A Multifactorial Assessment of Elite Paratriathletes’ Response to 2 Weeks of Intensified Training

in International Journal of Sports Physiology and Performance

Click name to view affiliation

Ben T. Stephenson
Search for other papers by Ben T. Stephenson in
Current site
Google Scholar
PubMed
Close
,
Christof A. Leicht
Search for other papers by Christof A. Leicht in
Current site
Google Scholar
PubMed
Close
,
Keith Tolfrey
Search for other papers by Keith Tolfrey in
Current site
Google Scholar
PubMed
Close
, and
Victoria L. Goosey-Tolfrey
Search for other papers by Victoria L. Goosey-Tolfrey in
Current site
Google Scholar
PubMed
Close
Restricted access

Purpose: In able-bodied athletes, several hormonal, immunological, and psychological parameters are commonly assessed in response to intensified training due to their potential relationship to acute fatigue and training/nontraining stress. This has yet to be studied in Paralympic athletes. Methods: A total of 10 elite paratriathletes were studied for 5 wk around a 14-d overseas training camp whereby training load was 137% of precamp levels. Athletes provided 6 saliva samples (1 precamp, 4 during camp, and 1 postcamp) for cortisol, testosterone, and secretory immunoglobulin A; weekly psychological questionnaires (Profile of Mood State [POMS] and Recovery-Stress Questionnaire for Athletes [RESTQ-Sport]); and daily resting heart rate and subjective wellness measures including sleep quality and quantity. Results: There was no significant change in salivary cortisol, testosterone, cortisol:testosterone ratio, or secretory immunoglobulin A during intensified training (P ≥ .090). Likewise, there was no meaningful change in resting heart rate or subjective wellness measures (P ≥ .079). Subjective sleep quality and quantity increased during intensified training (P ≤ .003). There was no significant effect on any POMS subscale other than lower anger (P = .049), whereas there was greater general recovery and lower sport and general stress from RESTQ-Sport (P ≤ .015). Conclusions: There was little to no change in parameters commonly associated with the fatigued state, which may relate to the training-camp setting minimizing external life stresses and the careful management of training loads from coaches. This is the first evidence of such responses in Paralympic athletes.

The authors are with the Peter Harrison Centre for Disability Sport, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom.

Goosey-Tolfrey (v.l.tolfrey@lboro.ac.uk) is corresponding author.
  • Collapse
  • Expand
  • 1.

    Bresciani G, Cuevas MJ, Molinero O, et al. Signs of overload after an intensified training. Int J Sports Med. 2011;32:338343. PubMed ID: 21380974 doi:10.1055/s-0031-1271764

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Meeusen R, Duclos M, Foster C, et al. Prevention, diagnosis, and treatment of the overtraining syndrome: Joint consensus statement of the European College of Sport Science and the American College of Sports Medicine. Med Sci Sports Exerc. 2013;45:186205. PubMed ID: 23247672 doi:10.1249/MSS.0b013e318279a10a

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Le Meur Y, Hausswirth C, Natta F, Couturier A, Bignet F, Vidal PP. A multidisciplinary approach to overreaching detection in endurance trained athletes. J Appl Physiol. 2013;114:411420. PubMed ID: 23195630 doi:10.1152/japplphysiol.01254.2012

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Bosquet L, Merkari S, Arvisais D, Aubert AE. Is heart rate a convenient tool to monitor over-reaching? A systematic review of the literature. Br J Sports Med. 2008;42:709714. PubMed ID: 18308872 doi:10.1136/bjsm.2007.042200

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Papacosta E, Gleeson M, Nassis G. Salivary hormones, IgA, and performance during intense training and tapering in judo athletes. J Strength Cond Res. 2013;27:25692580. PubMed ID: 23249825 doi:10.1519/JSC.0b013e31827fd85c

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Lehmann M, Foster C, Kuel J. Overtraining in athletes: A brief review. Med Sci Sports Exerc. 1993;25:854862. PubMed ID: 8350709 doi:10.1249/00005768-199307000-00015

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Svendsen IS, Killer SC, Carter JM, Randell RK, Jeukendrup AE, Gleeson M. Impact of intensified training and carbohydrate supplementation on immunity and markers of overreaching in highly trained cyclists. Eur J Appl Physiol. 2016;116:867877. PubMed ID: 26908041 doi:10.1007/s00421-016-3340-z

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Hough J, Robertson C, Gleeson M. Blunting of exercise-induced salivary testosterone in elite-level triathletes with a 10-day training camp. Int J Sports Physiol Perform. 2015;10:935938. PubMed ID: 25710620 doi:10.1123/ijspp.2014-0360

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Coutts AJ, Wallace LK, Slattery KM. Monitoring changes in performance, physiology, biochemistry, and psychology during overreaching and recovery in triathletes. Int J Sport Med. 2007;28:125134. doi:10.1055/s-2006-924146

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Leicht CA, Bishop NC, Paulson TAW, Griggs KE, Goosey-Tolfrey VL. Salivary immunoglobulin A and upper respiratory symptoms during 5 months of training in elite tetraplegic athletes. Int J Sports Physiol Perform. 2012;7:210217. PubMed ID: 22172687 doi:10.1123/ijspp.7.3.210

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Neville V, Gleeson M, Folland JP. Salivary IgA as a risk factor for upper respiratory infections in elite professional athletes. Med Sci Sports Exerc. 2008;40:12281236. PubMed ID: 18580401 doi:10.1249/MSS.0b013e31816be9c3

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Hausswirth C, Louis J, Aubery A, Bonnet G, Duffield R, Le Meur Y. Evidence of disturbed sleep and increased illness in overreached endurance athletes. Med Sci Sports Exerc. 2014;46:10361045. PubMed ID: 24091995 doi:10.1249/MSS.0000000000000177

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Killer SC, Svendsen IS, Jeukendrup AE, Gleeson M. Evidence of disturbed sleep and mood state in well-trained athletes during short-term intensified training with and without a high carbohydrate nutritional intervention. J Sports Sci. 2017;35:14021410. PubMed ID: 26406911 doi:10.1080/02640414.2015.1085589

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Coutts AJ, Slattery KM, Wallace LK. Practical tests for monitoring performance, fatigue and recovery in triathletes. J Sci Med Sport. 2007;10:372381. PubMed ID: 17466593 doi:10.1016/j.jsams.2007.02.007

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Mujika I, Orbañanos J, Salazar H. Physiology and training of a world-champion paratriathlete. Int J Sports Physiol Perform. 2015;10:927930. PubMed ID: 25671380 doi:10.1123/ijspp.2014-0487

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Stephenson BT, Hynes E, Leicht CA, Tolfrey K, Goosey-Tolfrey VL. Training load, salivary immunoglobulin A, and illness incidence in elite paratriathletes. Int J Sports Physiol Perform. 2019;14(4):536539. doi:10.1123/ijspp.2018-0439

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Blauwet CA, Brook EM, Tenforde AS, et al. Low energy availability, menstrual dysfunction, and low bone mineral density in individuals with a disability: Implications for the para athlete population. Sports Med. 2017;47:16971708. PubMed ID: 28213754 doi:10.1007/s40279-017-0696-0

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Webborn N, Van de Vliet P. Paralympic medicine. Lancet. 2012;380:6571. PubMed ID: 22770458 doi:10.1016/S0140-6736(12)60831-9

  • 19.

    Cejuela-Anta R, Esteve-Lanao J. Training load quantification in triathlon. J Hum Sport Exerc. 2011;6:111. doi:10.4100/jhse.2011.61.01

    • Search Google Scholar
    • Export Citation
  • 20.

    Gleeson M, Bishop N, Oliveira M, McCauley T, Tauler P, Muhamad AS. Respiratory infection risk in athletes: Association with antigen-stimulated IL-10 production and salivary IgA secretion. Scand J Med Sci Sports. 2012;22:410417. PubMed ID: 21385218 doi:10.1111/j.1600-0838.2010.01272.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Buchheit M, Racinais S, Bilsborough JC, et al. Monitoring fitness, fatigue and running performance during a pre-season training camp in elite football players. J Sci Med Sport. 2013;16:550555. PubMed ID: 23332540 doi:10.1016/j.jsams.2012.12.003

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Slivka DR, Hailes WS, Cuddy JS, Ruby BC. Effects of 21 days of intensified training on markers of overtraining. J Strength Cond Res. 2010;24:26042612. PubMed ID: 20733522 doi:10.1519/JSC.0b013e3181e8a4eb

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Jürimäe J, Mäestu J, Purge P, Jürimäe T. Changes in stress and recovery after heavy training in rowers. J Sci Med Sport. 2004;7:335339. doi:10.1016/S1440-2440(04)80028-8

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Halson SL, Lancaster GI, Jeukendrup AE, Gleeson M. Immunological responses to overreaching in cyclists. Med Sci Sports Exerc. 2003;35:854861. doi:10.1249/01.MSS.0000064964.80040.E9

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Born DP, Zinner C, Sperlich B. The mucosal immune function is not compromised during a period of high-intensity interval training. Is it time to reconsider an old assumption? Front Physiol. 2017;8:485. PubMed ID: 28744226 doi:10.3389/fphys.2017.00485

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Crowcroft S, McCleave E, Slattery K, Coutts AJ. Assessing the measurement sensitivity and diagnostic characteristics of athlete-monitoring tools in national swimmers. Int J Sports Physiol Perform. 2017;12(suppl 2):S2-95S2-100. doi:10.1123/ijspp.2016-0406

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27.

    Gupta L, Morgan K, Gilchrist S. Does elite sport degrade sleep quality? A systematic review. Sports Med. 2017;47:13171333. PubMed ID: 27900583 doi:10.1007/s40279-016-0650-6

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Ten Haaf T, van Staveren S, Oudenhoven E, et al. Prediction of functional overreaching from subjective fatigue and readiness to train after only 3 days of cycling. Int J Sports Physiol Perform. 2017;12(suppl 2):S2-87S2-94. PubMed ID: 27834554 doi:10.1123/ijspp.2016-0404

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29.

    Leicht CA, Paulson TAW, Goosey-Tolfrey VL, Bishop NC. Salivary alpha amylase not chromogranin A reflects sympathetic activity: exercise responses in elite male wheelchair athletes with or without cervical spinal cord injury. Sports Med—Open. 2017;3:1. PubMed ID: 26098273 doi:10.1186/s40798-016-0068-6

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Horvat M, French R, Henschen K. A comparison of the psychological characteristics of male and female able-bodied and wheelchair athletes. Paraplegia. 1986;24:115122. PubMed ID: 3714291 doi:10.1038/sc.1986.15

    • PubMed
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 2319 865 6
Full Text Views 56 14 1
PDF Downloads 55 14 1