Judith Anson

Physiological characteristics of successful mountain bikers and professional road cyclists

The aims of this study were to compare the physiological and anthropometric characteristics of successful mountain bikers and professional road cyclists and to re-examine the power-to-weight characteristics of internationally competitive mountain bikers. Internationally competitive cyclists (seven mountain bikers and seven road cyclists) completed the following tests: anthropometric measurements, an incremental cycle ergometer test and a 30 min laboratory time-trial. The mountain bikers were lighter (65.3 - 6.5 vs 74.7 - 3.8 kg, P = 0.01; mean - s ) and leaner than the road cyclists (sum of seven skinfolds: 33.9 - 5.7 vs 44.5 - 10.8 mm, P = 0.04). The mountain bikers produced higher power outputs relative to body mass at maximal exercise (6.3 - 0.5 vs 5.8 - 0.3 W·kg -1 , P = 0.03), at the lactate threshold (5.2 - 0.6 vs 4.7 - 0.3 W·kg -1 , P = 0.048) and during the 30 min time-trial (5.5 - 0.5 vs 4.9 - 0.3 W·kg -1 , P = 0.02). Similarly, peak oxygen uptake relative to body mass was higher in the mountain bikers (78.3 - 4.4 vs 73.0 - 3.4 ml·kg -1 ·min -1 , P = 0.03). The results indicate that high power-to-weight characteristics are important for success in mountain biking. The mountain bikers possessed similar anthropometric and physiological characteristics to previously studied road cycling uphill specialists.

Reproducibility of performance changes to simulated live high/train low altitude.

UNLABELLED Elite athletes often undertake multiple altitude exposures within and between training years in an attempt to improve sea level performance. PURPOSE To quantify the reproducibility of responses to live high/train low (LHTL) altitude exposure in the same group of athletes. METHODS Sixteen highly trained runners with maximal aerobic power (VO2max) of 73.1 +/- 4.6 and 64.4 +/- 3.2 mL x kg(-1) x min(-1) (mean +/- SD) for males and females, respectively, completed 2 x 3-wk blocks of simulated LHTL (14 h x d(-1), 3000 m) or resided near sea level (600 m) in a controlled study design. Changes in the 4.5-km time trial performance and physiological measures including VO2max, running economy and hemoglobin mass (Hb(mass)) were assessed. RESULTS Time trial performance showed small and variable changes after each 3-wk altitude block in both the LHTL (mean [+/-90% confidence limits]: -1.4% [+/-1.1%] and 0.7% [+/-1.3%]) and the control (0.5% [+/-1.5%] and -0.7% [+/-0.8%]) groups. The LHTL group demonstrated reproducible improvements in VO2max (2.1% [+/-2.1%] and 2.1% [+/-3.9%]) and Hb(mass) (2.8% [+/-2.1%] and 2.7% [+/-1.8%]) after each 3-wk block. Compared with those in the control group, the runners in the LHTL group were substantially faster after the first 3-wk block (LHTL - control = -1.9% [+/-1.8%]) and had substantially higher Hb(mass) after the second 3-wk block (4.2% [+/-2.1%]). There was no substantial difference in the change in mean VO2max between the groups after the first (1.2% [+/-3.3%]) or second 3-wk block (1.4% [+/-4.6%]). CONCLUSIONS Three-week LHTL altitude exposure can induce reproducible mean improvements in VO2max and Hb(mass) in highly trained runners, but changes in time trial performance seem to be more variable. Competitive performance is dependent not only on improvements in physiological capacities that underpin performance but also on a complex interaction of many factors including fitness, fatigue, and motivation.

Movement patterns in rugby sevens: Effects of tournament level, fatigue and substitute players

OBJECTIVES Understanding of the physical demands and the effects of fatigue and substitute players in rugby sevens is limited. This study quantified the differences in movement patterns between domestic and international rugby sevens tournaments, the effects of fatigue within and between matches during tournaments, and movement patterns of second half substitute players. DESIGN Movement patterns of 19 international-level male rugby sevens players were recorded using a Global Positioning System (GPS) device during 11 international and 16 domestic matches (n = 174 files). METHODS Maximum velocity, total distance covered, distance covered in velocity zones and number of moderate and high accelerations and decelerations are reported per min of match time. Movement patterns were compared between international and domestic matches, first and second half, first and last tournament match and substitute and full-match players. RESULTS Substantially greater distance was covered at high velocity (~27% at ≥ 6 ms(-1)) and 4-39% more accelerations and decelerations were performed in international than domestic matches. The relative distance covered by players at velocities >2 ms(-1) and the number of changes in velocity were reduced by 1-16% from first to second half. Small differences were observed in activity at <5 ms(-1) (-8-8%) and moderate accelerations (-18%) from first to last tournament match. All movement variables were higher (2-123%) for substitute players. CONCLUSIONS International rugby sevens competition is more intense than domestic matches. Despite reductions in work-rate within individual matches, there is little indication of accumulated fatigue over a multi-day tournament.

Barriers and enablers that influence sustainable interprofessional education: a literature review

Abstract The effective incorporation of interprofessional education (IPE) within health professional curricula requires the synchronised and systematic collaboration between and within the various stakeholders. Higher education institutions, as primary health education providers, have the capacity to advocate and facilitate this collaboration. However, due to the diversity of stakeholders, facilitating the pedagogical change can be challenging and complex, and brings a degree of uncertainty and resistance. This review, through an analysis of the barriers and enablers investigates the involvement of stakeholders in higher education IPE through three primary stakeholder levels: Government and Professional, Institutional and Individual. A review of eight primary databases using 21 search terms resulted in 40 papers for review. While the barriers to IPE are widely reported within the higher education IPE literature, little is documented about the enablers of IPE. Similarly, the specific identification and importance of enablers for IPE sustainability and the dual nature of some barriers and enablers have not been previously reported. An analysis of the barriers and enablers of IPE across the different stakeholder levels reveals five key “fundamental elements” critical to achieving sustainable IPE in higher education curricula.

Assessing proprioception: A critical review of methods

To control movement, the brain has to integrate proprioceptive information from a variety of mechanoreceptors. The role of proprioception in daily activities, exercise, and sports has been extensively investigated, using different techniques, yet the proprioceptive mechanisms underlying human movement control are still unclear. In the current work we have reviewed understanding of proprioception and the three testing methods: threshold to detection of passive motion, joint position reproduction, and active movement extent discrimination, all of which have been used for assessing proprioception. The origin of the methods, the different testing apparatus, and the procedures and protocols used in each approach are compared and discussed. Recommendations are made for choosing an appropriate technique when assessing proprioceptive mechanisms in different contexts.

Level of competitive success achieved by elite athletes and multi-joint proprioceptive ability

OBJECTIVES Proprioceptive ability has been suggested to underpin elite sports performance. Accordingly, this study examined the relationship between an athletes proprioceptive ability, competition level achieved, and years of sport-specific training. DESIGN Cross-sectional study. METHODS One hundred elite athletes, at competition levels ranging from regional to international, in aerobic gymnastics, swimming, sports dancing, badminton and soccer, were assessed for proprioceptive acuity at the ankle, knee, spine, shoulder, and finger joints. An active movement extent discrimination test was conducted at each joint, to measure ability to discriminate small differences in movements made to physical stops. RESULTS Multiple regression analysis showed that 30% of the variance in the sport competition level an athlete achieved could be accounted for by an equation that included: ankle movement discrimination score, years of sport-specific training, and shoulder and spinal movement discrimination scores (p<0.001). Mean proprioceptive acuity score over these three predictor joints was significantly correlated with sport competition level achieved (r=0.48, p<0.001), highlighting the importance of proprioceptive ability in underpinning elite sports performance. Years of sport-specific training correlated with an athletes sport competition level achieved (r=0.29, p=0.004), however, proprioceptive acuity was not correlated with years of sport-specific training, whether averaged over joints or considered singly for each joint tested (all r≤0.13, p≥0.217). CONCLUSIONS Proprioceptive acuity is significantly associated with the performance level achieved by sports elites. The amount of improvement in proprioceptive acuity associated with sport-specific training may be constrained by biologically determined factors.

Association between Physical Functionality and Falls Risk in Community-Living Older Adults

Ageing-related declines in physiological attributes, such as muscle strength, can bring with them an increased risk of falls and subsequently greater risk of losing independence. These declines have substantial impact on an individuals functional ability. However, the precise relationship between falls risk and physical functionality has not been evaluated. The aims of this study were to determine the association between falls risk and physical functionality using objective measures and to create an appropriate model to explain variance in falls risk. Thirty-two independently living adults aged 65–92 years completed the FallScreen, the Continuous-Scale Physical Functional Performance 10 (CS-PFP10) tests, and the 12-Item Short-Form Health Survey (SF-12). The relationships between falls risk, physical functionality, and age were investigated using correlational and multiple hierarchical regression analyses. Overall, total physical functionality accounted for 24% of variance in an individuals falls risk while age explained a further 13%. The oldest-old age group had significantly greater falls risk and significantly lower physical functional performance. Mean scores for all measures showed that there were substantial (but not significant) differences between males and females. While increasing age is the strongest single predictor of increasing falls risk, poorer physical functionality was strongly, independently related to greater falls risk.

Identification of Cross-Country Skiing Movement Patterns Using Micro-Sensors

This study investigated the potential of micro-sensors for use in the identification of the main movement patterns used in cross-country skiing. Data were collected from four elite international and four Australian athletes in Europe and in Australia using a MinimaxX™ unit containing accelerometer, gyroscope and GPS sensors. Athletes performed four skating techniques and three classical techniques on snow at moderate velocity. Data from a single micro-sensor unit positioned in the centre of the upper back was sufficient to visually identify cyclical movement patterns for each technique. The general patterns for each technique were identified clearly across all athletes while at the same time distinctive characteristics for individual athletes were observed. Differences in speed, snow condition and gradient of terrain were not controlled in this study and these factors could have an effect on the data patterns. Development of algorithms to process the micro-sensor data into kinematic measurements would provide coaches and scientists with a valuable performance analysis tool. Further research is needed to develop such algorithms and to determine whether the patterns are consistent across a range of different speeds, snow conditions and terrain, and for skiers of differing ability.

Intravenous Iron Supplementation in Distance Runners with Low or Suboptimal Ferritin

PURPOSE Iron deficiency is prevalent in distance runners and may impair endurance performance. The current practice of oral supplementation is slow and often not well tolerated. The aim of this study was to assess the efficacy of intravenous (IV) iron supplementation (ferric carboxymaltose) compared with oral supplementation (ferrous sulfate) on iron status, hemoglobin mass (Hbmass), and physiological indices of running performance in distance runners. METHODS Twenty-seven highly trained distance runners with low (LOW) (ferritin <35 μg·L(-1) and transferrin saturation <20%, or ferritin <15 μg·L(-1)) or suboptimal (SUB) iron status (ferritin <65 μg·L(-1)) were supplemented with either IV iron (Ferinject®) or oral (ORAL) supplements (Ferrogradumet) for 6 wk. Iron status and Hbmass were assessed before supplementation and at 1, 2, 4, 6, and 8 wk in the four groups (IV LOW, IV SUB, ORAL LOW, and ORAL SUB). In addition, athletes completed a treadmill running test for running economy, lactate threshold, and V˙O2max before and after supplementation. RESULTS Both forms of supplementation substantially increased ferritin levels in all four groups. IV supplementation resulted in higher ferritin in both IV groups compared with both ORAL groups from week 1 onward. Hemoglobin concentration did not change substantially in any group. Hbmass increased in IV LOW (mean = +4.9%, 90% confidence interval [CI] = 1.1%-8.9%) and was accompanied by an increase in V˙O2max (mean = +3.3%, 90% CI = 0.4%-6.3%) and run time to exhaustion (mean = +9.3%, 90% CI = 0.9%-18.3%. CONCLUSIONS IV supplementation can effectively increase iron stores in iron-deficient runners within 6 wk and, if Hbmass is compromised, may enhance endurance capacity by facilitating erythropoiesis. Hbmass appears a more sensitive tool for measuring changes in whole body hemoglobin than hemoglobin concentration and may be useful in the diagnosis and follow-up for iron deficiency.

Analysis of lap times in international swimming competitions.

Abstract Swimming performances were analysed for the top 16 finishers (semi-finalists, finalists) in nine international competitions over a 7-year period (1530 males, 1527 female). Total race time and intermediate lap times were log-transformed and analysed for effects of sex (male, female), stroke (freestyle, form strokes, individual medley), event (100, 200, and 400 m), and place (1–16). Between-athlete correlations characterized the relationship of each lap to final time, and within-athlete estimates quantified the effect of lap time on improvements in final time. Finalists exhibited very large correlations (r = 0.7–0.9) with final time in the second 50-m lap of 100-m events and the middle two 50-m and 100-m laps of 200-m and 400-m events respectively. For an individual swimmer, an achievable change in lap time was associated with an approximate 0.4–0.8% improvement in final time for finalists and an approximate 0.5–1.1% improvement in final time for semi-finalists, depending on sex, stroke, and event. The pattern of lap times was similar for the top 16 swimmers and between the best and worst swims for finalists. These findings indicate that substantial improvements can be made via the final lap in sprints and the middle two laps of 200- to 400-m events, but the overall pattern of lap times should not be changed.