Search Results (232)

Air pollution is an escalating global concern with significant implications for human health and athletic performance. This narrative review synthesizes and critically compares the current literature on the impact of air pollution on health and football performance, elucidates the physiological mechanisms involved, and evaluates available mitigation strategies. Comparative studies consistently demonstrate that football players—who frequently engage in high-intensity outdoor exercise—are particularly susceptible to the harmful effects of airborne pollutants such as particulate matter (PM), volatile organic compounds (VOCs), nitrogen dioxide (NO₂), ozone (O₃), and carbon monoxide (CO). These pollutants bypass natural respiratory defenses due to increased pulmonary ventilation during exercise, reaching deeper lung regions and triggering oxidative stress, inflammation, and impaired lung function. Evidence across studies indicates that poor air quality is associated with decreased football performance, including reduced distance covered, fewer high-intensity efforts, elevated physiological strain, and diminished training adaptation. Long-term exposure exacerbates respiratory conditions, suppresses immune function, and heightens the risk of illness and injury. Furthermore, comparative genetic research highlights inter-individual variability in pollution sensitivity, with specific gene variants conferring either increased vulnerability or resilience to adverse effects. This review also explores practical and emerging mitigation strategies—such as timing training to avoid peak pollution, utilizing air quality monitoring and antioxidant-rich diets, and promoting sustainable infrastructure—to safeguard athlete health and optimize performance. Novel approaches including respiratory training, anti-smog masks, indoor sessions, and personalized recovery protocols offer additional protection and recovery support. Full article

Athletes engaged in dynamic sports experience a shortened red blood cell (RBC) lifespan and accelerated turnover due to RBC destruction. This accelerated RBC turnover might have a positive impact on exercise performance by increasing the number of young red blood cells with a high oxygen-carrying capacity. However, accelerated turnover might also be a result of intravascular haemolysis caused by RBC destruction during exercise, impairing RBC function and oxygen transport. Therefore, we aimed to evaluate the relationship between reticulocyte count as an indicator of short-term RBC profile changes and exercise capacity. We retrospectively evaluated elite Italian athletes engaged in endurance or mixed sports disciplines selected for the 2023 European Games or 2024 Olympic Games. Athletes underwent blood tests, echocardiography, and cardiopulmonary exercise tests. We assessed the relationship between reticulocytes and the peak value of VO₂ (peak VO₂) and anaerobic threshold (AT). In addition, the effects of age, sex, haemoglobin concentration, stroke volume, peak heart rate, and reticulocytes on peak VO₂ and AT were assessed using multiple linear regression. Of the 105 athletes, reticulocyte count (0.059 ± 0.024 × 10¹²/L) negatively correlated with peak VO₂ (45.5 ± 9.1 mL/min/kg) (p = 0.022) and AT (27.6 ± 7.9 mL/min/kg) (p = 0.040). Using multivariate linear regression analysis, reticulocytes were independent predictors of peak VO₂ and AT (95% confidence interval: −192.3 to −45.9; p = 0.001; 95% confidence interval: −143.4 to −13.8: p = 0.018, respectively). Our findings indicated a negative relationship between reticulocyte count and peak VO₂ or AT. The life span of reticulocytes was close to the period of transient decline in RBC function that occurred after high-intensity exercise; therefore, the changes in reticulocytes might be related to the decline in exercise performance owing to this decline in RBC function. Full article

Background: Recreational participation in Mixed Martial Arts (MMA) has rapidly increased. Despite consistent evidence of a high injury prevalence in MMA athletes, the neuromuscular implications of regular MMA training remain underexplored. The cervical spine is particularly vulnerable to trauma due to repetitive impacts and high mechanical demands in combat sports. Methods: This case-control study compared cervical spine function and self-reported symptoms between 25 recreational MMA athletes and 25 matched individuals who engaged in general fitness training. Outcome measures included Neck Disability Index (NDI), Post-Concussion Symptom Scale (PCSS), pain and headache reports, cervical range of motion (ROM), proprioception, isometric strength, and endurance. Multivariate logistic regression analysis was used to identify the predictors of group classification. Results: The MMA group exhibited significantly higher values for post-concussion symptoms (p = 0.012), cervical flexor endurance (p = 0.031), and the number of concussions (p = 0.001) but lower flexion ROM (p = 0.031). No significant differences were observed in strength, proprioception, or NDI scores. Logistic regression identified the number of concussions, age, total cervical ROM, and average rotation strength as significant predictors of group membership (model AUC = 0.96; Nagelkerke R² = 0.797). Conclusions: Recreational MMA athletes demonstrated higher rates of concussion-related symptoms and reduced cervical flexion ROM than noncontact exercisers despite no statistically significant differences in strength and proprioception. These findings suggest that cumulative exposure to amateur MMA is associated with alterations in cervical neuromuscular characteristics. These results support the implementation of targeted mobility, endurance, and injury prevention programs in recreational MMA training. Full article

Imagery, a classic technique in psychological training, is gaining momentum in competitive sports. Despite the increasing use of imagery, its effectiveness remains debated. Robust, data-driven conclusions are still lacking. This study seeks to investigate the effects of imagery practice on enhancing athletic performance and determine the ideal dosage of such practice through a systematic review and multilevel meta-analysis. A comprehensive search across seven databases, including SportDiscus, PubMed, PsycINFO, Web of Science, MEDLINE, MEDLINE Complete, and CINAHL, yielded 23,027 studies. These were initially reviewed for title and abstract using ASReview, followed by full-text screening with Covidence. A total of 86 studies with 3593 athletes (2104 males and 1110 females) were included in this meta-analysis. Our findings indicate that imagery practice enhances athletic performance, encompassing agility, muscle strength, tennis and soccer performance, and is applicable to both tennis and soccer athletes. The efficacy of integrating imagery practice with one or two additional psychological skills trainings (PSTs) surpasses that of imagery practice in isolation. Moderation analysis revealed that engaging in imagery practice for approximately ten minutes, three times weekly over a span of one hundred days, produces the strongest performance gains. This review offers recommendations for athletes regarding the implementation of imagery practice in routine training or prior to competitions, thereby providing empirical evidence to optimize psychological training programs in competitive settings. Full article

Background/Objectives: COVID-19 poses significant physiological challenges for athletes, particularly those engaged in high-intensity intermittent sports such as ice hockey. This study aimed to evaluate the impact of SARS-CoV-2 infection—especially symptomatic cases—on aerobic and anaerobic performance in professional ice hockey players. Methods: Fifty athletes from the Polish Hockey League were assigned to three groups: control (CG, n = 13), asymptomatic COVID-19 (NSG, n = 28), and symptomatic COVID-19 with post-infection SpO₂ < 90% (WSG, n = 9). Each underwent assessments at three time points—pre-preparatory period 2020/2021, post-preparatory period 2020/2021, and pre-preparatory period 2021/2022. Aerobic capacity was measured via a progressive cycle ergometer test (VO₂max, VO₂ at lactate threshold [VO_2Lt], minute ventilation [V’E], breathing frequency [BF], and lactate clearance rate [ΔLa]), and anaerobic capacity via a 30 s Wingate test (relative mean power). Results: Compared with CG and NSG, symptomatic athletes exhibited significant post-infection declines in VO₂max (48.2 ± 2.9 vs. 56.2 ± 6.2 and 54.6 ± 3.9 mL/kg/min; p = 0.006, d = 1.56 vs. CG; p < 0.024, d = 1.79 vs. NSG) and VO_2Lt (p < 0.05). Relative mean power also decreased in WSG (p < 0.05). In contrast, CG and NSG improved or maintained these metrics over the same period. Symptomatic players showed elevated BF post infection (p = 0.022, d = 1.72) and reduced V’E (p = 0.035; d = 0.83), while ΔLa was markedly lower (p = 0.0004; d = 2.86). Conclusions: SARS-CoV-2 infection, particularly symptomatic cases, can significantly impair both aerobic and anaerobic capacity in elite hockey players. Targeted recovery protocols are essential for restoring performance in affected athletes. Full article

Objective: This study analyzed the relationship between self-perceived physical fitness and anthropometric and biochemical variables in young athletes from extracurricular sports programs in northeastern Spain. Methods: A cross-sectional design was used with a sample of 673 young athletes. Data collection included self-reported physical fitness and objective anthropometric and biochemical measurements. The analysis explored associations between perceived fitness dimensions and physical/biochemical variables, with attention to sex differences. Results: Fat mass showed significant inverse associations with all perceived fitness dimensions: general fitness (OR = 0.62, 95% CI [0.41, 0.94]), cardiorespiratory fitness (OR = 0.56, 95% CI [0.37, 0.83]), muscular strength (OR = 0.61, 95% CI [0.41, 0.91]), speed/agility (OR = 0.59, 95% CI [0.39, 0.88]), and flexibility (OR = 0.57, 95% CI [0.39, 0.84]). Higher fat mass was consistently linked to lower perceived fitness. HDL levels were positively associated with general (OR = 1.40, 95% CI [1.13, 1.74]) and cardiorespiratory fitness (OR = 1.32, 95% CI [1.07, 1.62]), while LDL levels showed no significant effect (p > 0.05). Sex differences emerged for general fitness (OR = 0.52, 95% CI [0.33, 0.82]) and flexibility (OR = 0.51, 95% CI [0.33, 0.78]), favoring boys, but no differences were found for cardiorespiratory fitness, muscular strength, or speed/agility (p > 0.05). This suggests that shared athletic environments may reduce typical sex-based disparities. Conclusions: Our findings emphasize the importance of considering both anthropometric and biochemical variables when evaluating perceived fitness in youth athletes. Regular athletic engagement may buffer sex-based differences in fitness perception. Full article

Collegiate sports serve as a powerful platform for advancing youth development and social engagement, contributing not only to athletic growth but also to personal development, teamwork, and social justice among student-athletes. This study explores the relationships among procedural justice, coach trust, perceived organizational support (POS), and team commitment in collegiate athletes. A self-reported questionnaire administered to college athletes collected 285 usable responses. Structural equation modeling (SEM) was employed to test the hypothesized relationships. The findings reveal that higher perceptions of procedural justice are significantly associated with greater team commitment, increased coach trust, and higher POS. Additionally, coach trust positively influences both team commitment and POS. However, no significant relationship was found between POS and team commitment, indicating that POS alone may not be a direct predictor of athlete commitment without the presence of mediating factors. These findings highlight the pivotal role of procedural justice, coach trust, and POS in shaping team commitment among collegiate athletes, underscoring the importance of fair decision-making and relational trust in fostering youth development and reflecting the broader influence of behavioral and social dynamics in collegiate sport settings. Full article

Recent research has suggested that strength and conditioning (S&C) coach development should consider constructivist learning theories to promote coach development and learning of psychosocial coaching competencies. Reflective practice can encourage holistic learning through promoting an internal dialogue of the meaningfulness of an individual’s experiences. Our study aimed to examine the efficacy of a facilitated, guided, and longitudinal reflective process to promote coach learning of psychosocial coaching practice using Moon’s reflective framework. Over a four-week period, six elite S&C coaches engaged in a guided process reflection process with a facilitator. This included daily journaling in an e-diary with the facilitator providing feedback at the end of each week. At the end, each S&C coach participated in an exit interview. Data were analysed using interpretative phenomenological analysis. Findings revealed that there were potential benefits for the S&C coach’s process of reflection such as providing accountability through developing a close relationship with the facilitator, which enabled the S&C coaches to more critically link learning to behaviour change. Furthermore, S&C coaches’ learning resulted in developing awareness of self/athlete’s needs, increased flexibility, and enhanced confidence. This resulted in S&C coaches developing psychosocial coaching competencies that enabled them to change their practice to become more athlete centred. Full article

Background: Athletes with expertise in sports show extensive procedural and factual information, enhancing their ability to focus attention, use cues, and anticipate events. This study examined the differentiation of perceptual-cognitive skills by focusing on attentional cues, processing speed, and working memory. Methods: The component skill approach was used to assess differences in sports expertise levels using non-sport-specific cognitive measures of perceptual-cognitive skills. The study involved a total of 127 college athletes with a mean age of 20.23 years (SD = 3.08) and an average of 10.99 years of training. Among these participants, there were 43 female athletes with a mean age of 20.23 years (SD = 3.32) and 84 male athletes with a mean age of 20.22 years (SD = 2.98). We analyzed the cohort of students who did not engage in regular sports training, identifying them as the control group for our study. A multivariate analysis of variance (MANOVA) was employed to analyze the measures of the SPT and CBT perceptual-cognitive tasks, treating them as separate dependent variables. The categorization of elite levels and participants is outlined below: there are 41 semi-elite athletes, 70 competitive elite athletes, 12 successful elite athletes, and 4 world-class elite athletes. Results: There were no differences in semi-elite and competitive elite athletes’ perceptual-cognitive skills regarding visual-spatial reaction time (Wilks’ λ = 0.956, p > 0.05), but there was a significant difference in the working memory span (Wilks’ λ = 0.804, p < 0.05). Conclusions: The study reports that elite college athletes have higher working memory, which is crucial for sport performance, compared to semi-elite athletes. However, no between-group differences were observed in reaction time. Full article

Background/Objectives: The aim of this study was to compare the acute effects of the FIFA 11+ and Harmoknee warm-up protocols in female football players on flexibility, vertical jump, and shooting speed performance. Methods: This study involved 17 female football players who volunteered to participate, had no history of medical conditions, maintained regular menstrual cycles (28 ± 2 days, range: 26–33 days) in the three months preceding the study, and consistently engaged in football training. The Harmoknee and FIFA 11+ neuromuscular warm-up protocols were applied to the study group on different days, 48 h apart. After the exercises, athletes were tested for flexibility, vertical jump, and shooting speed. Two trials were allowed for each test, with a 3 min break between trials. The Shapiro–Wilk test was used to check for normality, and an independent sample t-test was used to compare groups. The p-value was set at <0.05 to determine statistical significance. Results: When comparing warm-up protocols, it was established that the FIFA 11+ neuromuscular warm-up protocol positively affects athletes’ vertical jump performance compared to other protocols (p < 0.05). In conclusion, the FIFA 11+ warm-up protocol resulted in better vertical jump performance in female soccer players compared to the Harmoknee warm-up routine. The FIFA 11+ protocol activates leg muscles, and balance exercises improve the neuromuscular characteristics of the warm-up compared to the Harmoknee protocol. Full article

Competitive gaming presents unique musculoskeletal challenges due to prolonged sitting and repetitive hand and arm movements. This study explores gender-specific regional lean body mass (LBM) differences and their associations with musculoskeletal discomfort in competitive gamers. Sixty participants (30 gamers and 30 matched controls; 15 males and 15 females in each group) underwent DXA scans to assess total and regional LBM, handgrip strength tests, and self-reported musculoskeletal pain surveys. Controls were matched for age and BMI and reported comparable academic and screen time but were not engaged in competitive gaming. Male gamers exhibited significantly reduced forearm (p < 0.05) and upper body LBM (p < 0.001), alongside lower grip strength (p < 0.001), compared to controls. Female gamers demonstrated lower upper body LBM (p = 0.01) but showed no significant differences in forearm lean mass or grip strength. In male gamers, negative correlations were observed between forearm LBM and lower back pain (r = −0.59, p < 0.01), highlighting the protective role of regional LBM against discomfort. Extended gaming duration was associated with increased musculoskeletal pain in both sexes (p < 0.05). These findings emphasize the need for targeted ergonomic interventions and physical conditioning programs to address muscle imbalances and reduce injury risk in esports athletes. Future research should focus on longitudinal and interventional designs to optimize musculoskeletal health and performance in this growing population. Full article

Background/Objectives: Exercise training (ET) can improve wound healing and prevent the recurrence of skin lesions. Aerobic ET stimulates the NAD+-dependent deacetylase sirtuin 1 (SIRT1). The beneficial effects of ET and SIRT1 activation in wound healing have been characterized when considered separately. This study aimed to investigate the potential role of SIRT1 as a mediator of the effects of sera isolated from athletes who regularly participate in aerobic ET (middle-distance running, MDR) on cells primarily involved in wound healing. Methods: Human keratinocytes, fibroblasts and endothelial cells were conditioned with sera from middle-distance runners and age-matched sedentary subjects (sed). Cell motility, angiogenesis and the expression of key biomarkers of cell activation were evaluated in the presence or absence of the selective SIRT1 inhibitor EX-527. Results: Higher SIRT1 activity was detected in all of the cell lines conditioned with the MDR group sera compared with that in the cells in the sed group sera. The involvement of SIRT1 was demonstrated by EX-527’s selective inhibition. Alongside the increase in SIRT1 activity, a marked increase in migration, invasion and angiogenesis was observed. The levels of E-cadherin decreased while those of integrin β1 and vinculin increased in the keratinocytes and fibroblasts conditioned with the MDR group sera compared to these values with the sed group sera, respectively. Increased levels of differentiation markers, such as involucrin in the keratinocytes, FAP1α in the fibroblasts and CD31 in the endothelial cells, were observed with the MDR group sera compared to these values using the sed group sera. Conclusions: The ex vivo/in vitro approach used here links aerobic ET-induced SIRT1 activity to proper tissue regeneration. Full article

Humanity has used and explored various performance-enhancing remedies since ancient times. To protect clean sport, athletes’ health, and to provide fair and transparent competitions, different anti-doping policies were implemented. Nowadays, the anti-doping policies are evolving every year and are governed by the World Anti-Doping Agency. The use of doping in sports is regarded as a persistent problem across various athletic disciplines; at the same time, the topic of whether doping is preventable is highly discussed. The aim of this study was to assess the knowledge of medical specialists about doping compounds and to analyze their willingness and preparedness to participate in doping prevention programs. A cross-sectional questionnaire-based study was conducted between March 2024 and May 2024. Study participants included medical and pharmacy students, pharmacists, and medical doctors. Statistical analysis was performed using IBM SPSS Statistics version 24.0. Descriptive statistics, one-way analysis of variance (ANOVA), and independent-samples t-test were applied to analyze different variables. The results from the study suggested that healthcare professionals, particularly pharmacists, could be successfully engaged in doping prevention. Additionally, community pharmacies could also be involved in doping-prevention strategies since they are recognized as easily accessible healthcare locations. The relationship between medical specialists and professional athletes is essential for raising awareness, receiving trustworthy information, and developing decision-making capability to prevent not only the intentional but also the unintentional anti-doping rule violations. Full article

Background/Objectives: Master athletes in team sports represent a growing population of individuals who continue to engage in structured training and competition. Among these sports, basketball has primarily been investigated in older athletes; however, age-related effects on training load within the broader master athlete population remain largely unexplored. This study aimed to examine the age-related differences in workloads among master basketball athletes and determine whether game participation can facilitate the achievement of the recommended physical activity level. Methods: A total of 178 male athletes were divided into three age groups (35–45, 46–60, and ≥60 years) and participated in a national tournament. External load metrics, including accumulated acceleration load (AAL), mechanical load (ML), and jump load (JL), were recorded using tri-axial microsensors. Internal load (IL) was assessed via session ratings of perceived exertion (sRPE). Physical activity levels were categorized into light, moderate, and vigorous intensity using accelerometry-derived metabolic equivalents. Results: Significant age-related differences (p < 0.01) were observed in AAL, ML, and JL, with the youngest group showing the highest values. Likewise, the time spent in moderate-to-vigorous physical activity (MVPA) displayed an age-dependent manner and decreased with age. Older athletes spent more time in low-intensity activities and employed energy-conserving strategies, avoiding high-speed and high-impact actions. Despite these variations, sRPE ratings were similar among groups. Conclusions: In conclusion, age is a crucial regulator of training load and physical activity and should be considered by practitioners and coaches who design training and physical activity plans for master basketball athletes. Despite the age-related differences, participation in basketball matches provides a substantial opportunity for increasing daily MVPA. Full article

Background: Spinal asymmetries and postural deviations are common concerns in young athletes, particularly those engaged in sports requiring repetitive and asymmetrical movements. Soccer, as a dynamic sport, involves high levels of trunk rotation, rapid directional changes, and frequent loading asymmetry, which may predispose players to spinal deviations. This study aimed to investigate the regional prevalence of primary and secondary angle trunk rotation (ATR) in adolescent male soccer players across different age groups. Methods: A total of 502 male participants (291 soccer players and 211 nonathletes) aged 11 to 14 years were included in the study. Participants underwent scoliosis screening using a scoliometer following Adam’s forward bending test. ATR measurements were recorded at the thoracic and lumbar spinal regions, with primary ATR (ATR-A) and secondary ATR (ATR-B) assessed separately. A chi-square test (χ²) evaluated the association between training level and the regional prevalence of ATR across different age groups. Results: No significant differences were observed in the regional prevalence of ATR-A and ATR-B in the 11-year-old group. However, by age 12, significant differences emerged in ATR-A prevalence (χ²(3) = 16.469, p = 0.001), while ATR-B remained nonsignificant (χ²(2) = 4.040, p = 0.133). In the 13- and 14-year-old groups, significant associations were found for both ATR-A (χ²(3) = 57.219, p < 0.001; χ²(4) = 34.157, p < 0.001) and ATR-B (χ²(3) = 31.481, p < 0.001; χ²(2) = 17.805, p < 0.001), with moderate to strong effect sizes. Conclusions: While no significant differences were observed in younger players, 13- and 14-year-old soccer players exhibited a significantly higher prevalence of ATR than nonathletes. The findings suggest that soccer players exhibited a higher prevalence of spinal asymmetries, particularly in older age groups, with lumbar ATR being more pronounced. The study highlights an increasing trend of spinal asymmetries with training level among young soccer players, likely due to the cumulative effects of asymmetric movement patterns. These findings emphasize the need for early detection and corrective interventions to mitigate potential long-term musculoskeletal imbalances in adolescent soccer players. Full article