Panagoulis, C, Chatzinikolaou, A, Avloniti, A, Leontsini, D, Deli, CK, Draganidis, D, Stampoulis, T, Oikonomou, T, Papanikolaou, K, Rafailakis, L, Kambas, A, Jamurtas, AZ, and Fatouros, IG. In-season integrative neuromuscular strength training improves performance of early-adolescent soccer athletes. J Strength Cond Res 34(2): 516–526, 2020—Although forms of integrative neuromuscular training (INT) are used extensively for injury prevention and treatment, no information exists about its effects on performance of adolescent athletes. We investigated the effects of an in-season INT intervention on performance of early-adolescent players using a 2-group, repeated-measures design. Twenty-eight early adolescents were randomly assigned to a control group (CG, participated only in soccer training, N = 14, 11.4 ± 0.57 years, Tanner stage 2.8 ± 0.6) or an experimental group (INT was added to conventional soccer training, N = 14, 11.2 ± 0.5 years, Tanner stage 2.6 ± 0.5). Integrative neuromuscular training (8 weeks, 3 sessions·wk−1) aimed to develop core strength, hamstrings eccentric strength, hip/knee musculature, and dynamic stability using body mass exercises, medicine balls, rocker boards, Bosu, stability balls, etc. Ball shooting speed, speed (10, 20-m), change of direction (COD), jumping performance, and strength were measured before and after training. A 2-way repeated-measures ANOVA was used to analyze data. Integrative neuromuscular training improved 10- and 20-m speed (2.52–2.13 and 3.61–3.39 seconds, respectively, p < 0.05), strength (40.1–44.4 kg, p < 0.05), jumping ability (squat jump: 16.3–17.9 cm; countermovement jump: 19.1–20.3 cm, p < 0.05), COD (18.0–17.3 seconds, p < 0.05), and shooting speed (73.8–79.0 km·h−1, p < 0.05). In the CG, soccer training caused an improvement of smaller magnitude in 10 m and shooting speed (p < 0.05), whereas COD and jumping performance remained unaffected while 20-m speed, COD, and strength deteriorated. These results indicate that an 8-week INT program may induce positive adaptations in performance of early-adolescent soccer players during in-season training, suggesting that INT may be an effective training intervention for this age group.

This study investigated the time-course of performance and inflammatory responses during a simulated 6-day in-season microcycle following a team handball (TH) game. Twenty-four handball players participated in a 1-week control trial and in an experimental trial (TH game participation followed by a 6-day training microcycle). Concentrations of lactate, glucose, glycerol, triglycerides, nonesterified fatty acids (NEFAs), and ammonia were measured pregame and postgame. Heart rate (HR) was monitored during the game. Performance (jumping, speed, agility, line-drill testing, and strength), muscle damage (knee range of motion [ROM], knee extensors/flexors delayed onset muscle soreness [DOMS], and creatine kinase activity [CK]), inflammatory (leukocyte count, C-reactive protein, interleukins 1β and 6 [IL-1β and IL-6], soluble vascular adhesion molecule 1 [sVCAM-1], p-selectin, uric acid, cortisol, and testosterone), and oxidative stress (malondialdehyde [MDA], protein carbonyls [PC], reduced [GSH] and oxidized glutathione [GSSG], total antioxidant capacity (TAC), catalase, glutathione peroxidase activity [GPX]) markers were determined pregame, postgame, and daily for 6 consecutive days postgame. The game induced a marked rise of HR (∼170 b·min-1), lactate (∼8-fold), glycerol (60%), NEFA (105%), and ammonia (∼62%). Performance deteriorated until 24 hours postgame. Knee ROM decreased (3-5%), whereas DOMS and CK increased (3- to 5-fold and 80-100%, respectively) 24 hours postgame. Leukocyte count, IL-1β, IL-6, cortisol, MDA, PC, and catalase increased only immediately postgame. C-reactive protein and uric acid increased at 24 hours; sVCAM-1, GSSG, and GPX peaked postgame and remained elevated for 24 hours. The GSH declined until 24 hours postgame. Results suggest that a TH game represents a strong metabolic challenge and induces a short-lived and modest inflammatory response that may affect performance for as long as 24 hours postgame.

The development of chronic, low-grade systemic inflammation in the elderly (inflammaging) has been associated with increased incidence of chronic diseases, geriatric syndromes, and functional impairments. The aim of this study was to examine differences in habitual physical activity (PA), dietary intake patterns, and musculoskeletal performance among community-dwelling elderly men with low and elevated systemic inflammation. Nonsarcopenic older men free of chronic diseases were grouped as ‘low’ (LSI: n = 17; 68.2 ± 2.6 years; hs-CRP: <1 mg/L) or ‘elevated’ (ESI: n = 17; 68.7 ± 3.0 years; hs-CRP: >1 mg/L) systemic inflammation according to their serum levels of high-sensitivity CRP (hs-CRP). All participants were assessed for body composition via Dual Emission X-ray Absorptiometry (DEXA), physical performance using the Short Physical Performance Battery (SPPB) and handgrip strength, daily PA using accelerometry, and daily macro- and micronutrient intake. ESI was characterized by a 2-fold greater hs-CRP value than LSI (p < 0.01). The two groups were comparable in terms of body composition, but LSI displayed higher physical performance (p < 0.05), daily PA (step count/day and time at moderate-to-vigorous PA (MVPA) were greater by 30% and 42%, respectively, p < 0.05), and daily intake of the antioxidant vitamins A (6590.7 vs. 4701.8 IU/day, p < 0.05), C (120.0 vs. 77.3 mg/day, p < 0.05), and E (10.0 vs. 7.5 mg/day, p < 0.05) compared to ESI. Moreover, daily intake of vitamin A was inversely correlated with levels of hs-CRP (r = −0.39, p = 0.035). These results provide evidence that elderly men characterized by low levels of systemic inflammation are more physically active, spend more time in MVPA, and receive higher amounts of antioxidant vitamins compared to those with increased systemic inflammation.

Avloniti, A, Chatzinikolaou, A, Fatouros, IG, Avloniti, C, Protopapa, M, Draganidis, D, Stampoulis, T, Leontsini, D, Mavropalias, G, Gounelas, G, and Kambas, A. The acute effects of static stretching on speed and agility performance depend on stretch duration and conditioning level. J Strength Cond Res 30(10): 2767-2773, 2016-Although static stretching (SS) is an integral part of physical preparation before training and competition, its usefulness in regards to power performance improvement has been questioned. The aim of this study was to investigate the effect of 6 SS durations on speed and agility performance. According to a cross-over design, 34 trained men (age, 20.5 ± 1.4 years; height, 1.81 ± 0.2 m; weight, 77.2 ± 2.6 kg; body fat, 8.2 ± 2.6%) participated in a control session (no stretch) and 6 experimental conditions (10, 15, 20, 30, 40, and 60 seconds) performed in a randomized order. Performance in speed (10 and 20 m) and agility (T-test) was measured after the control and experimental conditions. Static stretching, consisting of stretches for hip extensors, hip adductors, knee extensors, knee flexors, and ankle sole flexors, was performed after light cardiovascular exercise (8 minutes). A 1-way repeated-measures analysis of variance showed that speed was improved only by SS of short duration (15/20 seconds), whereas agility remained unaffected by all SS trials. When participants' speed and agility level was taken into account, it was revealed that only those of moderate performance demonstrated an improved speed (in 15- and 20-second trials) and agility (in 10- and 15-second trials) performance. These results suggest that short-duration SS protocols induce an acute improvement of speed and agility performance, whereas longer-duration SS protocols have neither positive nor negative effect. Furthermore, it seems that individuals of lower speed and agility performance level are more likely to benefit by a short-duration SS protocol.

We examined the temporal variation of iron's status markers during a 60 h period following a football game. Thirty-four male football players were randomly assigned to a control group (CG, N = 14, participated only in measurements and training) or an experimental group (EG, N = 20, took part in a football game one week after the completion of the competitive season). All participants trained regularly for two consecutive days after the game. Training and game load was monitored with high time-resolution global positioning system (GPS) devices. Blood samples were collected and muscle damage markers and repeated sprint ability (RSA) were assessed pre-game and at 2 h, 12 h 36 h and 60 h post-game. No changes were noted in CG. Iron concentration decreased (P < 0.05) 2 h post-game and normalised thereafter whereas total iron binding capacity increased (P < 0.05) 12-60 h of recovery (P < 0.05). Erythrocytes, haemoglobin (HGB) concentration, plasma volume, haematocrit, mean cell volume, mean cell HGB, mean cell HGB concentration, red cell width-SD, red cell width-CV, ferritin concentration and transferrin saturation remained unaltered during the intervention period. Creatine kinase activity and muscle soreness increased (P < 0.05) throughout recovery in EG. RSA declined (P < 0.05) until 36 h of recovery and normalised thereafter. Our data demonstrate that iron status markers are only transiently affected by a football game.

This study investigated the effects of different levels of habitual physical activity (PA) assessed by pedometry on bone turnover markers of preadolescent girls according to a cross-sectional experimental design. Sixty prepubertal girls of similar chronological age, bone age, maturity level, and nutritional status were assigned to a low PA (LPA; n = 25), a moderate PA (MPA; n = 17), or a high PA (HPA; n = 18) group. Dual-energy X-ray absorptiometry was used to measure areal bone mineral density (BMD) and bone mineral content (BMC) of the lumbar spine (L2-L4) and dominant hip (femoral neck and trochanter). Blood was collected for the measurement of alkaline phosphatase (ALP), bone-specific ALP (BSAP), procollagen type I N-terminal propeptide (PINP), C-terminal telopeptide of collagen I (CTX), parathyroid hormone (PTH), osteocalcin, thyroid-stimulating hormone, estradiol, testosterone, luteinizing hormone, and follicle-stimulating hormone concentrations. ANOVA revealed that the HPA group (18,695 ± 1244 steps per day) had a lower daily energy intake and body mass than the MPA group (10,774 ± 521 steps per day) and the LPA group (7633 ± 1099 steps per day). The HPA group had higher (P < 0.05) lumbar and hip BMD and hip BMC than the LPA group and higher (P < 0.05) lumbar BMD than the MPA group. The MPA group had higher (P < 0.05) hip BMC than the LPA group. The HPA group had greater (P < 0.05) values of BSAP, PINP, and ALP and lower (P < 0.05) values of PTH and CTX than the LPA group but not the MPA group. A partial correlation analysis (adjusted for body mass index) revealed a positive correlation of steps per day with BMD and BSAP concentration and a negative correlation with PTH and CTX concentration. In conclusion, PA increases BMD and BMC of premenarcheal girls by favoring bone formation over bone resorption.

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