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Jennifer Hamer, Ben Desbrow, and Chris Irwin

In the last decade, there has been greater appreciation of the harmful consequences of Relative Energy Deficiency in Sport (RED-S), particularly in adolescent female athletes. Coaches act as both important moderators in the development of the condition and as identifiers of athletes at risk. Research suggests that coaches lack knowledge on this topic. At present, it is unclear if RED-S education is incorporated into coach accreditation pathways. The aim of this scoping review was to describe the extent to which RED-S education is incorporated into the coach accreditation pathways of endurance sporting organizations. Five national sporting organizations (Cycling Australia, Athletics Australia, Swimming Australia, Triathlon Australia, and Rowing Australia) were contacted to participate. First, each sporting organization’s website was scoped, then semi-structured interviews were conducted online. One investigator transcribed each interview verbatim. Transcripts were analyzed for thematic content. Four of the sporting organizations provided little to no RED-S education. Rowing Australia delivered a program of RED-S content via an affiliated sports dietitian. The barriers identified for implementation of RED-S content were: limited time, resources, and coaches’ preexisting knowledge and beliefs. Based on these results, RED-S education is, indeed, lacking in some coach accreditation programs for endurance-based sporting organizations. Support for these organizations is required to overcome existing barriers and to facilitate inclusion of RED-S education within the coaching curriculum to support female athlete health.

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Thomas L. Schmid, Janet E. Fulton, Jean M. McMahon, Heather M. Devlin, Kenneth M. Rose, and Ruth Petersen

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Øyvind Sandbakk, Thomas Haugen, and Gertjan Ettema

Purpose: To provide novel insight regarding the influence of exercise modality on training load management by (1) providing a theoretical framework for the impact of physiological and biomechanical mechanisms associated with different exercise modalities on training load management in endurance exercise and (2) comparing effort-matched low-intensity training sessions performed by top-level athletes in endurance sports with similar energy demands. Practical Applications and Conclusions: The ability to perform endurance training with manageable muscular loads and low injury risks in different exercise modalities is influenced both by mechanical factors and by muscular state and coordination, which interrelate in optimizing power production while reducing friction and/or drag. Consequently, the choice of exercise modality in endurance training influences effort beyond commonly used external and internal load measurements and should be considered alongside duration, frequency, and intensity when managing training load. By comparing effort-matched low- to moderate-intensity sessions performed by top-level athletes in endurance sports, this study exemplifies how endurance exercise with varying modalities leads to different tolerable volumes. For example, the weight-bearing exercise and high-impact forces in long-distance running put high loads on muscles and tendons, leading to relatively low training volume tolerance. In speed skating, the flexed knee and hip position required for effective speed skating leads to occlusion of thighs and low volume tolerance. In contrast, the non-weight-bearing, low-contraction exercises in cycling or swimming allow for large volumes in the specific exercise modalities. Overall, these differences have major implications on training load management in sports.

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Arnaud Hays, Caroline Nicol, Denis Bertin, Romain Hardouin, and Jeanick Brisswalter

Objectives: To identify relevant physiological, mechanical, and strength indices to improve the evaluation of elite mountain bike riders competing in the current Cross-Country Olympic (XCO) format. Methods: Considering the evolution of the XCO race format over the last decade, the present testing protocol adopted a battery of complementary laboratory cycling tests: a maximal aerobic consumption, a force–velocity test, and a multi-short-sprint test. A group of 33 elite-level XCO riders completed the entire testing protocol and at least 5 international competitions. Results: Very large correlations were found between the XCO performance and maximal aerobic power output (r = .78; P < .05), power at the second ventilation threshold (r = .83; P < .05), maximal pedaling force (r = .77; P < .05), and maximum power in the sixth sprint (r = .87; P < .05) of the multi-short-sprint test. A multiple regression model revealed that the normalized XCO performance was predicted at 89.2% (F 3,29 = 89.507; r = .95; P < .001) by maximum power in the sixth sprint (β = 0.602; P < .001), maximal pedaling rate (β = 0.309; P < .001), and relative maximal aerobic power output (β = 0.329; P < .001). Discussion: Confirming our expectations, the current XCO performance was highly correlated with a series of physiological and mechanical parameters reflecting the high level of acyclic and intermittent solicitation of both aerobic and anaerobic metabolic pathways and the required qualities of maximal force and velocity. Conclusion: The combination of physiological, mechanical, and strength characteristics may thus improve the prediction of elite XCO cyclists’ performance. It seems of interest to evaluate the ability to repeatedly produce brief intensive efforts with short active recovery periods.