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Effects of Fed- Versus Fasted-State Aerobic Training During Ramadan on Body Composition and Some Metabolic Parameters in Physically Active Men

Khaled Trabelsi, Kais el Abed, Stephen R. Stannard, Kamel Jammoussi, Khaled M. Zeghal, and Ahmed Hakim

The aim of this study was to evaluate the effects of aerobic training in a fasted versus a fed state during Ramadan on body composition and metabolic parameters in physically active men. Nineteen men were allocated to 2 groups: 10 practicing aerobic training in a fasted state (FAST) and 9 training in an acutely fed state (FED) during Ramadan. All subjects visited the laboratory for a total of 4 sessions on the following occasions: 3 days before Ramadan (Bef-R), the 15th day of Ramadan; the 29th day of Ramadan (End-R), and 21 days after Ramadan. During each session, subjects underwent anthropometric measurement, completed a dietary questionnaire, and provided fasting blood and urine samples. Body weight decreased in FAST and FED by 1.9% (p < .001) and 2.6% (p = .046), respectively. Body fat percentage decreased only in FAST by 6.2% (p = .016). FAST experienced an increase in the following parameters from Bef-R to End-R: urine specific gravity (0.64%, p = .012), urea (8.7%, p < .001), creatinine (7.5%, p < .001), uric acid (12.7%, p < .001), sodium (1.9%, p = .003), chloride (2.6%, p < .001), and high-density lipoprotein cholesterol (27.3%, p < .001). Of these parameters, only creatinine increased (5.8%, p = .004) in FED. Creatinine clearance values of FAST decreased by 8.9% (p < .001) and by 7.6% in FED (p = .01) from Bef-R to End-R. The authors conclude that aerobic training in a fasted state lowers body weight and body fat percentage. In contrast, fed aerobic training decreases only body weight. In addition, Ramadan fasting induced change in some metabolic parameters in FAST, but these changes were absent in FED.

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Effect of Resistance Training During Ramadan on Body Composition and Markers of Renal Function, Metabolism, Inflammation, and Immunity in Recreational Bodybuilders

Khaled Trabelsi, Stephen R. Stannard, Ronald J. Maughan, Kamel Jammoussi, Khaled Zeghal, and Ahmed Hakim

The aim of this study was to evaluate the effects of a hypertrophic training program during Ramadan on body composition and selected metabolic markers in trained bodybuilders. Sixteen male recreational bodybuilders (9 Ramadan fasters and 7 nonfasters) participated in the study. All visited the laboratory 2 d before the start of Ramadan (Bef-R) and on the 29th day of Ramadan (End-R). In the morning of each session, subjects underwent anthropometric measurement, completed a dietary questionnaire, and provided fasting blood and urine samples. Body mass and body-mass index in nonfasters increased by 2.4% (p = .05 and p = .04, respectively) from Bef-R to End-R but remained unchanged in fasters over the period of the investigation. Fasters experienced an increase in the following parameters from Bef-R to End-R: urine specific gravity (1%, p = .022) and serum concentrations of urea (5%, p = .008), creatinine (5%, p = .007), uric acid (17%, p < .001), sodium (2%, p = .019), potassium (6%, p = .006), chloride (2%, p = .028), and high-density lipoprotein cholesterol (10%, p = .005). However, only serum creatinine and low-density lipoprotein cholesterol increased in nonfasters (3%, p < .001 and 14%, p = .007, respectively) during the same period. Creatinine clearance values of fasters decreased by 3% (p = .03) from Bef-R to End-R. Continuance of hypertrophic training through Ramadan had no effect on body mass and body composition of bodybuilders, but a state of dehydration and reduced renal function were apparent, perhaps because of the restricted opportunity for fluid intake imposed by the study design.

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Impact of Soccer-Based Training Interventions on Anthropometric Measures Among Children and Adolescents With Overweight/Obesity: A Systematic Review, Meta-Analysis, and Assessment of Certainty of Evidence

Manel Kerkeni, Khaled Trabelsi, Mohamed Kerkeni, Achraf Ammar, Abdul Rashid Aziz, Jordan M. Glenn, Wassim Moalla, Hamdi Chtourou, and Haitham Jahrami

Purpose: This systematic review and meta-analysis aimed to systematically examine and summarize recent evidence on the effects of soccer-based training (SBT) on anthropometric measures in children and adolescents with overweight/obesity. Methods: Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020 guidelines, a thorough literature search across 7 electronic databases was conducted on October 11, 2023. The studies’ methodological quality was evaluated using the QualSyst tool, followed by conducting a meta-analysis with a random-effects model, and the certainty of evidence was assessed. Results: Six studies were included, with 4 studies of strong methodological quality and 2 studies of moderate methodological quality. The results of the meta-analysis revealed SBT decreases fat mass percentage (effect size [ES] = 0.47 [small]; P = .002), with no significant effect of SBT on body mass index (ES = 0.180 [small]; P = .275), body mass (ES = 0.183 [trivial]; P = .212), fat-free mass (ES = 0.074 [trivial]; P = .635), or waist circumference (ES = 0.358 [small]; P = .053). The certainty of evidence was moderate for all outcomes. Conclusions: SBT appears to decrease fat mass percentage, without affecting body mass, body mass index, fat-free mass, or waist circumference in obese/overweight children and adolescents. These findings require further investigation given the moderate certainty of evidence. Registration: The protocol of this review was registered in the Open Science Framework database (https://doi.org/10.17605/OSF.IO/8P4V2).

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Effects of Playing Surface on Physical, Physiological, and Perceptual Responses to a Repeated-Sprint Ability Test: Natural Grass Versus Artificial Turf

Achraf Ammar, Stephen J. Bailey, Omar Hammouda, Khaled Trabelsi, Nabil Merzigui, Kais El Abed, Tarak Driss, Anita Hökelmann, Fatma Ayadi, Hamdi Chtourou, Adnen Gharbi, and Mouna Turki

Purpose: The effect of playing surface on physical performance during a repeated-sprint ability (RSA) test and the mechanisms for any potential playing-surface-dependent effects on RSA performance are equivocal. The purpose of this study was to investigate the effect of natural grass (NG) and artificial turf (AT) on physical performance, ratings of perceived exertion, feeling scale, and blood biomarkers related to anaerobic contribution (blood lactate [Lac]), muscle damage (creatine kinase and lactate dehydrogenase), inflammation (C-reactive protein), and immune function (neutrophils [NEU], lymphocytes [LYM], and monocytes) in response to an RSA test. Methods: A total of 9 male professional football players from the same regional team completed 2 sessions of RSA testing (6 × 30 s interspersed with a 35-s recovery) on NG and AT in a randomized order. During the RSA test, total (sum of distances) and peak (highest distance covered in a single repetition) distance covered were determined using a measuring tape, and the decrement in sprinting performance from the first to the last repetition was calculated. Before and after the RSA test, ratings of perceived exertion, feeling scale, and Lac, creatine kinase, lactate dehydrogenase, C-reactive protein, NEU, LYM, and monocytes were recorded in both NG and AT conditions. Results: Although physical performance declined during the RSA blocks on both surfaces (P = .001), the distance covered declined more on NG (15%) than on AT (11%; P = .04; effect size [ES] = −0.34; 95% confidence interval [CI], −1.21 to 0.56) with a higher total distance covered (+6% [2%]) on AT (P = .018; ES = 1.15; 95% CI, 0.16 to 2.04). In addition, lower ratings of perceived exertion (P = .04; ES = −0.49; 95% CI, −1.36 to 0.42), Lac, NEU, and LYM (P = .03; ES = −0.80; 95% CI, −1.67 to 0.14; ES = −0.16; 95% CI, −1.03 to 0.72; and ES = −0.94; 95% CI, −1.82 to 0.02, respectively) and more positive feelings (P = .02; ES = 0.81; 95% CI, −0.13 to 1.69) were observed after the RSA test performed on AT than on NG. No differences were observed in the remaining physical and blood markers. Conclusion: These findings suggest that RSA performance is enhanced on AT compared with NG. This effect was accompanied by lower fatigue perception and Lac, NEU, and LYM and a more pleasurable feeling. These observations might have implications for physical performance in intermittent team-sport athletes who train and compete on different playing surfaces.

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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.