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Acute Caffeine Ingestion’s Increase of Voluntarily Chosen Resistance-Training Load After Limited Sleep

Christian Cook, C. Martyn Beaven, Liam P. Kilduff, and Scott Drawer

Introduction:

This study aimed to determine whether caffeine ingestion would increase the workload voluntarily chosen by athletes in a limited-sleep state.

Methods:

In a double-blind, crossover study, 16 professional rugby players ingested either a placebo or 4 mg/kg caffeine 1 hr before exercise. Athletes classified themselves into nondeprived (8 hr+) or sleep-deprived states (6 hr or less). Exercise comprised 4 sets of bench press, squats, and bent rows at 85% 1-repetition maximum. Athletes were asked to perform as many repetitions on each set as possible without failure. Saliva was collected before administration of placebo or caffeine and again before and immediately after exercise and assayed for testosterone and cortisol.

Results:

Sleep deprivation produced a very large decrease in total load (p = 1.98 × 10−7). Caffeine ingestion in the nondeprived state resulted in a moderate increase in total load, with a larger effect in the sleep-deprived state, resulting in total load similar to those observed in the nondeprived placebo condition. Eight of the 16 athletes were identified as caffeine responders. Baseline testosterone was higher (p < .05) and cortisol trended lower in non-sleep-deprived athletes. Changes in hormones from predose to preexercise correlated to individual workload responses to caffeine. Testosterone response to exercise increased with caffeine compared with placebo, as did cortisol response.

Conclusions:

Caffeine increased voluntary workload in professional athletes, even more so under conditions of self-reported limited sleep. Caffeine may prove worthwhile when athletes are tired, especially in those identified as responders.

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Improving Strength and Power in Trained Athletes With 3 Weeks of Occlusion Training

Christian J. Cook, Liam P. Kilduff, and C. Martyn Beaven

Purpose:

To examine the effects of moderate-load exercise with and without blood-flow restriction (BFR) on strength, power, and repeated-sprint ability, along with acute and chronic salivary hormonal parameters.

Methods:

Twenty male semiprofessional rugby union athletes were randomized to a lower-body BFR intervention (an occlusion cuff inflated to 180 mmHg worn intermittently on the proximal thighs) or a control intervention that trained without occlusion in a crossover design. Experimental sessions were performed 3 times a week for 3 wk with 5 sets of 5 repetitions of bench press, leg squat, and pull-ups performed at 70% of 1-repetition maximum.

Results:

Greater improvements were observed (occlusion training vs control) in bench press (5.4 ± 2.6 vs 3.3 ± 1.4 kg), squat (7.8 ± 2.1 vs 4.3 ± 1.4 kg), maximum sprint time (−0.03 ± 0.03 vs –0.01 ± 0.02 s), and leg power (168 ± 105 vs 68 ± 50 W). Greater exercise-induced salivary testosterone (ES 0.84–0.61) and cortisol responses (ES 0.65–0.20) were observed after the occlusion intervention sessions compared with the nonoccluded controls; however, the acute cortisol increases were attenuated across the training block.

Conclusions:

Occlusion training can potentially improve the rate of strength-training gains and fatigue resistance in trained athletes, possibly allowing greater gains from lower loading that could be of benefit during high training loads, in competitive seasons, or in a rehabilitative setting. The clear improvement in bench-press strength resulting from lower-body occlusion suggests a systemic effect of BFR training.

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Mental Rehearsal Improves Passing Skill and Stress Resilience in Rugby Players

C. Martyn Beaven, Liam P. Kilduff, and Christian J. Cook

Purpose: Mental rehearsal is commonly employed, with positive visualization proposed to enhance complex skill performance. Additionally, video stimulus has been associated with enhanced kinesthetic sensations and rapid hormone fluctuations that may contribute to enhancing mental rehearsal and the conscious and unconscious emotional state for skill execution. Here, we assessed the impact of a 15-minute mental rehearsal intervention on rugby-specific tasks and the associated hormone profile. Methods: Professional rugby players (N = 10) volunteered for a randomized crossover study. They completed three 15-minute preparatory phases (positive or negative video-guided mental rehearsal or self-directed mental rehearsal alone) prior to an exercise stressor and rugby-specific passing task. Salivary testosterone and cortisol were monitored to assess stress responses. Results: Performance during the rugby passing task was improved following the positive video condition (91% [7.4%]) compared to the negative video (79% [6.0%]; ES: 1.22 ± 0.75) and self-visualization (86% [5.8%]; ES: 0.58 ± 0.75), with a significant correlation observed between passing performance and salivary testosterone (r = .47 ± .34, P = .0087). Positive video imagery prior to an exercise stressor also significantly enhanced physiological stress resilience (r = .39 ± .36, P = .0352). Conclusions: This pilot study demonstrates that mental rehearsal was enhanced by appropriate, context-specific video presentation. We propose that the interaction between sex steroids, the adrenal axis, and subsequent conscious and unconscious behaviors may be relevant to competitive rugby. Specifically, we suggest that relatively elevated free testosterone imparts a degree of stress resilience, which may lead to enhanced expression of competitive behaviors and provide an enhanced state for rugby skill execution.

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Dose Effect of Caffeine on Testosterone and Cortisol Responses to Resistance Exercise

C. Martyn Beaven, Will G. Hopkins, Kier T. Hansen, Matthew R. Wood, John B. Cronin, and Timothy E. Lowe

Introduction:

Interest in the use of caffeine as an ergogenic aid has increased since the International Olympic Committee lifted the partial ban on its use. Caffeine has beneficial effects on various aspects of athletic performance, but its effects on training have been neglected.

Purpose:

To investigate the acute effect of caffeine on the exercise-associated increases in testosterone and cortisol in a double-blind crossover study.

Methods:

Twenty-four professional rugby-league players ingested caffeine doses of 0, 200, 400, and 800 mg in random order 1 hr before a resistance-exercise session. Saliva was sampled at the time of caffeine ingestion, at 15-min intervals throughout each session, and 15 and 30 min after the session. Data were log-transformed to estimate percent effects with mixed modeling, and effects were standardized to assess magnitudes.

Results:

Testosterone concentration showed a small increase of 15% (90% confidence limits, ± 19%) during exercise. Caffeine raised this concentration in a dose-dependent manner by a further small 21% (± 24%) at the highest dose. The 800-mg dose also produced a moderate 52% (± 44%) increase in cortisol. The effect of caffeine on the testosterone:cortisol ratio was a small decline (14%; ± 21%).

Conclusion:

Caffeine has some potential to benefit training outcomes via the anabolic effects of the increase in testosterone concentration, but this benefit might be counteracted by the opposing catabolic effects of the increase in cortisol and resultant decline in the testosterone:cortisol ratio.

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Electrostimulation’s Enhancement of Recovery During a Rugby Preseason

C. Martyn Beaven, Christian Cook, David Gray, Paul Downes, Ian Murphy, Scott Drawer, John R. Ingram, Liam P. Kilduff, and Nicholas Gill

Rugby preseason training involves high-volume strength and conditioning training, necessitating effective management of the recovery-stress state to avoid overtraining and maximize adaptive gains.

Purpose:

Compression garments and an electrostimulation device have been proposed to improve recovery by increasing venous blood flow. These devices were assessed using salivary testosterone and cortisol, plasma creatine kinase, and player questionnaires to determine sleep quality, energy level, mood, and enthusiasm.

Methods:

Twenty-five professional rugby players were assigned to 1 of 2 treatments (compression garment or a concurrent combination of electrostimulation and compression) in a crossover design over 2 × 2-wk training blocks.

Results:

Substantial benefits were observed in self-assessed energy levels (effect size [ES] 0.86), and enthusiasm (ES 0.80) as a result of the combined treatment when compared with compression-garment use. The combination treatment had no discernable effect on salivary hormones, with no treatment effect observed. The electrostimulation device did tend to accelerate the return of creatine kinase to baseline levels after 2 preseason rugby games when compared with the compression-garment intervention (ES 0.61; P = .08).

Conclusions:

Electrostimulation elicited psychometric and physiological benefits reflective of an improved recovery-stress state in professional male rugby players when combined with a lower-body compression garment.

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Heating Up to Keep Cool: Benefits and Persistence of a Practical Heat Acclimation Protocol in Elite Female Olympic Team-Sport Athletes

Stephen P. Fenemor, Matthew W. Driller, Nicholas D. Gill, Brad Anderson, Julia R. Casadio, Stacy T. Sims, and C. Martyn Beaven

Purpose: Although recommendations for effective heat acclimation (HA) strategies for many circumstances exist, best-practice HA protocols specific to elite female team-sport athletes are yet to be established. Therefore, the authors aimed to investigate the effectiveness and retention of a passive HA protocol integrated in a female Olympic rugby sevens team training program. Methods: Twelve elite female rugby sevens athletes undertook 10 days of passive HA across 2 training weeks. Tympanic temperature (T Tymp), sweat loss, heart rate, and repeated 6-second cycling sprint performance were assessed using a sport-specific heat stress test Pre-HA, after 3 days (Mid-HA), after 10 days (Post-HA), and 15 days post-HA (Decay). Results: Compared with Pre-HA, submaximal T Tymp was lower Mid-HA and Post-HA (both by −0.2 [0.7] °C; d ≥ 0.71), while resting T Tymp was lower Post-HA (by −0.3 [0.2] °C; d = 0.81). There were no differences in T Tymp at Decay compared with Pre-HA, nor were there any differences in heart rate or sweat loss at any time points. Mean peak 6-second power output improved Mid-HA and Post-HA (76 [36] W; 75 [34] W, respectively; d ≥ 0.45) compared with Pre-HA. The observed performance improvement persisted at Decay by 65 (45) W (d = 0.41). Conclusions: Ten days of passive HA can elicit some thermoregulatory and performance benefits when integrated into a training program in elite female team-sport athletes. However, such a protocol does not provide a sufficient thermal impulse for thermoregulatory adaptations to be retained after 15 days with no further heat stimulus.

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Effectiveness of an Unexpected Disturbance Program in the Early Stage of Rehabilitation in Athletes With Unilateral Knee Ligament Injury

Joerg Teichmann, Rachel Tan, Kim Hébert-Losier, Yeo Wee Kian, Shabana Jalal Din, Ananthi Subramaniam, Dietmar Schmidtbleicher, and C. Martyn Beaven

Context: Sensorimotor, proprioceptive, and neuromuscular programs are critical for the successful rehabilitation of injured athletes, and these decrease reinjury rates. Objective: To investigate the effects of an unexpected disturbance program (UDP) on balance and unilateral strength metrics in athletes with unilateral knee ligament injury. Design: A 3-week parallel-group experimental design consisting of 9 rehabilitation sessions. Setting: National Sports Institute. Participants: Twenty-one national-level athletes (age 21.4 [4.4] y, body mass 63.9 [10.8] kg, height 169.0 [10.2] cm) who had sustained a unilateral knee ligament injury. Intervention: An UDP program designed to evoke rapid sensorimotor responses was compared with traditional training and a nonexercise control group. Main Outcome Measures: Unilateral total, anteroposterior, and mediolateral sway with eyes open and closed and unilateral isometric strength. Results: Traditional exercises tended to outperform the UDP when unilateral balance testing was performed with eyes open; however, balance improvement following UDP tended to be greater in the eyes-closed condition. Significant strength gains in both the injured and uninjured legs were only observed following the UDP. This increase in unilateral isometric strength was 23.4 and 35.1 kg greater than the strength improvements seen in the traditional rehabilitation and control groups (P < .05). Conclusions: UDP could improve neural aspects of rehabilitation to improve rehabilitation outcomes by improving strength, sensorimotor function, and proprioception. Given the complementary adaptations, an UDP could provide an effective adjunct to traditional rehabilitation protocols and improve return-to-play outcomes.

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Critical Power, Work Capacity, and Recovery Characteristics of Team-Pursuit Cyclists

Charles F. Pugh, C. Martyn Beaven, Richard A. Ferguson, Matthew W. Driller, Craig D. Palmer, and Carl D. Paton

Purpose: Leading a 4-km team pursuit (TP) requires high-intensity efforts above critical power (CP) that deplete riders’ finite work capacity (W′), whereas riders following in the aerodynamic draft may experience some recovery due to reduced power demands. This study aimed to determine how rider ability and CP and W′ measures impact TP performance and the extent to which W′ can reconstitute during recovery positions in a TP race. Methods: Three TP teams, each consisting of 4 males, completed individual performance tests to determine their CP and W′. Teams were classified based on their performance level as international (INT), national (NAT), or regional (REG). Each team performed a TP on an indoor velodrome (INT: 3:49.9; NAT: 3:56.7; and REG: 4:05.4; min:s). Ergometer-based TP simulations with an open-ended interval to exhaustion were performed to measure individual ability to reconstitute W′ at 25 to 100 W below CP. Results: The INT team possessed higher CP (407 [4] W) than both NAT (381 [13] W) and REG (376 [15] W) (P < .05), whereas W′ was similar between teams (INT: 27.2 [2.8] kJ; NAT: 29.3 [2.4] kJ; and REG: 28.8 [1.6] kJ; P > .05). The INT team expended 104% (5%) of their initial W′ during the TP and possessed faster rates of recovery than NAT and REG at 25 and 50 W below CP (P < .05). Conclusions: The CP and rate of W′ reconstitution have a greater impact on TP performance than W′ magnitude and can differentiate TP performance level.

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Improvement of Elite Female Athletes’ Physical Performance With a 3-Week Unexpected Disturbance Program

Jorg Teichmann, Edin K. Suwarganda, C. Martyn Beaven, Kim Hébert-Losier, Jin Wei Lee, Florencio Tenllado Vallejo, Philip Chun Foong Lew, Ramlan Abdul Aziz, Yeo Wee Kian, and Dietmar Schmidtbleicher

Context: Sensorimotor training is commonly used in a rehabilitative setting; however, the effectiveness of an unexpected disturbance program (UDP) to enhance performance measures in uninjured elite athletes is unknown. Objective: To assess the impact of a 3-wk UDP program on strength, power, and proprioceptive measures. Design: Matched-group, pre-post design. Setting: National sport institute. Participants: 21 international-level female field hockey athletes. Intervention: Two 45-min UDP sessions were incorporated into each week of a 3-wk training program (total 6 sessions). Main Outcome Measures: 1-repetition-maximum strength, lower-limb power, 20-m running speed, and proprioception tests were performed before and after the experimental period. Results: Substantial improvements in running sprint speed at 5-m (4.4 ± 2.6%; effect size [ES]: 0.88), 10-m (2.1 ± 1.9%; ES: 0.51), and 20-m (1.0 ± 1.6%; ES: 0.23) were observed in the UDP group. Squat-jump performance was also clearly enhanced when compared to the control group (3.1 ± 6.1%; ES: 0.23). Small but clear improvements in maximal strength were observed in both groups. Conclusions: A 3-wk UDP can elicit clear enhancements in running sprint speed and concentric-only jump performance. These improvements are suggestive of enhanced explosive strength and are particularly notable given the elite training status of the cohort and relatively short duration of the intervention. Thus, the authors would reiterate the statement by Gruber et al (2004) that sensorimotor training is a “highly efficient” modality for improving explosive strength.

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COVID-19 Lockdown: A Global Study Investigating the Effect of Athletes’ Sport Classification and Sex on Training Practices

Jad Adrian Washif, Øyvind Sandbakk, Stephen Seiler, Thomas Haugen, Abdulaziz Farooq, Ken Quarrie, Dina C. Janse van Rensburg, Isabel Krug, Evert Verhagen, Del P. Wong, Iñigo Mujika, Cristina Cortis, Monoem Haddad, Omid Ahmadian, Mahmood Al Jufaili, Ramzi A. Al-Horani, Abdulla Saeed Al-Mohannadi, Asma Aloui, Achraf Ammar, Fitim Arifi, Abdul Rashid Aziz, Mikhail Batuev, Christopher Martyn Beaven, Ralph Beneke, Arben Bici, Pallawi Bishnoi, Lone Bogwasi, Daniel Bok, Omar Boukhris, Daniel Boullosa, Nicola Bragazzi, Joao Brito, Roxana Paola Palacios Cartagena, Anis Chaouachi, Stephen S. Cheung, Hamdi Chtourou, Germina Cosma, Tadej Debevec, Matthew D. DeLang, Alexandre Dellal, Gürhan Dönmez, Tarak Driss, Juan David Peña Duque, Cristiano Eirale, Mohamed Elloumi, Carl Foster, Emerson Franchini, Andrea Fusco, Olivier Galy, Paul B. Gastin, Nicholas Gill, Olivier Girard, Cvita Gregov, Shona Halson, Omar Hammouda, Ivana Hanzlíková, Bahar Hassanmirzaei, Kim Hébert-Losier, Hussein Muñoz Helú, Tomás Herrera-Valenzuela, Florentina J. Hettinga, Louis Holtzhausen, Olivier Hue, Antonio Dello Iacono, Johanna K. Ihalainen, Carl James, Saju Joseph, Karim Kamoun, Mehdi Khaled, Karim Khalladi, Kwang Joon Kim, Lian-Yee Kok, Lewis MacMillan, Leonardo Jose Mataruna-Dos-Santos, Ryo Matsunaga, Shpresa Memishi, Grégoire P. Millet, Imen Moussa-Chamari, Danladi Ibrahim Musa, Hoang Minh Thuan Nguyen, Pantelis T. Nikolaidis, Adam Owen, Johnny Padulo, Jeffrey Cabayan Pagaduan, Nirmala Panagodage Perera, Jorge Pérez-Gómez, Lervasen Pillay, Arporn Popa, Avishkar Pudasaini, Alizera Rabbani, Tandiyo Rahayu, Mohamed Romdhani, Paul Salamh, Abu-Sufian Sarkar, Andy Schillinger, Heny Setyawati, Navina Shrestha, Fatona Suraya, Montassar Tabben, Khaled Trabelsi, Axel Urhausen, Maarit Valtonen, Johanna Weber, Rodney Whiteley, Adel Zrane, Yacine Zerguini, Piotr Zmijewski, Helmi Ben Saad, David B. Pyne, Lee Taylor, and Karim Chamari

Purpose: To investigate differences in athletes’ knowledge, beliefs, and training practices during COVID-19 lockdowns with reference to sport classification and sex. This work extends an initial descriptive evaluation focusing on athlete classification. Methods: Athletes (12,526; 66% male; 142 countries) completed an online survey (May–July 2020) assessing knowledge, beliefs, and practices toward training. Sports were classified as team sports (45%), endurance (20%), power/technical (10%), combat (9%), aquatic (6%), recreational (4%), racquet (3%), precision (2%), parasports (1%), and others (1%). Further analysis by sex was performed. Results: During lockdown, athletes practiced body-weight-based exercises routinely (67% females and 64% males), ranging from 50% (precision) to 78% (parasports). More sport-specific technical skills were performed in combat, parasports, and precision (∼50%) than other sports (∼35%). Most athletes (range: 50% [parasports] to 75% [endurance]) performed cardiorespiratory training (trivial sex differences). Compared to prelockdown, perceived training intensity was reduced by 29% to 41%, depending on sport (largest decline: ∼38% in team sports, unaffected by sex). Some athletes (range: 7%–49%) maintained their training intensity for strength, endurance, speed, plyometric, change-of-direction, and technical training. Athletes who previously trained ≥5 sessions per week reduced their volume (range: 18%–28%) during lockdown. The proportion of athletes (81%) training ≥60 min/session reduced by 31% to 43% during lockdown. Males and females had comparable moderate levels of training knowledge (56% vs 58%) and beliefs/attitudes (54% vs 56%). Conclusions: Changes in athletes’ training practices were sport-specific, with few or no sex differences. Team-based sports were generally more susceptible to changes than individual sports. Policy makers should provide athletes with specific training arrangements and educational resources to facilitate remote and/or home-based training during lockdown-type events.