the use of technology to protect the health of athletes during sporting competitions in the heat

During the 2019 IAAF World Championships in Athletics in Doha and the 2020 Olympic Games in Tokyo, minimum daily temperatures are expected to be in excess of 30 C. Due to the metabolic demands of the sporting events and the high environmental temperatures, the risk of exertional heat illness (EHI) is significantly higher. Careful planning is needed to ensure that athletes are protected from irreversible long-term health damage, or even death. The greatest benefit to exercise performance is gained after about 2 weeks of heat acclimation. For maximal adaptations to occur, the heat acclimation regime undertaken should closely mimic the environmental and intensity characteristics of the conditions expected during competition. Other acute strategies are available to enhance performance in the heat including the ingestion of cold (~4 C) beverages and the use of iced towels and ice garments; these acute strategies do not replace the need for heat acclimation. The importance of responding quickly to a hyperthermic athlete cannot be understated, as minimizing treatment time will greatly improve the chances of a full recovery. Treatment time can be minimized by notifying medical personnel about the athlete's health status and the extent of any pre-competition heat acclimation strategy. Technology that allows the live transmission of physiological, performance, and biomechanical data to alert medical personnel of potential indicators of EHI should be considered. Prompt recognition of EHI will result in faster and more effective medical treatment which is crucial in protecting the athlete from irreversible and long-term health consequences, including death

The Impact of Sodium Alginate Hydrogel on Exogenous Glucose Oxidation Rate and Gastrointestinal Comfort in Well-Trained Runners

Purpose: The purpose of this study is to quantify the effect of adding sodium alginate and pectin to a carbohydrate (CHO) beverage on exogenous glucose (ExGluc) oxidation rate compared with an isocaloric CHO beverage. Methods: Following familiarization, eight well-trained endurance athletes performed four bouts of prolonged running (105 min; 71 ± 4% of VO2max) while ingesting 175 mL of one of the experimental beverages every 15 min. In randomized order, participants consumed either 70 g.h−1 of maltodextrin and fructose (10% CHO; NORM), 70 g.h−1 of maltodextrin, fructose, sodium alginate, and pectin (10% CHO; ENCAP), 180 g.h−1 of maltodextrin, fructose, sodium alginate, and pectin (26% CHO; HiENCAP), or water (WAT). All CHO beverages had a maltodextrin:fructose ratio of 1:0.7 and contained 1.5 g.L−1 of sodium chloride. Total substrate oxidation, ExGluc oxidation rate, blood glucose, blood lactate, serum non-esterified fatty acid (NEFA) concentration, and RPE were measured for every 15 min. Every 30 min participants provided information regarding their gastrointestinal discomfort (GID). Results: There was no significant difference in peak ExGluc oxidation between NORM and ENCAP (0.63 ± 0.07 and 0.64 ± 0.11 g.min−1, respectively; p > 0.5), both of which were significantly lower than HiENCAP (1.13 ± 0.13 g.min−1, p < 0.01). Both NORM and HiENCAP demonstrated higher total CHO oxidation than WAT from 60 and 75 min, respectively, until the end of exercise, with no differences between CHO trials. During the first 60 min, blood glucose was significantly lower in WAT compared with NORM and HiENCAP, but no differences were found between CHO beverages. Both ENCAP and HiENCAP demonstrated a higher blood glucose concentration from 60–105 min than WAT, and ENCAP was significantly higher than HiENCAP. There were no significant differences in reported GID symptoms between the trials. Conclusions: At moderate ingestion rates (i.e., 70 g.h−1), the addition of sodium alginate and pectin did not influence the ExGluc oxidation rate compared with an isocaloric CHO beverage. At very high ingestion rates (i.e., 180 g.h−1), high rates of ExGluc oxidation were achieved in line with the literature

The Impact of Grounding in Running Shoes on Indices of Performance in Elite Competitive Athletes

The introduction of carbon fiber plate shoes has triggered a plethora of world records in running, which has encouraged shoe industries to produce novel shoe designs to enhance running performance, including shoes containing conductor elements or "grounding shoes" (GS), which could potentially reduce the energy cost of running. The aim of this study was to examine the physiological and perceptual responses of athletes subjected to grounding shoes during running. Ten elite runners were recruited. Firstly, the athletes performed an incremental running test for VO(2)max and anaerobic threshold (AT) determination, and were familiarized with the two shoe conditions (traditional training shoe (TTS) and GS, the latter containing a conductor element under the insole). One week apart, athletes performed running economy tests (20 min run at 80% of the AT) on a 400 m dirt track, with shoe conditions randomized. VO2, heart rate, lactate, and perceived fatigue were registered throughout the experiment. No differences in any of the physiological or perceptual variables were identified between shoe conditions, with an equal running economy in both TTS and GS (51.1 +/- 4.2 vs. 50.9 +/- 5.1 mL kg(-1) min(-1), respectively). Our results suggest that a grounding stimulus does not improve the energy cost of running, or the physiological/perceptual responses of elite athletes

Ethical dilemmas and validity issues related to the use of new cooling technologies and early recognition of exertional heat illness in sport

The Tokyo 2020 Olympic Games is expected to be among the hottest Games in modern history, increasing the chances for exertional heat stroke (EHS) incidence, especially in non-acclimatised athletes/workers/spectators. The urgent need to recognise EHS symptoms to protect all attendees'' health has considerably accelerated research examining the most effective cooling strategies and the development of wearable cooling technology and real-time temperature monitoring. While these technological advances will aid the early identification of EHS cases, there are several potential ethical considerations for governing bodies and sports organisers. For example, the impact of recently developed cooling wearables on health and performance is unknown. Concerning improving athletic performance in a hot environment, there is uncertainty about this technology''s availability to all athletes. Furthermore, the real potential to obtain real-time core temperature data will oblige medical teams to make crucial decisions around their athletes continuing their competitions or withdraw. Therefore, the aim of this review is (1) to summarise the practical applications of the most novel cooling strategies/technologies for both safety (of athletes, spectators and workers) and performance purposes, and (2) to inform of the opportunities offered by recent technological developments for the early recognition and diagnosis of EHS. These opportunities are presented alongside several ethical dilemmas that require sports governing bodies to react by regulating the validity of recent technologies and their availability to all

The potential of blood flow restriction exercise to overcome Jetlag : important implications for Tokyo 2020

The decision taken by the International Olympic Committee (IOC) to host the Olympic Games this summer brings new challenges for event organisers and athletes. One such measure taken by the IOC is to mandate that athletes may not enter the Olympic Village more than five days before competing at the Games in order to prevent the spread of COVID-19. As a result, athletes from around the globe that are unable to make alternative plans will need to travel to Tokyo and acclimatize within only 5 days before their event. Of particular concern are the adverse health and performance effects elicited by flight dysrhythmia, also known as jetlag, on those athletes travelling to the Olympic Games across multiple times zones. Blood flow restriction (BFR) is a safe exercise mode that can potentially diminish the impact of jetlag on performance through its numerous beneficial physiological adaptations that overlap with those of other jetlag mitigation strategies. Experimental data are required to confirm this intriguing possibility. The present commentary aims to encourage more research into the effects of BFR training in conjunction with other strategies to overcome the effects of jetlag prior, during and after a long-haul flight on the subsequent performance of elite athletes, particularly during these difficult times of the COVID19 pandemic.https://www.minervamedica.it/en/journals/medicina-dello-sport2022-07-17hj2021Sports Medicin

Recommendations for return to sport during the SARS-CoV-2 pandemic

In this viewpoint we make specific recommendations that can assist and make the return to sport/exercise as safe as possible for all those impacted - from the recreational athlete to the elite athlete. We acknowledge that there are varying rules and regulations around the world, not to mention the varying philosophies and numerous schools of thought as it relates to return to sport/exercise and we have been cognisant of this in our recommendations. Despite the varying rules and circumstances around the world, we believe it is essential to provide some helpful and consistent guidance for return to training and sport for sport and exercise physicians around the world at this most difficult time. The present viewpoint provides practical and medical recommendations on the resumption to sport process

Infographic. Clinical recommendations for return to play during the COVID-19 pandemic

COVID-19 AND RETURN TO PLAY The world of sport has recently returned to training and competition following suspension due to the COVID-19 pandemic. It is concerning that a number of athletes have tested positive for COVID-19 after returning to competition. 1 Numerous authors have attempted to address return to play given the importance and complexity of the issue, with notable attention on possible cardiac implications.2–6 SCOPE OF THE INFOGRAPHIC The specific recommendations shown in the present infographic (figure 1) have been generated by a panel of international experts and represent a compilation of the numerous approaches used to inform resumption of regular sports during the COVID-19 pandemic. Despite the different regulations around the world and the particular characteristics of each sport, it is essential to provide informative, consistent and specific guidance for safe return to training and competition at this most difficult time. ..

Recommendations for Face Coverings While Exercising During the COVID-19 Pandemic

In an effort to reduce transmission and number of infections of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or COVID-19) virus, governments and official bodies around the world have produced guidelines on the use of face masks and face coverings. While there is a growing body of recommendations for healthcare professionals and the wider population to use facial protection in “enclosed spaces” where minimal distancing from other individuals is not possible, there is a dearth of clear guidelines for individuals undertaking exercise and sporting activity. The present viewpoint aims to propose recommendations for face coverings while exercising during the COVID-19 pandemic that consider physical distancing, the environment, the density of active cases associated with the specific sports activity, and the practical use of face coverings in order to reduce potential viral transmission. Recommendations are provided on the basis of very limited available evidence in conjunction with the extensive collective clinical experience of the authors and acknowledging the need to consider the likelihood of the presence of the SARS-CoV-2 in the general population. We recommend that face coverings should be used in any environment considered to be of a high or moderate transmission risk, where tolerated and after individual risk assessment. In addition, as national caseloads fluctuate, individual sporting bodies should consider up to date guidance on the use of face coverings during sport and exercise, alongside other preventative measures

Commentaries on viewpoint : physiology and fast marathons

Q2Q1N/