David Downes, Stephen Goodman, Thomas van der Touw, Kayode Ahmed, Mansueto Andrew Neto, Mitchell Andrew Wolden, Neil Andrew Smart
{"title":"Correction: Effect of Exercise Training on Apolipoproteins: Meta-analysis and Trial Sequence Analysis.","authors":"David Downes, Stephen Goodman, Thomas van der Touw, Kayode Ahmed, Mansueto Andrew Neto, Mitchell Andrew Wolden, Neil Andrew Smart","doi":"10.1055/a-2645-0946","DOIUrl":"https://doi.org/10.1055/a-2645-0946","url":null,"abstract":"","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rauha Lucia Buchwald, Jadwiga Buchwald, Elias Lehtonen, Juha E Peltonen, Arja L T Uusitalo
{"title":"A Comprehensive Analysis of Overtraining Syndrome in Athletes and Recreational Exercisers.","authors":"Rauha Lucia Buchwald, Jadwiga Buchwald, Elias Lehtonen, Juha E Peltonen, Arja L T Uusitalo","doi":"10.1055/a-2611-3598","DOIUrl":"https://doi.org/10.1055/a-2611-3598","url":null,"abstract":"<p><p>Overtraining syndrome (OTS) is characterised by persistent fatigue and performance decline, but it currently lacks specific diagnostic criteria and medical coding. Diagnosis is primarily based on a decline in maximal performance and a subjective feeling of 'staleness', after ruling out other medical conditions. This study aimed to identify physiological and self-reported predictors of OTS by comparing individuals diagnosed with OTS (<i>n</i>=110; 2008-2022) with a healthy control group (<i>n</i>=447; 2005-2023). Both groups consisted of athletes and recreational exercisers assessed at the Helsinki Sports and Exercise Medicine Clinic (HULA). Data were collected through questionnaires and spiroergometric testing and subsequently analysed using logistic regression, adjusting for age and sex. The results of this study suggest that fatigue, dizziness and shortness of breath, along with decreased maximum oxygen uptake (V̇O2<sub>max</sub>), peak blood lactate value (La<sub>max</sub>) and oxygen uptake at both ventilatory thresholds (V̇O<sub>2VT1</sub> and V̇O<sub>2VT2</sub>), are significant predictors of OTS (<i>p</i><0.05/54). Among reported health conditions, asthma, allergy, anaemia and mental health issues were statistically significant predictors of OTS at the 0.05 level, but not after Bonferroni correction. In conclusion, regular spiroergometric testing and symptom monitoring may support earlier diagnosis and improved management of OTS in athletes and recreational exercisers.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tae-Jin Kim, Min-Hyeok Jang, Jean-Hee Han, Hyun-Chul Jung, Jung-Hyun Kim
{"title":"Hypoxic exercise enhances post-exercise hypotension compared to normoxic exercise.","authors":"Tae-Jin Kim, Min-Hyeok Jang, Jean-Hee Han, Hyun-Chul Jung, Jung-Hyun Kim","doi":"10.1055/a-2602-9020","DOIUrl":"https://doi.org/10.1055/a-2602-9020","url":null,"abstract":"<p><p>This study aimed to investigate the effect of aerobic exercise under hypoxic conditions (FiO<sub>2</sub>: 14.9%) on post-exercise hypotension compared to normoxic exercise matched for mechanical and physiological intensities. Twenty sedentary men completed three exercise sessions using a crossover design: (1) hypoxic exercise at 50% of peak power output, (2) normoxic exercise at 50% of peak power output (normoxic exercise matched for mechanical intensity), and (3) normoxic exercise with heart rates matched for hypoxic exercise. Expired gases and peripheral and muscle oxygen saturation were measured during the exercise. Blood pressure and hemodynamic variables were assessed before and after each exercise session. Hypoxic exercise and normoxic exercise matched for physiological intensity elicited higher heart rate, oxygen consumption, and ventilation compared to normoxic exercise matched for mechanical intensity (<i>p</i><0.05). Hypoxic exercise showed the lowest ventilation efficiency (<i>p</i><0.01) and the most severe systemic and muscle hypoxemia (<i>p</i><0.01) during exercise. Only hypoxic exercise induced significant post-exercise hypotension (-6.9 mmHg; <i>p</i><0.01) with a significant increase in common femoral artery diameter during recovery (<i>p</i><0.05). Our findings suggested that hypoxic exercise significantly enhances post-exercise vasodilation compared to normoxic exercise, resulting in greater post-exercise hypotension. This highlighted hypoxic exercise as a promising strategy for managing hypertension with reduced mechanical stress, particularly beneficial for individuals with low exercise tolerance.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of Phase Angle with Exercise Performance in Adolescent Female Basketball Players.","authors":"Keisuke Shiose, Taiki Yamamoto, Taijiro Hide, Yukiya Tanoue, Rie Tomiga-Takae, Atsuya Yamashita, Ryoma Michishita, Yasuki Higaki, Yoshinari Uehara","doi":"10.1055/a-2588-0682","DOIUrl":"10.1055/a-2588-0682","url":null,"abstract":"<p><p>The phase angle measured by bioelectrical impedance analysis is a potential indicator of exercise performance. Owing to the lack of studies on adolescent female athletes, this study aimed to investigate the relationship between whole-body and regional phase angles and exercise performance in adolescent female basketball players. Forty-five female basketball players (aged 16.6±0.6 y) participated in this study. Lean soft tissue and phase angles for the whole-body, upper limb, and lower limb were assessed using the bioelectrical impedance analysis method. Participants performed maximal isometric knee extension and flexion strength, 20-m sprint, a vertical jump, an agility <i>T</i>-test, and a 20-m shuttle run test. The phase angle for the whole-body and the phase angle for the upper limb, but not the phase angle for the lower limb, were significantly correlated with the 20-m sprint and endurance capacity (all <i>p</i><0.01). Even after adjusting for age and lean soft tissue in multiple regression analysis, the phase angle for the whole-body and the phase angle for the upper limb remained a significant predictor of these parameters (all <i>p</i><0.05). The phase angle for the upper limb, combined with age and lean soft tissue, explained endurance capacity similarly to the phase angle for the whole-body (adjusted <i>R</i> <sup>2</sup>: 0.24 vs. 0.23) but was better for the 20-m sprint (adjusted <i>R</i> <sup>2</sup>: 0.26 vs. 0.11). Both whole-body and regional phase angles are associated with sprint and aerobic performance in adolescent female basketball players. However, the regional phase angle can be an equivalent or superior predictor of these performance parameters compared with the whole-body phase angle.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Donghyeon Kim, Joey W Grubb, Robert A Huggins, Douglas J Casa
{"title":"Letter to the Editor on: \"Chasing Gold: Heat Acclimation in Elite Handcyclists with Spinal Cord Injury\".","authors":"Donghyeon Kim, Joey W Grubb, Robert A Huggins, Douglas J Casa","doi":"10.1055/a-2563-8346","DOIUrl":"https://doi.org/10.1055/a-2563-8346","url":null,"abstract":"","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":"46 8","pages":"614-615"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isaac Armando Chavez-Guevara, Carlo Ferri-Marini, Ratko Peric, Brendan Egan, Mariazel Rubio-Valles, Maria Cristina Duron-Borjas, Arnulfo Ramos
{"title":"Association of blood lactate accumulation with fat metabolism during exercise: method matters.","authors":"Isaac Armando Chavez-Guevara, Carlo Ferri-Marini, Ratko Peric, Brendan Egan, Mariazel Rubio-Valles, Maria Cristina Duron-Borjas, Arnulfo Ramos","doi":"10.1055/a-2563-9203","DOIUrl":"10.1055/a-2563-9203","url":null,"abstract":"<p><p>This study examined if analytical procedures influence the relationship between lactate metabolism and fat oxidation during exercise in 54 young men (age: 27±7 y; body fat: 23±10%; VO<sub>2max</sub>: 46.9±10.2 mL·kg<sup>-1</sup>·min<sup>-1</sup>). The first lactate threshold was assessed using the log-log transformation of blood lactate and running speed (LT1log-log), an increase of 1 mM above the baseline (LT1Bsln1.0), and a fixed blood lactate concentration of 2 mM (LT1OBLA2). The second lactate threshold was determined using the maximal distance approach (LT2Dmax) and a fixed lactate concentration of 4 mM (LT2OBLA4). The highest (FATmax) and lowest (FATmin) fat oxidation rates were determined using a third-degree polynomial regression (P3), visual inspection, and mathematical modeling (SIN). FATmax and FATmin showed the strongest correlation with LT1log-log (<i>r</i>: 0.65, <i>p</i><0.01) and LT2OBLA4 (<i>r</i>: 0.81, <i>p</i><0.01), regardless of fitness. FATmaxP3 and LTOBLA2 showed the best agreement in untrained individuals. Conversely, FATmaxP3 and LT1log-log showed the best agreement in obese men and trained subjects. LT2OBLA4 showed the best agreement with FATmin. When investigating the association between fat oxidation and lactate metabolism during exercise, LT1log-log and LT2OBLA4 should be computed, while mathematical modeling or visual analysis should be applied for FATmax, depending on the fitness level.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"577-587"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hypoxia impairs neuromuscular function more than heat after incremental test to exhaustion.","authors":"Zhizhong Geng, Jnhao Wang, Guohuan Cao, Chenhao Tan, Longji Li, Jun Qiu","doi":"10.1055/a-2647-2236","DOIUrl":"https://doi.org/10.1055/a-2647-2236","url":null,"abstract":"<p><p>Heat stress and hypoxia impair athletic performance through inflammation, muscle injury, and neuromuscular dysfunction. This study examined these effects in 15 endurance athletes (13 males and 2 females, VO2max=59.5±3.9ml/min/kg) performing incremental load tests to exhaustion under normal (CON), hypoxic (HYP), and high-temperature and humidity (HOT) conditions. Pre- and post-exercise assessments, included blood biomarkers, performance and surface electromyography (sEMG) during the counter-movement jump (CMJ) and isometric mid-thigh pull (IMTP), were conducted under normal conditions. Compared to CON, time to exhaustion was significantly reduced in HYP and HOT (P<0.05). CMJ performance declined under CON and HYP (P<0.05). Force at 200 ms and 250 ms decreased under both CON and HYP during IMTP (P<0.05). The root mean square (RMS) and the median power frequency (MPF) were decreased under HYP during CMJ and IMTP (P<0.05). In contrast, no significant differences in sEMG and kinetic markers were observed in the HOT (P>0.05). No significant changes in CK and LDH levels were observed (P>0.05). Post-exercise, TNF-α was lower in HYP (P<0.05), while IL-6 increased in HOT (P<0.05). Hypoxia impairs neuromuscular function and suppresses inflammation, whereas heat stress induces inflammation without neuromuscular deficits.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jung-Ha Sung, Geon-Tak Kim, Jaemoo Lee, Hyun Chul Jung, Junsig Wang
{"title":"Biomechanical changes after total vs. resurfacing hip replacement: a systematic review.","authors":"Jung-Ha Sung, Geon-Tak Kim, Jaemoo Lee, Hyun Chul Jung, Junsig Wang","doi":"10.1055/a-2542-9124","DOIUrl":"10.1055/a-2542-9124","url":null,"abstract":"<p><p>The purpose of this systematic review was to provide a comprehensive understanding of changes in kinematics, kinetics, and muscle activity between total hip arthroplasty and resurfacing hip arthroplasty during activities of daily living. Relevant articles were selected through MEDLINE, Scopus, Web of Science, and Embase. Articles were included if they met the following inclusion criteria: (1) participants underwent total hip arthroplasty or resurfacing hip arthroplasty without restriction on the arthroplasty design, (2) involved either kinematic, kinetic, or muscle activity variables as the primary outcome measure, (3) evaluated daily activities such as gait, sit-to-stand, stair negotiation, and balancing, and (4) were written in English. A total of 18 articles were included in the current systematic review. The resurfacing hip arthroplasty group exhibited faster functional recovery after surgery compared to total hip arthroplasty by improving the hip range of motions, peak vertical ground reaction force, and peak hip abduction moment. Evaluation of the biomechanical changes during stair negotiation and sit-to-stand transfers is further needed to evaluate comprehensive aspects of functional ability. The findings of this review provide a comprehensive overview and help to understand the biomechanical changes for patients with total hip arthroplasty vs. resurfacing hip arthroplasty during daily activities. Therefore, this review may serve as a basis for future studies potentially aiding in optimizing hip joint replacement.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"562-576"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hongqin Liang, Li Kong, Xi Yang, Jian Wang, Kaiyue Diao
{"title":"Cardiac remodeling in university athletes: non-contrast magnetic resonance imaging study.","authors":"Hongqin Liang, Li Kong, Xi Yang, Jian Wang, Kaiyue Diao","doi":"10.1055/a-2563-8993","DOIUrl":"10.1055/a-2563-8993","url":null,"abstract":"<p><p>Early detection of exercise-induced cardiac anomalies is a key to clinical management for individuals engaged in vigorous exercise training. This study aimed to investigate cardiovascular adaptation in university students engaged in intensive exercises using cardiac magnetic resonance imaging. For this prospective, single-center study, 50 university students who finished a four-year intensively endurance training and 23 age- and gender- matched controls received cardiac magnetic resonance imaging. Exercised participants were further divided into symptomatic and asymptomatic groups. Left ventricular volumes and volumes indexed to the body surface were calculated. Global peak strains and systolic and diastolic peak strain rates were derived from cine images using a feature tracking technique. Analysis of variance analyses were performed. Fifty exercised participants (mean age: 21±1 y; 43 males, including 21 symptomatic and 29 asymptomatic cases) and 23 normal controls (mean age: 21±2 y, 20 males) were evaluated. Exercised participants exhibited a higher end-diastolic left ventricular volume (76.0±10.6 ml vs. 63.5±7.5 ml, <i>p</i><0.001), a reduced left ventricular ejection fraction (59.9%±5.3 vs. 63.0%±3.2, <i>p</i>=0.002) and a reduced global longitudinal strain (-18.25±3.32 vs.-19.85±1.29, <i>p</i>=0.004) than the normal control participants. Symptomatic excised participants showed reduced peak strains compared to both asymptomatic participants and normal controls. Only a circumferential diastolic peak strain rate was reduced when compared between asymptomatic cases and controls. In conclusions, highly intensive exercises could result in elevated left ventricular volumes and reduced myocardial strains for young university students. Furthermore, reduced myocardial strains were found for those symptomatic cases which remain within non-pathological ranges.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"604-613"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}