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Franco M. Impellizzeri and Samuele M. Marcora

We propose that physiological and performance tests used in sport science research and professional practice should be developed following a rigorous validation process, as is done in other scientific fields, such as clinimetrics, an area of research that focuses on the quality of clinical measurement and uses methods derived from psychometrics. In this commentary, we briefly review some of the attributes that must be explored when validating a test: the conceptual model, validity, reliability, and responsiveness. Examples from the sport science literature are provided.

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Nathan Elsworthy and Ben J. Dascombe


The main purpose of the present study was to quantify the match running demands and physiological intensities of AF field and boundary umpires during match play.


Thirty-five AF umpires [20 field (age: 24.7 ± 7.7 y, body mass: 74.3 ± 7.1 kg, Σ7 skinfolds: 67.8 ± 18.8 mm); 15 boundary (age: 29.6 ± 13.6 y, body mass: 71.9 ± 3.1 kg, Σ7 skinfolds: 65.6 ± 8.8 mm)] volunteered to participate in the study. Movement characteristics [total distance (TD), average running speed, high-intensity activity (HIA; >14.4 km·h–1) distance] and physiological measures [heart rate, blood lactate concentration ([BLa–]), and rating of perceived exertion] were collected during 20 state-based AF matches.


The mean (± SD) TD covered by field umpires was 11,492 ± 1,729 m, with boundary umpires covering 15,061 ± 1,749 m. The average running speed in field umpires was 103 ± 14 m·min-1, and was 134 ± 14 m·min-1 in boundary umpires. Field and boundary umpires covered 3,095 ± 752 m and 5,875 ± 1,590 m, during HIA, respectively. In the first quarter, HIA distance (field: P = .004, η2 = 0.071, boundary: P < .001, η2 = 0.180) and average running speed (field: P = .002, η2 = 0.078, boundary: P < .001, η2 = 0.191) were significantly greater than in subsequent quarters.


The results demonstrate that both AF field and boundary umpires complete similar running demands to elite AF players and are subject to physical fatigue. Further research is warranted to see if this physical fatigue impacts on the cognitive function of AF umpires during match play.

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Alejandro Santos-Lozano, Ana M. Angulo, Pilar S. Collado, Fabian Sanchis-Gomar, Helios Pareja-Galeano, Carmen Fiuza-Luces, Alejandro Lucia and Nuria Garatachea

Most studies on aging and marathon have analyzed elite marathoners, yet the latter only represent a very small fraction of all marathon participants. In addition, analysis of variance or unpaired Student t tests are frequently used to compare mean performance times across age groups. In this report the authors propose an alternative methodology to determine the impact of aging on marathon performance in both nonelite and elite marathoners participating in the New York City Marathon. In all, 471,453 data points corresponding to 370,741 different runners over 13 race editions (1999–2011) were retrieved. Results showed that the effect of aging on marathon performance was overall comparable in both sexes, the effect of aging differed between the fastest and slowest runners in both sexes, and the magnitude of the sex differences was higher in the slowest runners than in the fastest ones. Current data suggest that the biological differences between sexes allow men to have better marathon performance across most of the human life span.

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James A. Betts, Javier T. Gonzalez, Louise M. Burke, Graeme L. Close, Ina Garthe, Lewis J. James, Asker E. Jeukendrup, James P. Morton, David C. Nieman, Peter Peeling, Stuart M. Phillips, Trent Stellingwerff, Luc J.C. van Loon, Clyde Williams, Kathleen Woolf, Ron Maughan and Greg Atkinson

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Billy T. Hulin, Tim J. Gabbett, Nathan J. Pickworth, Rich D. Johnston and David G. Jenkins

Purpose: To examine relationships among physical performance, workload, and injury risk in professional rugby league players. Methods: Maximal-effort (n = 112) and submaximal (n = 1084) running performances of 45 players were recorded from 1 club over 2 consecutive seasons. Poorer and better submaximal running performance was determined by higher and lower exercise heart rates, respectively. Exponentially weighted moving averages and daily rolling averages were used to assess microtechnology-derived acute and chronic field-based workloads. The associations among within-individual submaximal running performance, workload, and noncontact lower-limb injury were then investigated. Results: The injury risk associated with poorer submaximal performance was “likely” greater than stable (relative risk = 1.8; 90% confidence interval, 0.9–3.7) and better submaximal performance (relative risk = 2.0; 90% confidence interval, 0.9–4.4). Compared with greater submaximal performance, poorer performance was associated with lower chronic workloads (effect size [d] = 0.82 [0.13], large) and higher acute:chronic workload ratios (d = 0.49 [0.14], small). Chronic workload demonstrated a “nearly perfect” positive relationship with maximal-effort running performance (exponentially weighted moving average, R 2 = .91 [.15]; rolling average, R 2 = .91 [.14]). At acute:chronic workload ratios >1.9, no differences in injury risk were found between rolling average and exponentially weighted moving average methods (relative risk = 1.1; 90% confidence interval, 0.3–3.8; unclear). Conclusions: Reductions in submaximal running performance are related with low chronic workloads, high acute:chronic workload ratios, and increased injury risk. These findings demonstrate that a submaximal running assessment can be used to provide information on physical performance and injury risk in professional rugby league players.

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Erik H. Arve, Emily Madrak and Aric J. Warren

Focused Clinical Question: Is there evidence to suggest that blood flow restriction (BFR) training improves strength, cross-sectional area, and thigh girth of the quadriceps musculature in patients after arthroscopic surgical procedures of the knee? Clinical Bottom Line: There is moderate consistent, but low-level, evidence supporting the use of BFR training to improve knee extensor muscular outcomes (strength, cross-sectional area, and/or thigh girth) immediately after arthroscopic knee surgery.

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Robert J. Aughey

Previous research has suggested elite Australian footballers undertake pacing strategies to preserve high intensity activity later in matches. However, this research used GPS with slow sample rates, did not express performance relative to minutes played during games and used lowly ranked players.


Therefore in this study movement was recorded by GPS at 5 Hz. Running performance was expressed per period of the match (rotation) divided into low-intensity activity (LIA, 0.10 to 4.17 m⋅s–1); high-intensity running (HIR, 4.17 to 10.00 m⋅s–1) and maximal accelerations (2.78 to 10.00 m⋅s–2). All data were expressed relative to the first period of play in the match and the magnitude of effects was analyzed with the effect size (ES) statistic and expressed with confidence intervals.


The total and LIA distance covered by players did not change by a practically important magnitude during games (ES< 0.20). High intensity running was reduced in both rotations of the second quarter, Q3R2 and both rotations of the fourth quarter (ES -0.30 ± 0.14; -0.42 ± 0.14; -0.30 ± 0.14; -0.42 ± 0.14; and -0.48 ± 0.15 respectively). Maximal acceleration performance was reduced in Q1R2, and each rotation of the second half of matches.


When expressed per minute of game time played, total distance and low intensity activity distance are not reduced by a practically important magnitude in AF players during a match. These data are therefore inconsistent with the concept of team sport players pacing their effort during matches. However, both high intensity running and maximal accelerations are reduced later in games, indicative of significant fatigue in players.

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Carl Foster, Jos J. de Koning, Christian Thiel, Bram Versteeg, Daniel A. Boullosa, Daniel Bok and John P. Porcari

Background: Pacing studies suggest the distribution of effort for optimizing performance. Cross-sectional studies of 1-mile world records (WRs) suggest that WR progression includes a smaller coefficient of variation of velocity. Purpose: This study evaluates whether intraindividual pacing used by elite runners to break their own WR (1 mile, 5 km, and 10 km) is related to the evolution of pacing strategy. We provide supportive data from analysis in subelite runners. Methods: Men’s WR performances (with 400-m or 1-km splits) in 1 mile, 5 km, and 10 km were retrieved from the IAAF database (from 1924 to present). Data were analyzed relative to pacing pattern when a runner improved their own WR. Similar analyses are presented for 10-km performance in subelite runners before and after intensified training. Results: WR performance was improved in 1 mile (mean [SD]: 3:59.4 [11.2] to 3:57.2 [8.6]), 5 km (13:27 [0:33] to 13:21 [0:33]), and 10 km (28:35 [1:27] to 28:21 [1:21]). The average coefficient of variation did not change in the 1 mile (3.4% [1.8%] to 3.6% [1.6%]), 5 km (2.4% [0.9%] to 2.2% [0.8%]), or 10 km (1.4% [0.1%] to 1.5% [0.6%]) with improved WR. When velocity was normalized to the percentage mean velocity for each race, the pacing pattern was almost identical. Very similar patterns were observed in subelite runners in the 10 km. When time improved from 49:20 (5:30) to 45:56 (4:58), normalized velocity was similar, terminal RPE increased (8.4 [1.6] to 9.1 [0.8]), coefficient of variation was unchanged (4.4% [1.1%] to 4.8% [2.1%]), and VO2max increased (49.8 [7.4] to 55.3 [8.8] mL·min−1·kg−1). Conclusion: The results suggest that when runners break their own best performances, they employ the same pacing pattern, which is different from when WRs are improved in cross-sectional data.

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Hiroyuki Sagayama, Makiko Toguchi, Jun Yasukata, Kazunari Yonaha, Yasuki Higaki and Hiroaki Tanaka

Prior studies have examined offshore sailing and energy strategies using accurate total energy expenditure (TEE) measurement in free-living conditions. However, no research has studied energy and water requirements during dinghy class sailing such as an Olympic event with concentrated training. This study aimed to investigate the TEE, physical activity level (PAL), and water turnover (rH2O) of collegiate dinghy sailors in a training camp using the doubly labeled water method. Eleven dinghy sailing collegiate athletes (nine males and two females) participated. The doubly labeled water method was used to determine the participants’ TEE and PAL over 8 days (six training and two nontraining days). Participants trained approximately 7 hr/day on water. Body fat was measured using a stable isotope dilution method. The rH2O was estimated using deuterium turnover. The mean TEE, PAL, and rH2O were 17.30 ± 4.22 MJ/day (4,133 ± 1,009 kcal/day), 2.8 ± 0.3 (range: 2.1–4.1), and 3.3 ± 0.7 L/day (range: 2.6–4.5 L/day), respectively. To our knowledge, this was the first study to use the doubly labeled water method to determine TEE, PAL, and rH2O as references for competitive dinghy sailors in a spring training camp. Our results may serve as a reference to assist competitive dinghy sailors in determining their required nutritional support.

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Tiaki B. Smith, Will G. Hopkins and Tim E. Lowe

There is a need for markers that would help determine when an athlete’s training load is either insufficient or excessive. In this study we examined the relationship between changes in performance and changes in physiological and psychological markers during and following a period of overload training in 10 female and 10 male elite rowers. Change in performance during a 4-wk overload was determined with a weekly 30-min time-trial on a rowing ergometer, whereas an incremental test provided change in lactate-threshold power between the beginning of the study and following a 1-wk taper after the overload. Various psychometric, steroid-hormone, muscle-damage, and inflammatory markers were assayed throughout the overload. Plots of change in performance versus the 4-wk change in each marker were examined for evidence of an inverted-U relationship that would characterize undertraining and excessive training. Linear modeling was also used to estimate the effect of changes in the marker on changes in performance. There was a suggestion of an inverted U only for performance in the incremental test versus some inflammatory markers, due to the relative underperformance of one rower. There were some clear linear relationships between changes in markers and changes in performance, but relationships were inconsistent within classes of markers. For some markers, changes considered to predict excessive training (eg, creatine kinase, several proinflammatory cytokines) had small to large positive linear relationships with performance. In conclusion, some of the markers investigated in this study may be useful for adjusting the training load in individual elite rowers.