, VO2max: 58.5 +/- 9.4 ml.kg-1.min-1) during singles tennis and a treadmill test. During the on-court session, HR was 144.6 +/- 13.2 beats.min-1 for the 85 min of play. Plasma lactate rose 50% from a post-warmup value of 1.6 +/- 0.6 mmol.l-1 to 2.3 +/- 1.2 mmol.l-1 during play (p greater than 0.05). Blood glucose slightly decreased (8%, p greater than 0.05) from a pre-exercise value of 4.6 +/- 0.8 mmol.l-1 as a result of the 10-min warmup. This was followed by a 23% rise (p less than 0.05) from 4.2 +/- 1.0 mmol.l-1 to 5.2 +/- 0.6 mmol.l-1, measured after the first 30 min of play. Blood glucose subsequently remained steady at slightly above the pre-exercise value. Plasma cortisol rose (9%, p greater than 0.05) during the warmup and subsequently decreased (p less than 0.05) from a post-warmup value of 558.2 +/- 285.2 nmol.l-1 to 337.1 +/- 173.3 nmol.l-1 (a 40% decrease), and remained decreased during recovery. Plasma testosterone rose 22% (p less than 0.05) from pre-exercise to recovery (13.5 +/- 3.8 nmol.l-1 and 16.5 +/- 2.6 nmol.l-1, respectively). Although tennis is characterized by periods of high-intensity exercise, the overall metabolic response resembles prolonged moderate-intensity exercise.     

The incidence of hyponatremia during prolonged ultraendurance exercise

Recent studies have shown that potentially fatal hyponatremia can develop during prolonged exercise. To determine the incidence of hyponatremia in athletes competing in ultradistance events, we measured serum sodium levels in 315 of 626 (50%) runners who were treated for collapse after two 90 km ultramarathon footraces (total starters 20,335; total finishers 18,031) and in 101 of 147 (69%) finishers in a 186 km ultratriathlon. In both races the athletes drank fluids with low sodium chloride content (less than 6.8 mmol.l-1). Hyponatremia (serum sodium level less than 130 mmol.l-1) was identified in 27 of 315 (9%) collapsed runners in the 90 km races and in none of the triathletes. In response to diuretic therapy, the runner with the most severe hyponatremia (serum sodium level = 112 mmol.l-1) excreted in excess of 7.5 l dilute urine during the first 17 h of hospitalization. These data suggest that, although symptomatic hyponatremia occurs in less than 0.3% of competitors during prolonged exercise even when they ingest little sodium chloride, it is found in a significant proportion (9%) of collapsed runners. A regulated contraction of the extracellular fluid volume would explain why the majority of athletes maintain normal serum sodium levels even though they develop a significant sodium chloride deficit during prolonged exercise. Alternatively, sodium chloride losses during prolonged exercise may be substantially less than are currently believed. Physicians treating collapsed ultradistance athletes need to be aware that as many as 10% or more of such patients may be hyponatremic.     

Skyscraper running: physiological and biomechanical profile of a novel sport activity

Skyscraper running is here analyzed in terms of mechanical and metabolic requirements, both at the general and at the individual level. Skyscraper runners' metabolic profile has been inferred from the total mechanical power estimated in 36 world records (48–421 m tall buildings), ranked by gender and age range. Individual athlete's performance (n=13) has been experimentally investigated during the Pirelli Vertical Sprint, with data loggers for altitude and heart rate (HR). At a general level, a non‐linear regression of Wilkie's model relating maximal mechanical power to event duration revealed the gender and age differences in terms of maximum aerobic power and anaerobic energy resources particularly needed at the beginning of the race. The total mechanical power was found to be partitioned among: the fraction devolved to raise the body center of mass , the need to accelerate the limbs with respect to the body , and running in turns between flights of stairs . At the individual level, experiments revealed that these athletes show a metabolic profile similar to middle‐distance runners. Furthermore, best skyscraper runners maintain a constant vertical speed and HR throughout the race, while others suddenly decelerate, negatively affecting the race performance.     

The dipsomania of great distance: water intoxication in an Ironman triathlete

Of 371 athletes (62% of all finishers) whose weights were measured before and after the 226 km South African Ironman Triathlon, the athlete who gained the most weight (3.6 kg) during the race was the only competitor to develop symptomatic hyponatraemia. During recovery, he excreted an excess of 4.6 litres of urine. This case report again confirms that symptomatic hyponatraemia is caused by considerable fluid overload independent of appreciable NaCl losses. Hence prevention of the condition requires that athletes be warned not to drink excessively large volumes of fluid (dipsomania) during very prolonged exercise. This case report also shows that there is a delayed diuresis in this condition and that it is not caused by renal failure.     

A physiological profile of tennis match play

PURPOSE: The aim of this investigation was to examine physiological demands of single match play in tennis. METHODS: 20 players performed 10 matches of 50 min. Respiratory gas exchange measures (RGEM) and heart rates (HR) were measured using two portable systems. Lactate concentration was determined after each game. The average oxygen uptake (VO2) of 270 games was 29.1 +/- 5.6 mL.kg-1.min-1 (51.1 +/- 10.9% of VO2max). Average VO2 for a game ranged from 10.4 to 47.8 mL.kg-1.min-1 (20.4 and 86.8% of VO2max). Average lactate concentration (LA) was 2.07 +/- 0.9 mmol.L-1 (ranging from 0.7 to 5.2 mmol.L-1). Furthermore, we monitored the duration of rallies (DR), the effective playing time (EPT), and the stroke frequency (SF). The average values of 270 games were DR: 6.4 +/- 4.1 s, EPT: 29.3 +/- 12.1%, SF: 42.6 +/- 9.6 shots.min-1. RESULTS: Multiple regression revealed that the DR was the most promising variable for the determination of VO2 in match play (r = 0.54). The body surface area (BSA) and EPT were also entered into the calculation model. In games of two defensive players, VO2 was significantly higher than in games with at least one offensive player. CONCLUSION:Our results suggest that energy demands of tennis matches are significantly influenced by DR. The highest average VO2 of a game of 47.8 mL.kg-1.min-1 may be regarded as a guide to assess endurance capacity required to sustain high-intensity periods of tennis matches compared with average VO2 of 29.1 mL.kg-1.min-1 for the 270 games. Our results suggest that proper conditioning is advisable especially for players who prefer to play from the baseline.     

Physical and physiological profile of elite karate athletes

This review focuses on the most important physical and physiological characteristics of karate athletes from the available scientific research. It has been established that karate's top-level performers require a high fitness level. Top-level male karate athletes are typified by low body fat and mesomorphic-ectomorphic somatotype characteristics. Studies dealing with body composition and somatotype of females are scarce. Aerobic capacity has been reported to play a major role in karate performance. It prevents fatigue during training and ensures the recovery processes during rest periods between two subsequent bouts of fighting activity within a fight and between two consecutive matches. It has been established that there is no significant difference between male and female kata (forms) and kumite (sparring/combat) athletes with regard to aerobic performance. Nevertheless, further studies are needed to support these findings. Concerning anaerobic performance, there is a difference in maximal power explored by the force-velocity test between national and international level karatekas (karate practitioners) but, for the maximum accumulated oxygen deficit test there is no difference between them. Muscle explosive power plays a vital role in a karateka's capacity for high-level performance. However, it has been revealed that vertical jump performance, maximal power and maximal velocity differed between national- and international-level karatekas. Moreover, it has been reported that karate performance relies more on muscle power at lower loads rather than higher ones. Thus, karate's decisive actions are essentially dependent on muscle explosive power in both the upper and lower limbs. With regard to dynamic strength, limited research has been conducted. The maximal absolute bench press, half-squat one-repetition maximum and performance of isokinetic tasks differed significantly between highly competitive and novice male karatekas. Studies on female karate athletes do not exist. Concerning flexibility, which is important for the execution of high kicks and adequate range of action at high speeds, it has been demonstrated that karate athletes' ranges of bilateral hip and knee flexion are greater compared with non-karate athletes. Finally, reaction time is a crucial element in karate because high-level performance is based essentially on explosive techniques. A significant difference in the choice reaction time between high-level and novice karatekas exists. Further research is needed concerning the physiological characteristics of female karatekas, the differences between kata and kumite athletes and variations based on weight categories.     

The Tour de France: a physiological review

On 5 July 2003, the Tour de France (TDF) has celebrated 100th running. Instead of a chimney sweep competing during his free time (as in 1903), the recent winner is a highly trained, professional cyclist whose entire life-style has been dedicated to reach his pinnacle during this event. The TDF has been held successfully for 100 years, but the application of the physiologic sciences to the sport is a relatively recent phenomenon. Although some historical reports help to understand the unique physiological characteristics of this race, scientific studies were not available in Sports Science/Applied Physiology journals until the 1990s. The aim of this article is to review the history of the TDF. Special emphasis is placed on the last decade where classic physiology has been integrated into applied scientific cycling data.     

The dancer as a performing athlete: physiological considerations

The physical demands placed on dancers from current choreography and performance schedules make their physiology and fitness just as important as skill development. However, even at the height of their professional careers, dancers' aerobic power, muscular strength, muscular balance, bone and joint integrity are the 'Achilles heels' of the dance-only selection and training system. This partly reflects the unfounded view, shared by sections of the dance world, that any exercise training that is not directly related to dance would diminish dancers' aesthetic appearances. Given that performing dance itself elicits only limited stimuli for positive fitness adaptations, it is not surprising that professional dancers often demonstrate values similar to those obtained from healthy sedentary individuals of comparable age in key fitness-related parameters. In contrast, recent data on male and female dancers revealed that supplementary exercise training can lead to improvements of such fitness parameters and reduce incidents of dance injuries, without interfering with key artistic and aesthetic requirements. It seems, however, that strict selection and training regimens have succeeded in transforming dance to an activity practised by individuals who have selectively developed different flexibility characteristics compared with athletes. Bodyweight targets are normally met by low energy intakes, with female dance students and professional ballerinas reported to consume below 70% and 80% of the recommended daily allowance of energy intake, respectively, while the female athlete 'triad' of disordered eating, amenorrhoea and osteoporosis is now well recognised and is seen just as commonly in dancers.An awareness of these factors will assist dancers and their teachers to improve training techniques, to employ effective injury prevention strategies and to determine better physical conditioning. However, any change in the traditional training regimes must be approached cautiously to ensure that the aesthetic content of the dance is not affected by new training techniques. Since physiological aspects of performing dance have been viewed primarily in the context of ballet, further scientific research on all forms of dance is required.     

An integrated physiological and performance profile of professional tennis

Objective

To describe the physiological responses to tournament tennis in relation to prevailing environmental conditions, match notation, and skills that underpin performance.

Design

14 male professional tennis players (mean (SD) age, 21.4 (2.6) years; height, 183.0 (6.9) cm; body mass, 79.2 (6.4) kg) were studied while contesting international tennis tournaments. Environmental conditions, match notation, physiological (core temperature, hydration status, heart rate, blood variables), and performance indices (serve kinematics, serve velocity, error rates) were recorded.

Results

Hard and clay court tournaments elicited similar peak core temperature (38.9 (0.3) v 38.5 (0.6)°C) and average heart rate (152 (15) v 146 (19) beats/min) but different body mass deficit (1.05 (0.49) v 0.32 (0.56)%, p<0.05). Average pre‐match urine specific gravity was 1.022 (0.004). Time between points was longer during hard court matches (25.1 (4.3) v 17.2 (3.3) s, p<0.05). Qualitative analysis of first and second serves revealed inverse relations between the position of the tossing arm at ball release and the position of the ball toss and progressive match time (respectively, r = −0.74 and r = −0.73, p<0.05) and incurred body mass deficit (r = 0.73 and r = 0.73, p<0.05).

Conclusions

Participants began matches in a poor state of hydration, and experienced moderate thermoregulatory strain and dehydration during competition. These adverse physiological conditions may compromise performance and influence notational analyses.     

A case of recurrent swimming‐induced pulmonary edema in a triathlete: the need for awareness

This report discusses a rare case of a 55‐year‐old female triathlete who developed recurrent episodes of swimming‐induced pulmonary edema (SIPE). She had two hospital admissions with pulmonary edema after developing breathlessness while swimming, including a near‐drowning experience in an open water swim. With increasing popularity of triathlon and open water sports, this case highlights the importance of a greater awareness of SIPE among health professionals, event organizers, and athletes. This report explores the previous reported cases in triathletes and those who have suffered recurrent episodes. It is paramount that an accurate diagnosis is made as these individuals may be at an increased risk of future life‐threatening episodes.     

A physiological and nutritional profile of young female figure skaters.

This study was undertaken to develop a physiological and nutritional profile of 13 female figure skaters, aged 9-17 years. Compared with previous published data, skaters in this study were younger and smaller with a higher percent body fat. Skaters in this study were less experienced and trained less than skaters in other studies but attained similar levels of maximal oxygen uptake (VO2max), handgrip strength, and vertical jump power. Relative VO2max (ml/kg/min) was significantly negatively correlated (p less than 0.0033) with body weight and percent body fat, while body weight was significantly positively correlated (p less than 0.0003) with handgrip strength and vertical jump power. In terms of nutritional recommendations, skaters in this study consumed comparatively high amounts of fat and protein with low amounts of carbohydrate, calcium, and iron. Despite suboptimal nutrition and a relatively low training volume, skaters in this study exhibited physiological characteristics similar to those reported for female figure skaters in the literature.     

Physiological responses to repeated bouts of highintensity ultraendurance cycling—a field study case report

The present study aimed to 1) examine the relationship between laboratory-based measures and high-intensity ultraendurance (HIU) performance during an intermittent 24-h relay ultraendurance mountain bike race (approximately 20 min cycling, approximately 60 min recovery), and 2) examine physiological and performance based changes throughout the HIU event. Prior to the HIU event, four highly-trained male cyclists (age = 24.0 +/- 2.1 yr; mass = 75.0 +/- 2.7 kg; VO2peak = 70 +/- 3 ml x kg(-1) x min(-1)) performed 1) a progressive exercise test to determine peak volume of oxygen uptake (VO2peak), peak power output (PPO), and ventilatory threshold (T(vent)), 2) time-to-fatigue tests at 100% (TF100) and 150% of PPO (TF150), and 3) a laboratory simulated 40-km time trial (TT40). Blood lactate (Lac(-)), haematocrit and haemoglobin were measured at 6-h intervals throughout the HIU event, while heart rate (HR) was recorded continuously. Intermittent HIU performance, performance HR, recovery HR, and Lac(-) declined (P < 0.05), while plasma volume expanded (P < 0.05) during the HIU event. TF100 was related to the decline in lap time (r = -0.96; P < 0.05), and a trend (P = 0.081) was found between TF150 and average intermittent HIU speed (r = 0.92). However, other measures (VO2peak, PPO, T(vent), and TT40) were not related to HIU performance. Measures of high-intensity endurance performance (TF100, TF150) were better predictors of intermittent HIU performance than traditional laboratory-based measures of aerobic capacity.