Lygeri Dimitriou

Circadian effects on the acute responses of salivary cortisol and IgA in well trained swimmers

Objective: To examine whether time of day significantly affects salivary cortisol and IgA levels before and after submaximal swimming. Methods: Fourteen male competitive swimmers (mean (SD) age 18 (3.2) years) volunteered to participate in the study. In a fully randomised, cross over design, each subject performed 5 × 400 m front crawl at 85 (1.2)% of their seasonal best time (277 (16) seconds), with one minute rest between each 400 m, at 0600 and 1800 hours on two separate days. Timed, unstimulated saliva samples were collected before and after exercise. Saliva samples were analysed for cortisol and IgA by radioimmunoassay and single radial immunodiffusion respectively. Results: Significant time of day effects (am and pm respectively) were observed in IgA concentration (0.396 (0.179) v 0.322 (0.105) mg/ml, p<0.05), IgA secretory rate (0.109 (0.081) v 0.144 (0.083) mg/min, p<0.01), and saliva flow rate (0.31 (0.23) v 0.46 (0.22) ml/min, p<0.001) before exercise (all values mean (SD)). Differences in cortisol levels before exercise (1.09 (0.56) v 0.67 (0.94) μg/dl) approached significance (p = 0.059). The exercise protocol did not significantly affect IgA concentration and secretory rate (p>0.05) but, in comparison with values before exercise, caused significant alterations in cortisol (p<0.01) and saliva flow rate (p<0.01). There was no significant interaction effect of time of day by exercise on any salivary variables measured (p>0.05). However, most of the values of the salivary variables before exercise were significantly inversely related to their exercise induced response (p<0.05). Conclusion: These results suggest a significant circadian variation in the variables measured before exercise, without showing a significant effect on their acute responses to exercise.

Comparison of lung volume in Greek swimmers, land based athletes, and sedentary controls using allometric scaling.

OBJECTIVE: To compare lung volumes in a large cross sectional sample of Greek swimmers, land based athletes, and sedentary controls by means of allometric scaling. METHODS: Four hundred and fifty nine asymptomatic Greek children and young adults (age 10-21 years), including 159 swimmers, 130 land based athletes, and 170 sedentary controls, performed forced expiratory manoeuvres into a portable spirometer. Measurements included forced vital capacity, forced expiratory volume in one second (FEV1.0), and peak expiratory flow. Body mass and stature were also measured using standardised anthropometric techniques. RESULTS: Logarithmic transformations showed that in FEV1.0 was highly related to in stature in males and females (r = 0.93 and 0.86 respectively, P < 0.001) and were used to determine the exponent in an allometric equation which also included age and age. Resulting power functions, FEV1.0/stature, were 0.64 (0.18) litres/m2.69 and 0.33 (0.24) litres/m2.32 for males and females respectively (mean (SE)). The male and female swimming groups had larger FEV1.0 than both land based athletes and sedentary controls (one way analysis of variance, P < 0.001). In addition, male national standard swimmers (n = 38) had superior FEV1.0 in comparison with male non-national standard swimmers (n = 24; t test, P < 0.05). However, when years of swimming training was controlled for by analysis of covariance, the difference in FEV1.0 between the two groups was no longer evident. CONCLUSIONS: Swimmers have superior FEV1.0 independent of stature and age in comparison with both land based athletes and sedentary controls. In addition, male national standard swimmers have superior FEV1.0 independent of stature and age in comparison with male non-national standard swimmers. When years of training is controlled for, the difference in FEV1.0 between the two groups is no longer evident. This suggests that the years of swimming training and/or the earlier age at which training begins may have a significant influence on subsequent FEV1.0 and swimming performance. However, because of the cross sectional nature of this study, the results do not exclude genetic endowment as a major determinant of the superior lung volume observed in swimmers.

Determinants of olympic fencing performance and implications for strength and conditioning training.

Fencing is one of only a few sports that have featured at every modern Olympic games. Despite this, there is still much the sport science team does not know regarding competition demands and athlete physical characteristics. This review aims to undertake an analysis of the current literature to identify what is known, and questions that must be answered to optimize athlete support in this context. In summary, fencing is an explosive sport requiring energy production predominately from anaerobic sources. Lunging and change-of-direction speed seem vital to performance, and strength and power qualities underpin this. In the elimination rounds, fencers are likely to accumulate high levels of blood lactate, and so high-intensity interval training is recommended to reduce the intolerance to and the accumulation of hydrogen ions. Injury data report the hamstrings as a muscle group that should be strengthened and address imbalances caused by continuous fencing in an asymmetrical stance.

Strength and conditioning for fencing

SUMMARY SCIENTIFIC RESEARCH INTO FENCING IS SPARSE AND LITTLE RELATES TO STRENGTH AND CONDITIONING. IN OUR EXPERIENCE OF WORKING WITHIN FENCING, IT IS A PREDOMINATELY ANAEROBIC SPORT CHARACTERISED BY EXPLOSIVE HIGH-POWER MOVEMENTS. CONSEQUENTLY, FENCERS SHOULD BE CAUTIOUS OF SOME OF THE TRADITIONAL TRAINING METHODS CURRENTLY USED SUCH AS LONG SLOW DISTANCE RUNNING BECAUSE THIS IS LIKELY TO BE COUNTERPRODUCTIVE TO PERFORMANCE. INSTEAD, EXERCISES AND CONDITIONING DRILLS THAT DEVELOP REPEAT LUNGE ABILITY, STRENGTH, AND POWER SHOULD BE USED. THE HIGH PROPORTION OF LUNGING ALSO DICTATES THE NEED FOR ECCENTRIC STRENGTH AND CONTROL AND THE ABILITY TO REDUCE MUSCLE DAMAGE.

Bone mineral density, rib pain and other features of the female athlete triad in elite lightweight rowers

Objective To determine bone mineral density (BMD) and the associations among BMD, menstrual history, disordered eating (DE), training history, intentional weight loss (IWL) and rib pain for the first time in female lightweight rowers. Setting 9 lightweight rowing clubs, UK. Participants 29 Caucasian female lightweight rowers volunteered. 21 (12 active, 9 retired) completed the study. Inclusion criteria: female lightweight rowers aged over 18 years. Exclusion criteria: participants with a history of bone disease, used medications known to influence BMD or if they were pregnant, lactating or postmenopausal. Main outcome measures Dual-energy X-ray absorptiometry measured total body (TB) composition and BMD at the spine, femoral neck (FN), radius and TB. DE, oligomenorrhoea/amenorrhoea years; rib pain and training history. Results DE was reported in six of the rowers. The active with DE started rowing younger (p<0.05) than those without, and their amount of IWL was associated with Eating Attitudes Test-26 score (p<0.05). Some participants reported a history of oligomenorrhoea/amenorrhoea 17 (76%) and/or rib pain 7 (32%) with those with rib pain having lower spine and TB Z-scores (p<0.05) than those without. Those with oligomenorrhoea/amenorrhoea had lower spine Z-scores (p<0.01) than those without. Twelve participants had low BMD; three at spine; one at FN; and eight at radius. Thirteen per cent of mean total training hours (18.6±9.1 h/week) were spent strength training (2.4±2.2 h/week). Conclusions Upper body exercises incorporating multidimensional high peak bone strain were not reported and may need to be considered in their strength training to improve radial BMD. Results suggest IWL and high-level training at a young age increases the likelihood of DE and there may be a lack of quality nutritional support for these athletes. Thus, multidisciplinary sport science support should be offered at a young age and perhaps also to consider changing the weight rules to prevent the development of the Triad.

Physical Characteristics underpinning Repetitive Lunging In Fencing.

Abstract Turner, AN, Marshall, G, Phillips, J, Noto, A, Buttigieg, C, Chavda, S, Downing, W, Atlay, N, Dimitriou, L, and Kilduff, L. Physical characteristics underpinning repetitive lunging in fencing. J Strength Cond Res 30(11): 3134–3139, 2016—Given the repetitive demand to execute lunging and changes in direction within fencing, the ability to sustain these at maximal capacity is fundamental to performance. The aim of this study was threefold. First, to provide normative values for this variable referred to as repeat lunge ability (RLA) and second to identify the physical characteristics that underpin it. Third, was to establish if a cause and effect relationship existed by training the associated characteristics. Assessment of lower-body power, reactive strength, speed, change of direction speed (CODS), and a sport-specific RLA were conducted on senior and junior elite male fencers (n = 36). Fencers were on average (±SD) 18.9 ± 3.2 years of age, 174.35 ± 10.42 cm tall, 70.67 ± 7.35 kg in mass, and 8.5 ± 4.2 years fencing experience. The RLA test had average work times of 16.03 ± 1.40 seconds and demonstrated “large” to “very large” associations with all tested variables, but in particular CODS (r = 0.70) and standing broad jump (SBJ; r = −0.68). Through linear regression analysis, these also provided a 2-predictor model accounting for 61% of the common variance associated with RLA. A cause and effect relationship with SBJ and CODS was confirmed by the training group, where RLA performance in these fencers improved from 15.80 ± 1.07 to 14.90 ± 0.86 seconds, with the magnitude of change reported as “moderate” (effect size (ES) = 0.93). Concurrent improvements were also noted in both SBJ (216.86 ± 17.15 vs. 221.71 ± 17.59 cm) and CODS (4.44 ± 0.29 vs. 4.31 ± 0.09 seconds) and while differences were only significant in SBJ, magnitudes of change were classed as “small” (ES = 0.28) and “moderate” (ES = 0.61), respectively. In conclusion, to improve RLA strength and conditioning coaches should focus on improving lower-body power and reactive strength, noting that jump training and plyometrics designed to enhance horizontal propulsion may be most effective, and translate to improvement in CODS also.

Is baseline aerobic fitness associated with illness and attrition rate in military training

Background Respiratory illnesses are a leading cause of morbidity and medical discharge in the military. This study aimed to investigate the effects of baseline aerobic fitness on haematological, salivary and mood variables, and simultaneously, in a novel approach, to identify factors precipitating illness and attrition rate in recruits during military training. Methods Thirty-five healthy male recruits from an Army Training Regiment undertaking 12 weeks of training were prospectively investigated. Their 2.4 km run time (RT) was used as a surrogate of baseline aerobic fitness. Saliva and venous blood samples were analysed for secretory IgA, full blood counts and cell cytokine production (interleukin (IL) 6 and IL-8), respectively. Each recruit completed questionnaires on mood profile, and gastrointestinal and upper respiratory tract symptoms (URTS). Results Significant salivary and haematological perturbations were observed and coincided with increased duration of URTS/week and mood disturbance over this military training period. From Start to End: leucocyte count decreased by 28% (p<0.001); neutrophil percentage (%) decreased by 13% (p<0.01); lymphocyte % increased by 17% (p<0.05); the neutrophil:lymphocyte ratio decreased by 22% (p<0.01); eosinophil% increased by 71% (p<0.01). From Start to Mid to End: monocyte% increased by 68% at Mid (p<0.01) but only by 30% at End (p<0.01); IL-6 increased by 39% at Mid (p<0.01) and a further 61% by End. The 2.4 km RT was significantly associated with URTS duration (p<0.01). In addition, a 1-min increase in 2.4 km RT increased a recruits risk 9.8-fold of developing URTS lasting, on average, 3.36 days/week. In recruits ranked with high-URTS duration their RT was 48 s slower (p<0.01) than those with low-URTS, and their attrition rate reached 45%. Conclusions The least fit recruits may have found training more physically demanding as reflected in the higher URTS duration, which may have led to a high attrition rate from the Army. It is worth considering that baseline aerobic fitness might be an important factor in illness development and attrition rate in recruits during this type of military training.

Competition intensity and fatigue in elite fencing

Abstract Turner, AN, Kilduff, LP, Marshall, GJG, Phillips, J, Noto, A, Buttigieg, C, Gondek, M, Hills, FA, and Dimitriou, L. Competition intensity and fatigue in elite fencing. J Strength Cond Res 31(11): 3128–3136, 2017—As yet, no studies have characterized fencing competitions. Therefore, in elite male foilists and across 2 competitions, we investigated their countermovement jump height, testosterone (T), cortisol (C), alpha-amylase (AA), immunoglobulin A (IgA), heart rate (HR), blood lactate (BL), and rating of perceived exertion (RPE). Average (±SD) scores for RPE, BL, and HR (average, max, and percentage of time ≥80% HRmax) were highest in the knockout bouts compared with poules (8.5 ± 1.3 vs. 5.7 ± 1.3, 3.6 ± 1.0 vs. 3.1 ± 1.4 mmol·L, 171 ± 5 vs. 168 ± 8 b·min−1, 195 ± 7 vs. 192 ± 7 b·min−1, 74 vs. 68%); however, only significant (p ⩽ 0.05) for RPE. Countermovement jump height, albeit nonsignificantly (p > 0.05), increased throughout competition and dropped thereafter. Although responses of C, AA, and IgA showed a tendency to increase during competition and drop thereafter (T and T:C doing the opposite), no significant differences were noted for any analyte. Results suggest that fencing is a high-intensity anaerobic sport, relying on alactic energy sources. However, some bouts evoke BL values of ≥4 mmol·L and thus derive energy from anaerobic glycolysis. High HRs appear possible on account of ample within- and between-bout rest. The small competition load associated with fencing competitions may explain the nonsignificant findings noticed.

A Time-Motion Analysis of Turns Performed by Highly Ranked Viennese Waltz Dancers

Twenty-four dance couples performing at the 2011 IDSF (International DanceSport Federation) International Slovenia Open were divided into two groups: the first twelve placed couples (top ranked) and the last twelve placed couples (lower ranked). Video recordings were processed automatically using computer vision tracking algorithms under operator supervision to calculate movement parameters. Time and speed of movement were analysed during single natural (right) and reverse (left) turns performed during the Viennese waltz. Both top and lower ranked dancers tended to perform similar proportionate frequencies of reverse (≈ 35%) and natural (≈ 65%) turns. Analysis of reverse turns showed that the top ranked dancers performed less turns on a curved trajectory (16%) than the lower ranked dancers (33%). The top ranked couples performed all turns at similar speeds (F = 1.31, df = 3, p = 0.27; mean = 2.09m/s) all of which were significantly quicker than the lower ranked couples (mean = 1.94m/s), the greatest differences found for reverse turns (12.43% faster for curved trajectories, 8.42% for straight trajectories). This suggests that the ability to maintain a high speed in the more difficult turns, particularly the reverse turns on a curved trajectory, results in the overall dance appearing more fluent as the speed of movement does not fluctuate as much. This aspect of performance needs to be improved by lower ranked dancers if they wish to improve rating of their performance. Future research should determine which factors relate to the speed of turns.

Applying elite research to the general population

We are writing in response to the letter by Dr Webborn1 about our circadian research on competition swimmers.2 His first comment, namely that the media may wrongly slant a “take home message”, is understandable. Had he read our message more carefully, he would have seen that we noted that our observation—that there is a morning lowering of IgA and an increase in cortisol—“might not be acceptable to elite competitors”, and that we strongly qualified it by considering that early morning sessions should: “perhaps be avoided by those returning to training after …