Longer distance cross-country ski (14–220 km) races such as the Visma Ski Classics (VSC) has recently gained attention in addition to the traditional Olympic distances (5–50 km) associated with cross-country (XC) skiing. These long-distance races are characterized by extensive use of the upper body while double poling (DP). While there is a substantial amount of research on Olympic distance XC skiing, the physiological capacities of VSC skiers has not yet been explored. We recruited seven elite male VSC skiers and seven well-trained national level male XC skiers to undergo three tests in the laboratory: (1) a one repetition maximum (1RM) strength test in a cable pulldown; (2) roller skiing tests on a treadmill (10.5% inclination) for determination of gross efficiency (GE) at submaximal speeds (8 and 10 km·h−1) in DP and diagonal stride (DS); (3) two ramp protocols to exhaustion (15% inclination, starting speed 7 km·h−1) in DP and DS for the assessment of peak and maximal oxygen uptake (trueV.O2peak and trueV.O2max), respectively. Compared with the national level XC skiers, the VSC skiers performed similar in the 1RM cable pulldown, displayed 12.2% higher GE in DP at 8 km·h−1 but did not display any difference at 10 km·h−1, and had lower blood lactate concentration and heart rate at both submaximal speeds. The VSC skiers had longer time to exhaustion compared with the national level XC skiers during the two ramp protocols in DS (18%) and in DP (29%). The trueV.O2max was 10% higher in DS compared with DP, with no differences between the groups. The trueV.O2peak/trueV.O2max-ratio of 90% did not differ between the two groups. In conclusion, the main differences were lower cardiorespiratory and metabolic responses at submaximal speeds as well as longer time to exhaustion in VSC skiers compared with national level XC skiers. This suggest efficiency to be the main difference between VSC and national level XC skiers.

Background Maximal strength increments are reported to result in improvements in sprint speed and jump height in elite male football players. Although similar effects are expected in females, this is yet to be elucidated. The aim of this study was to examine the effect of maximal strength training on sprint speed and jump height in high-level female football players. Methods Two female football teams were team-cluster-randomized to a training group (TG) performing maximal strength training (MST) twice a week for 5 weeks, or control group (CG) doing their regular pre-season preparations. The MST consisted of 3–4 sets of 4–6 repetitions at ≥85% of 1 repetitions maximum (1RM) in a squat exercise. Sprint speed and jump height were assessed in 5-, 10- and 15 m sprints and a counter-movement jump (CMJ) test, respectively. Nineteen participants in TG (18.3 ± 2.7 years) and 14 in CG (18.3 ± 2.4 years) completed pre- and posttests and were carried forward for final analyses. Results There was no improvement in neither of the sprint times (p > 0.36), nor jump height (p = 0.87). The players increased their 1RM in squats (main of effect of time: p < 0.00, pη2 = 0.704), and an interaction effect of time x group was observed (p < 0.00, pη2 = 0.516) where the TG increased their 1RM more than the CT (between subjects effects: p < 0.001, pη2 = 0.965). Conclusions MST improved maximal strength in female football players to a large extent; however, the improvement in maximal strength did not result in any transference to sprint speed or jump height. Trial registration This study was registered at clinicaltrials.gov PRS (Protocol registration and results System) with the code NCT04048928, 07.08.2019, retrospectively registered.

This is an open access article under the terms of the Creat ive Commo ns Attri butio n-NonCo mmerc ial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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AimsEndurance sport practice is associated with a high prevalence of atrial fibrillation (AF), which increases the risk of stroke in the general population. However, stroke risk in endurance athletes with AF is sparsely investigated. Most studies have been limited by design and are largely restricted to younger and middle-aged populations. Thus, we aimed to investigate AF and stroke risk in older athletes exposed to prolonged endurance training.MethodDuring a 10-year period, 505 male athletes aged ≥65 years frequently participating in a long-distance ski race were compared with 1867 men of the same age from the general population. The main exposure was endurance sport practice with self-reported AF and stroke as outcomes. Stroke risk was further examined by joint modelling of AF and endurance practice. Statistical analysis was conducted with a modified Poisson model.ResultsAthletes (median age: 68, range: 65–90) participated in a long-distance ski race over a median of 14 years (range: 1–53). Prevalence (28.5% vs 17.8%) and adjusted risk of AF (risk ratio (RR): 1.88, 95% CI: 1.49 to 2.37) were higher in athletes compared with non-athletes, whereas the prevalence (5.4% vs 9.7%) and risk of stroke were lower (RR: 0.60, 95% CI: 0.37 to 0.95). Compared with athletes without AF, risk of stroke was twofold in athletes (RR: 2.38, 95% CI: 1.08 to 5.24) and nearly fourfold in non-athletes (RR: 3.87, 95% CI: 1.98 to 7.57) with AF.ConclusionAlthough older male endurance athletes experienced an increased risk of AF, the long-term risk of stroke was substantially reduced compared with non-athletes.

AimsLeft atrial (LA) enlargement is an independent risk factor for atrial fibrillation (AF). Interestingly, some athletes have increased risk of AF, which may be linked to LA enlargement; however, little is known about the relationship between LA enlargement and AF risk at moderate-level physical activity (PA). We aimed to explore the associations between PA, LA size and risk of incident AF, and if PA can attenuate the risk of AF with LA enlargement.MethodsThis prospective study followed 2479 participants (52.4% female), free from known cardiac pathology, for median 20.2 years. Participants were followed up for hospital-diagnosed AF, confirmed by electrocardiography, from 1994-95 through 2016. At baseline, LA size was evaluated by anteroposterior LA diameter, and PA was self-reported by questionnaire.ResultsWe observed a U-shaped relationship between PA and AF, and moderately active had 32% lower AF risk than inactive (HRadjusted 0.68, 95% CI 0.50 to 0.93). Participants with LA enlargement had 38% higher AF risk compared with participants with normal LA size (HRadjusted 1.38, 95% CI 1.12 to 1.69). However, the increased AF risk with LA enlargement was attenuated by PA; compared with inactive participants with LA enlargement, the AF risk was 45% lower among active with LA enlargement (HRadjusted 0.55, 95% CI 0.39 to 0.79). AF risk in active participants with LA enlargement did not differ from active with normal LA size. These patterns were observed in both men and women, and in participants over/under 65 years.ConclusionModerate PA was associated with reduced AF risk, and PA attenuated the increased risk of AF with LA enlargement in both men and women and all age groups.

The aim of this study was to investigate the effect of prolonged ski racing using skating style on technique choice in a transition section among female and male high-level skiers. Fifty three national-to-elite level skiers (20 females: 26.7 ± 4.8 years, 167.0 ± 6.5 m, 61.0 ± 5.1 kg, and 75.5 ± 68.8 FIS points; 33 males: 25.2 ± 3.5 years, 179.0 ± 5.2 cm, 73.1 ± 5.7 kg, and 73.7 ± 63.2 FIS points) were video recorded along a flat-to-uphill transition section of a course during the 30-km (females) and 50-km (males) races at the 2018 Norwegian National Championships. Across laps, section speeds decreased ( P < 0.001) in all skiers, with the best-ranked skiers faster than the lowest-ranked ( P < 0.001), and males faster than females in the first and middle laps. Section speed within each lap was associated with race performance ( r = 0.76–0.86, P < 0.001 in females and r = 0.87–0.89, P < 0.001 in males). The prevalence of Gear 2 (G2) increased, while Gear 3 (G3) use decreased (both P < 0.001) across the subsequent laps, with females preferring G2 more than males in lap one ( P = 0.027). In long-distance skate-style skiing, transition performance is representative of race performance and skiers decrease the use of the often-faster G3 technique while increasing the use of the slower G2 technique due to prolonged exercise. Especially female skiers should consider adding some flat-to-uphill G3 practice into established training, specifically early in the session before fatigue may occur.

This randomized within‐subjects crossover‐designed study evaluated intra‐arterial blood pressure (BP) traits in seven healthy males (24 ± 1 years) during heavy resistance exercise (HRE) to failure (10 × 5 repetitions, 5RES) and not to failure (10 × 3 repetitions, 3RES), both at 5RM load. By combining few repetitions, avoidance of Valsalva maneuver, and restricting the duration of each contraction, we hypothesized (a) that HRE could be performed without acute excessive elevated BP; (b) a dose relationship regarding acute BP elevation following 5RES versus 3RES; and (c) both modes of HRE to induce post‐exercise hypotension (PEH). BP was measured before, during, and throughout 90 minutes post‐exercise. Systolic BP and mean arterial pressure decreased during 3RES (P < .001 and P < .05) and increased during 5RES (P < .01 and P < .001). The maximal individual systolic BP observed during exercise was 191 (3RES) and 212 mm Hg (5RES). Both modes of HRE induced PEH with lower systolic and mean arterial pressure (both P < .01). Documented by continuous intra‐arterial BP monitoring, this study demonstrates that HRE can be performed without acute excessive elevated BP during exercise, but still induce PEH. These novel results are important, as they may pave way for future studies utilizing HRE in patients where avoidance of excessive elevated BP is important.