K. Levels
VU University Amsterdam
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Featured researches published by K. Levels.
International Journal of Sports Physiology and Performance | 2015
E. Schulze; H.A.M. Daanen; K. Levels; J.R. Casadio; Daniel J. Plews; A.E. Kliding; Rodney Siegel; Paul B. Laursen
PURPOSE To determine the effect of thermal state and thermal comfort on cycling performance in the heat. METHODS Seven well-trained male triathletes completed 3 performance trials consisting of 60 min cycling at a fixed rating of perceived exertion (14) followed immediately by a 20-km time trial in hot (30°C) and humid (80% relative humidity) conditions. In a randomized order, cyclists either drank ambient-temperature (30°C) fluid ad libitum during exercise (CON), drank ice slurry (-1°C) ad libitum during exercise (ICE), or precooled with iced towels and ice slurry ingestion (15 g/kg) before drinking ice slurry ad libitum during exercise (PC+ICE). Power output, rectal temperature, and ratings of thermal comfort were measured. RESULTS Overall mean power output was possibly higher in ICE (+1.4%±1.8% [90% confidence limit]; 0.4> smallest worthwhile change [SWC]) and likely higher PC+ICE (+2.5%±1.9%; 1.5>SWC) than in CON; however, no substantial differences were shown between PC+ICE and ICE (unclear). Time-trial performance was likely enhanced in ICE compared with CON (+2.4%±2.7%; 1.4>SWC) and PC+ICE (+2.9%±3.2%; 1.9>SWC). Differences in mean rectal temperature during exercise were unclear between trials. Ratings of thermal comfort were likely and very likely lower during exercise in ICE and PC+ICE, respectively, than in CON. CONCLUSIONS While PC+ICE had a stronger effect on mean power output compared with CON than ICE did, the ICE strategy enhanced late-stage time-trial performance the most. Findings suggest that thermal comfort may be as important as thermal state for maximizing performance in the heat.
European Journal of Sport Science | 2016
Meriam A. R. Berkulo; Susan Bol; K. Levels; Robert P. Lamberts; H.A.M. Daanen; Timothy D. Noakes
Abstract The aim of this study was to investigate if drinking ad-libitum can counteract potential negative effects of a hypohydrated start caused by fluid restriction during a 40-km time trial (TT) in the heat. Twelve trained males performed one 40-km cycling TT euhydrated (EU: no water during the TT) and two 40-km cycling TTs hypohydrated. During one hypohydrated trial no fluid was ingested (HYPO), during the other trial ad-libitum water ingestion was allowed (FLUID). Ambient temperature was 35.2 ± 0.2°C, relative humidity 51 ± 3% and airflow 7 m·s−1. Body mass (BM) was determined at the start of the test, and before and after the TT. During the TT, power output, heart rate (HR), gastrointestinal temperature, mean skin temperature, rating of perceived exertion (RPE), thermal sensation, thermal comfort and thirst sensation were measured. Prior to the start of the TT, BM was 1.2% lower in HYPO and FLUID compared to EU. During the TT, BM loss in FLUID was lower compared to EU and HYPO (1.0 ± 0.8%, 2.7 ± 0.2% and 2.6 ± 0.3%, respectively). Hydration status had no effect on power output (EU: 223 ± 32 W, HYPO: 217 ± 39 W, FLUID: 224 ± 35 W), HR, gastrointestinal temperature, mean skin temperature, RPE, thermal sensation and thermal comfort. Thirst sensation was higher in HYPO than in EU and FLUID. It was concluded that hypohydration did not adversely affect performance during a 40-km cycling TT in the heat. Therefore, whether or not participants consumed fluid during exercise did not influence their TT performance.
International Journal of Dermatology | 2015
H.A.M. Daanen; Mijke Peerbooms; C.J.G. van den Hurk; B. van Os; K. Levels; L P J Teunissen; W.P.M. Breed
The efficacy of hair loss prevention by scalp cooling to prevent chemotherapy induced hair loss has been shown to be related to scalp skin temperature. Scalp skin temperature, however, is dependent not only on local cooling but also on the thermal status of the body.
Journal of Sports Sciences | 2014
K. Levels; J.J. de Koning; I. Broekhuijzen; T. Zwaan; Carl Foster; H.A.M. Daanen
Abstract The goal of this study was to investigate the effects of different durations of skin temperature manipulation on pacing patterns and performance during a 15-km cycling time trial. Nineteen well-trained men completed three 15-km cycling time trials in 18°C and 50% relative humidity with 4.5-km (short-heat), 9.0-km (long-heat) or without (control) radiant heat exposure applied by infrared heaters after 1.5 km in the time trial. During the time trials, power output, mean skin temperature, rectal temperature, heart rate and rating of perceived exertion were assessed. The radiant heat exposure resulted in higher mean skin temperature during the time trial for short-heat (35.0 ± 0.6°C) and long-heat (35.3 ± 0.5°C) than for control (32.5 ± 1.0°C; P < 0.001), whereas rectal temperature was similar (P = 0.55). The mean power output was less for short-heat (273 ± 8 W; P = 0.001) and long-heat (271 ± 9 W; P = 0.02) than for control (287 ± 7 W), but pacing patterns did not differ (P = 0.55). Heart rate was greatest in control (177 ± 9 beats · min−1; P < 0.001), whereas the rating of perceived exertion remained similar. We concluded that a radiant heat exposure and associated higher skin temperature reduced overall performance, but did not modify pacing pattern during a 15-km cycling time trial, regardless of the duration of the exposure.
PLOS ONE | 2016
Stephan van der Zwaard; Richard T. Jaspers; Ilse J. Blokland; Chantal Achterberg; Jurrian M. Visser; Anne R. den Uil; Mathijs J. Hofmijster; K. Levels; Dionne A. Noordhof; Arnold de Haan; Jos J. de Koning; Willem J. van der Laarse; Cornelis J. de Ruiter
Background Near-infrared spectroscopy (NIRS) measurements of oxygenation reflect O2 delivery and utilization in exercising muscle and may improve detection of a critical exercise threshold. Purpose First, to detect an oxygenation breakpoint (Δ[O2HbMb-HHbMb]-BP) and compare this breakpoint to ventilatory thresholds during a maximal incremental test across sexes and training status. Second, to assess reproducibility of NIRS signals and exercise thresholds and investigate confounding effects of adipose tissue thickness on NIRS measurements. Methods Forty subjects (10 trained male cyclists, 10 trained female cyclists, 11 endurance trained males and 9 recreationally trained males) performed maximal incremental cycling exercise to determine Δ[O2HbMb-HHbMb]-BP and ventilatory thresholds (VT1 and VT2). Muscle haemoglobin and myoglobin O2 oxygenation ([HHbMb], [O2HbMb], SmO2) was determined in m. vastus lateralis. Δ[O2HbMb-HHbMb]-BP was determined by double linear regression. Trained cyclists performed the maximal incremental test twice to assess reproducibility. Adipose tissue thickness (ATT) was determined by skinfold measurements. Results Δ[O2HbMb-HHbMb]-BP was not different from VT1, but only moderately related (r = 0.58–0.63, p<0.001). VT1 was different across sexes and training status, whereas Δ[O2HbMb-HHbMb]-BP differed only across sexes. Reproducibility was high for SmO2 (ICC = 0.69–0.97), Δ[O2HbMb-HHbMb]-BP (ICC = 0.80–0.88) and ventilatory thresholds (ICC = 0.96–0.99). SmO2 at peak exercise and at occlusion were strongly related to adipose tissue thickness (r2 = 0.81, p<0.001; r2 = 0.79, p<0.001). Moreover, ATT was related to asymmetric changes in Δ[HHbMb] and Δ[O2HbMb] during incremental exercise (r = -0.64, p<0.001) and during occlusion (r = -0.50, p<0.05). Conclusion Although the oxygenation threshold is reproducible and potentially a suitable exercise threshold, VT1 discriminates better across sexes and training status during maximal stepwise incremental exercise. Continuous-wave NIRS measurements are reproducible, but strongly affected by adipose tissue thickness.
The FASEB Journal | 2017
Stephan van der Zwaard; Willem J. van der Laarse; Guido Weide; Frank W. Bloemers; Mathijs J. Hofmijster; K. Levels; Dionne A. Noordhof; Jos J. de Koning; Cornelis J. de Ruiter; Richard T. Jaspers
Optimizing physical performance is a major goal in current physiology. However, basic understanding of combining high sprint and endurance performance is currently lacking. This study identifies critical determinants of combined sprint and endurance performance using multiple regression analyses of physiologic determinants at different biologic levels. Cyclists, including 6 international sprint, 8 team pursuit, and 14 road cyclists, completed a Wingate test and 15‐km time trial to obtain sprint and endurance performance results, respectively. Performance was normalized to lean body mass2/3 to eliminate the influence of body size. Performance determinants were obtained from whole‐body oxygen consumption, blood sampling, knee‐extensor maximal force, muscle oxygenation, whole‐muscle morphology, and muscle fiber histochemistry of musculus vastus lateralis. Normalized sprint performance was explained by percentage of fast‐type fibers and muscle volume (R2 = 0.65; P < 0.001) and normalized endurance performance by performance oxygen consumption (Vo2), mean corpuscular hemoglobin concentration, and muscle oxygenation (R2 = 0.92; P < 0.001). Combined sprint and endurance performance was explained by gross efficiency, performance Vo2 and likely by muscle volume and fascicle length (P = 0.056; P = 0.059). High performance Vo2 related to a high oxidative capacity, high capillarization x myoglobin, and small physiologic cross‐sectional area (R2 = 0.67; P < 0.001). Results suggest that fascicle length and capillarization are important targets for training to optimize sprint and endurance performance simultaneously.— Van der Zwaard, S., van derLaarse, W. J., Weide, G., Bloemers, F. W., Hofmijster, M. J., Levels, K., Noordhof, D. A., de Koning, J. J., de Ruiter, C. J., Jaspers, R. T. Critical determinants of combined sprint and endurance performance: an integrative analysis from muscle fiber to the human body. FASEB J. 32, 2110–2123 (2018). www.fasebj.org
Journal of Sports Sciences | 2018
Stephan van der Zwaard; Guido Weide; K. Levels; Michelle R. I. Eikelboom; Dionne A. Noordhof; Mathijs J. Hofmijster; Willem J. van der Laarse; Jos J. de Koning; Cornelis J. de Ruiter; Richard T. Jaspers
ABSTRACT Rowers need to combine high sprint and endurance capacities. Muscle morphology largely explains muscle power generating capacity, however, little is known on how muscle morphology relates to rowing performance measures. The aim was to determine how muscle morphology of the vastus lateralis relates to rowing ergometer performance, sprint and endurance capacity of Olympic rowers. Eighteen rowers (12♂, 6♀, who competed at 2016 Olympics) performed an incremental rowing test to obtain maximal oxygen consumption, reflecting endurance capacity. Sprint capacity was assessed by Wingate cycling peak power. M. vastus lateralis morphology (volume, physiological cross-sectional area, fascicle length and pennation angle) was derived from 3-dimensional ultrasound imaging. Thirteen rowers (7♂, 6♀) completed a 2000-m rowing ergometer time trial. Muscle volume largely explained variance in 2000-m rowing performance (R2 = 0.85), maximal oxygen consumption (R2 = 0.65), and Wingate peak power (R2 = 0.82). When normalized for differences in body size, maximal oxygen consumption and Wingate peak power were negatively related in males (r = −0.94). Fascicle length, not physiological cross-sectional area, attributed to normalized peak power. In conclusion, vastus lateralis volume largely explains variance in rowing ergometer performance, sprint and endurance capacity. For a high normalized sprint capacity, athletes may benefit from long fascicles rather than a large physiological cross-sectional area.
7th International Conference on 3D Body Scanning Technologies, Lugano, Switzerland, 30 Nov.-1 Dec. 2016 | 2016
H.A.M. Daanen; K. Levels; Lisette Vonk; Wesley Bosman; Yorick Schnepper; Frank B. Ter Haar
Whole body volume changes due to sweat loss after exercise in the heat are well documented, but little is known about the relative contribution of the torso and extremities to these volume changes. It is the purpose of this study to quantify these effects. Therefore, seven healthy male subjects were scanned using a SizeStream and Vitronic whole body scanner prior to and shortly after they lost 1.7 ± 0.1% of their body weight due to cycling at 2 W/kg in a 35°C, 20% relative humidity climatic chamber for 75 minutes. Whole body volume loss was 1.0 ± 0.7% using the SizeStream scanner and 1.3 ± 0.6% using the Vitronic scanner. Torso volume decreased most with 2.1 ± 1.5% (p=0.009) and 5.6 ± 3.1% (p=0.002) followed by the legs with 1.1 ± 2.7% (N.S.) and 2.9 ± 1.0% (p<0.0001) for SizeStream and Vitronic respectively. Changes in arm volume were negligible. The circumference decreased significantly for the chest and upper legs but not for the waist and arms. We conclude that the major part of sweat loss originates from the torso and legs, but since both scanners did not produce similar results likely due to differences in accuracy, we recommend using high-resolution scanners to record volume changes in more detail.
European Journal of Applied Physiology | 2012
K. Levels; Jos J. de Koning; Carl Foster; H.A.M. Daanen
International Journal of Sports Physiology and Performance | 2013
K. Levels; L.P.J. Teunissen; Arnold de Haan; Jos J. de Koning; Bernadet van Os; H.A.M. Daanen