Luana C. Main

Monitoring the athlete training response: subjective self-reported measures trump commonly used objective measures: a systematic review

Background Monitoring athlete well-being is essential to guide training and to detect any progression towards negative health outcomes and associated poor performance. Objective (performance, physiological, biochemical) and subjective measures are all options for athlete monitoring. Objective We systematically reviewed objective and subjective measures of athlete well-being. Objective measures, including those taken at rest (eg, blood markers, heart rate) and during exercise (eg, oxygen consumption, heart rate response), were compared against subjective measures (eg, mood, perceived stress). All measures were also evaluated for their response to acute and chronic training load. Methods The databases Academic search complete, MEDLINE, PsycINFO, SPORTDiscus and PubMed were searched in May 2014. Fifty-six original studies reported concurrent subjective and objective measures of athlete well-being. The quality and strength of findings of each study were evaluated to determine overall levels of evidence. Results Subjective and objective measures of athlete well-being generally did not correlate. Subjective measures reflected acute and chronic training loads with superior sensitivity and consistency than objective measures. Subjective well-being was typically impaired with an acute increase in training load, and also with chronic training, while an acute decrease in training load improved subjective well-being. Summary This review provides further support for practitioners to use subjective measures to monitor changes in athlete well-being in response to training. Subjective measures may stand alone, or be incorporated into a mixed methods approach to athlete monitoring, as is current practice in many sport settings.

Relationship between inflammatory cytokines and self-report measures of training overload

It has been purported that inflammatory cytokines may be responsible for the aetiology of overtraining. The aim of the present study was to investigate the relationship between self-reported measures of overtraining and inflammatory cytokines. Eight elite male rowers were monitored in their natural training environment for 8 weeks prior to the 2007 Rowing World Championships. During this period of intense endurance training, self-report measures of overtraining and inflammatory cytokines (Interleukin (IL)-1β, IL-6, IL-8, IL-10, IL-12p70, and Tumor Necrosis Factor (TNF)-α) were assessed fortnightly. Consistent with previous findings, proinflammatory cytokines IL-1β and TNF-α were significantly associated (p ≤ 0.05) with measures of depressed mood, sleep disturbances, and stress. Similarly, IL-6 was significantly associated (p ≤ 0.01) with measures of depressed mood, sleep disturbances, and fatigue. These results are consistent with previous hypotheses describing how overtraining may be caused by excessive cytokine release, and lend further support for a cytokine hypothesis of overtraining.

A multi-component assessment model for monitoring training distress among athletes

Abstract We report the initial validation of a multi-component assessment model for monitoring training distress among athletes. The model combines measures of mood disturbance with measures of perceived stress and symptom intensity. Altogether, 492 athletes completed the 10-item Perceived Stress Scale (PSS-10; Cohen et al., 1983), the 24-item Brunel Mood Scale (BRUMS; Terry et al., 2003), and a checklist of 19 symptoms associated with acute overtraining (Fry et al., 1994). Six training distress factors were identified by an exploratory factor analysis: “depressed mood”, “perceived vigour”, “physical symptoms”, “sleep disturbance”, “perceived stress”, and “general fatigue”. Comparisons of group means of these factors with a previously validated inventory were consistent with theoretical predictions and provided evidence of construct validity. Internal consistency of the subscales was also confirmed, with Cronbach alphas ranging from 0.72 to 0.86. Together, these findings suggest that this multi-component model provides a sound conceptual basis for the assessment of training distress among athletes.

Impact of training on changes in perceived stress and cytokine production.

Data on training of competitive athletes and the inflammatory response, and, more specifically, the utility of psychological inventories to monitor this response in regards to overreaching is limited. The aim of the present study was to investigate the association of the Perceived Stress Scale (PSS) and inflammatory markers in elite rowers. Eight rowers (males n = 4; females n = 4) were monitored over an 8-week training period, comprising 12 sessions each week and training an average 3.11 h·d−1. Training volume was periodized weekly while intensity was maintained throughout the study. Perceived stress was measured weekly pretraining, and capillary blood samples (500 μL) were taken post-training. Significant associations between perceived stress and cytokines interleukin-6 (p < .05) and tumor necrosis factor alpha (p < .05) were observed. While further investigation of the role of cytokines in the overtraining process is required, these data provide preliminary support for an association between perceived stress and the inflammatory responses to training.

Kinanthropometric differences between 1997 World championship junior elite and 2011 national junior elite triathletes

OBJECTIVES In 1997, anthropometry measures were made to determine the body size and shapes of both senior and junior elite triathletes. Since then, the junior event distance has changed and the optimal morphology of participants may have evolved. Thus the objective of this study was to compare the morphology of 1997 World championship junior elite triathlon competitors with junior elite competitors in 2011. DESIGN Comparative study of junior elite triathlete kinanthropometry. METHODS Twenty-nine males and 20 females junior elite competitors in the 1997 Triathlon World Championships underwent 26 anthropometric measurements. Results were compared with 28 male and 14 female junior elite triathletes who competed in the 2011 Australian National Junior Series, as qualifying for 2011 Triathlon World Championships. Comparisons were made on the raw scores, as well as somatotype, and body proportional scores. RESULTS Both male and female junior elite triathletes in the 2011 group were significantly more ectomorphic than their 1997 counterparts. The 2011 triathletes were also proportionally lighter, with significantly smaller flexed arm and thigh girths, and femur breadths. The 2011 males recorded significantly longer segmental lengths and lower endomorphy values than the 1997 junior males. CONCLUSIONS Junior elite triathlete morphology has evolved during the past 14 years possibly as a result of changing race distance and race tactics, highlighting the importance of continually monitoring and updating such anthropometric data.

The impact of sleep restriction and simulated physical firefighting work on acute inflammatory stress responses

Objectives This study investigated the effect restricted sleep has on wildland firefighters’ acute cytokine levels during 3 days and 2 nights of simulated physical wildfire suppression work. Methods Firefighters completed multiple days of physical firefighting work separated by either an 8-h (Control condition; n = 18) or 4-h (Sleep restriction condition; n = 17) sleep opportunity each night. Blood samples were collected 4 times a day (i.e., 06:15, 11:30, 18:15, 21:30) from which plasma cytokine levels (IL-6, IL-8, IL-1β, TNF-α, IL-4, IL-10) were measured. Results The primary findings for cytokine levels revealed a fixed effect for condition that showed higher IL-8 levels among firefighters who received an 8-h sleep each night. An interaction effect demonstrated differing increases in IL-6 over successive days of work for the SR and CON conditions. Fixed effects for time indicated that IL-6 and IL-4 levels increased, while IL-1β, TNF-α and IL-8 levels decreased. There were no significant effects for IL-10 observed. Conclusion Findings demonstrate increased IL-8 levels among firefighters who received an 8-h sleep when compared to those who had a restricted 4-h sleep. Firefighters’ IL-6 levels increased in both conditions which may indicate that a 4-h sleep restriction duration and/or period (i.e., 2 nights) was not a significant enough stressor to affect this cytokine. Considering the immunomodulatory properties of IL-6 and IL-4 that inhibit pro-inflammatory cytokines, the rise in IL-6 and IL-4, independent of increases in IL-1β and TNF-α, could indicate a non-damaging response to the stress of simulated physical firefighting work. However, given the link between chronically elevated cytokine levels and several diseases, further research is needed to determine if firefighters’ IL-8 and IL-6 levels are elevated following repeated firefighting deployments across a fire season and over multiple fire seasons.

Role of a Self-report Measure in Athlete Preparation

Abstract Saw, AE, Main, LC, and Gastin, PB. Role of a self-report measure in athlete preparation. J Strength Cond Res 29(3): 685–691, 2015—Athlete self-report measures (ASRM) are a common and cost-effective method of athlete monitoring. It is purported that ASRM be used to detect athletes at risk of overtraining, injury, or illness, allowing intervention through training modification. However, it is not known whether ASRM are actually being used for or are achieving these objectives in the applied sport setting. Therefore, the aim of this study was to better understand how ASRM are being used in elite sports and their role in athletic preparation. Semistructured interviews were conducted one-on-one with athletes, coaches, and sports science and medicine staff (n = 30) at a national sporting institute. Interview recordings were transcribed and analyzed for emergent themes. Twelve day-to-day and 7 longer-term practices were identified which contributed to a 4-step process of ASRM use (record data, review data, contextualize, and act). In addition to the purported uses, ASRM facilitated information disclosure and communication among athletes and staff and between staff, and improved the understanding and management of athlete preparation. These roles of ASRM are best achieved through engagement of athletes, coaches, and support staff in the systematic cyclic process.

Effects of work-related sleep restriction on acute physiological and psychological stress responses and their interactions: A review among emergency service personnel.

Emergency work can expose personnel to sleep restriction. Inadequate amounts of sleep can negatively affect physiological and psychological stress responses. This review critiqued the emergency service literature (e.g., firefighting, police/law enforcement, defense forces, ambulance/paramedic personnel) that has investigated the effect of sleep restriction on hormonal, inflammatory and psychological responses. Furthermore, it investigated if a psycho-physiological approach can help contextualize the significance of such responses to assist emergency service agencies monitor the health of their personnel. The available literature suggests that sleep restriction across multiple work days can disrupt cytokine and cortisol levels, deteriorate mood and elicit simultaneous physiological and psychological responses. However, research concerning the interaction between such responses is limited and inconclusive. Therefore, it is unknown if a psycho-physiological relationship exists and as a result, it is currently not feasible for agencies to monitor sleep restriction related stress based on psycho- physiological interactions. Sleep restriction does however, appear to be a major stressor contributing to physiological and psychological responses and thus, warrants further investigation.

Validation of GPS and accelerometer technology in swimming

OBJECTIVES To evaluate the validity of an integrated accelerometer and Global Positioning System (GPS) device to quantify swimming kinematics variables in swimming. DESIGN Criterion validation study. METHODS Twenty-one sub-elite swimmers completed three 100 m efforts (one butterfly, breaststroke and freestyle) in an outdoor 50 m Olympic pool. A GPS device with an integrated tri-axial accelerometer was used to obtain mid-pool velocity and stroke count of each effort. This data was compared to velocity and stroke count data obtained from concurrently recorded digital video of the performance. RESULTS A strong relationship was detected between the accelerometer stroke count and the video criterion measure for both breaststroke (r>0.98) and butterfly (r>0.99). Also, no significant differences were detected between the GPS velocity and video obtained velocity for both freestyle and breaststroke. There was a significant difference between the GPS velocity and criterion measure for butterfly. Acceptable standard error and 95% limits of agreement were obtained for freestyle (0.13 m s(-1), 0.36 m s(-1)) and breaststroke (0.12 m s(-1), 0.33 m s(-1)) compared to butterfly (0.18 m s(-1), 0.50 m s(-1)). Relative error measurements ranged between 10.2 and 13.4% across the three strokes. CONCLUSIONS The integrated accelerometer and GPS device offers a valid and accurate tool for stroke count quantification in breaststroke and butterfly as well as measuring mid-pool swimming velocity in freestyle and breaststroke. The application of GPS technology in the outdoor training environment suggests advantageous practical benefits for swimmers, coaches and sports scientists.

Training distress and performance readiness: laboratory and field validation of a brief self-report measure.

Three studies were conducted to validate the Training Distress Scale (TDS), a 19‐item measure of training‐related distress and performance readiness. Study 1 was a randomized, controlled laboratory experiment in which a treatment group undertook daily interval training until a 25% decrement occurred in time‐to‐fatigue performance. Comparisons with a control group showed that TDS scores increased over time within the treatment group but not in the control group. Study 2 was a randomized, controlled field investigation in which performance capabilities and TDS responses were compared across a high‐intensity interval training group and a control group that continued normal training. Running performance decreased significantly in the training group but not in the control group, and scores on the TDS mirrored those changes in performance capabilities. Study 3 examined the relationship between TDS scores obtained over a 2‐week period before major swimming competitions and subsequent performance in those competitions. Significantly, better performance was observed for swimmers with low TDS scores compared with those with moderate or high TDS scores. These findings provide both laboratory and field evidence for the validity of the TDS as a measure of short‐term training distress and performance readiness.