International Society of Sports Nutrition Position Stand: Probiotics.

Position statement: The International Society of Sports Nutrition (ISSN) provides an objective and critical review of the mechanisms and use of probiotic supplementation to optimize the health, performance, and recovery of athletes. Based on the current available literature, the conclusions of the ISSN are as follows: 1)Probiotics are live microorganisms that, when administered in adequate amounts, confer a health benefit on the host (FAO/WHO).2)Probiotic administration has been linked to a multitude of health benefits, with gut and immune health being the most researched applications.3)Despite the existence of shared, core mechanisms for probiotic function, health benefits of probiotics are strain- and dose-dependent.4)Athletes have varying gut microbiota compositions that appear to reflect the activity level of the host in comparison to sedentary people, with the differences linked primarily to the volume of exercise and amount of protein consumption. Whether differences in gut microbiota composition affect probiotic efficacy is unknown.5)The main function of the gut is to digest food and absorb nutrients. In athletic populations, certain probiotics strains can increase absorption of key nutrients such as amino acids from protein, and affect the pharmacology and physiological properties of multiple food components.6)Immune depression in athletes worsens with excessive training load, psychological stress, disturbed sleep, and environmental extremes, all of which can contribute to an increased risk of respiratory tract infections. In certain situations, including exposure to crowds, foreign travel and poor hygiene at home, and training or competition venues, athletes' exposure to pathogens may be elevated leading to increased rates of infections. Approximately 70% of the immune system is located in the gut and probiotic supplementation has been shown to promote a healthy immune response. In an athletic population, specific probiotic strains can reduce the number of episodes, severity and duration of upper respiratory tract infections.7)Intense, prolonged exercise, especially in the heat, has been shown to increase gut permeability which potentially can result in systemic toxemia. Specific probiotic strains can improve the integrity of the gut-barrier function in athletes.8)Administration of selected anti-inflammatory probiotic strains have been linked to improved recovery from muscle-damaging exercise.9)The minimal effective dose and method of administration (potency per serving, single vs. split dose, delivery form) of a specific probiotic strain depends on validation studies for this particular strain. Products that contain probiotics must include the genus, species, and strain of each live microorganism on its label as well as the total estimated quantity of each probiotic strain at the end of the product's shelf life, as measured by colony forming units (CFU) or live cells.10)Preclinical and early human research has shown potential probiotic benefits relevant to an athletic population that include improved body composition and lean body mass, normalizing age-related declines in testosterone levels, reductions in cortisol levels indicating improved responses to a physical or mental stressor, reduction of exercise-induced lactate, and increased neurotransmitter synthesis, cognition and mood. However, these potential benefits require validation in more rigorous human studies and in an athletic population

Assessing Plyometric Ability during Vertical Jumps Performed by Adults and Adolescents

The purpose of this study was to compare different methods for assessing plyometric ability during countermovement (CMJ) and drop jumps (DJ) in a group of adults and adolescents. Ten resistance-trained adult men (age: 22.6 ± 1.6 years) and ten adolescent male basketball players (age: 16.5 ± 0.7 years) performed a CMJ and a DJ from a height of 0.40 m. Jump height (JH), contact time, normalized work (WNORM), and power output (PONORM) during the absorption and propulsion phases were calculated from force platforms and 3-D motion analysis data. Plyometric ability was assessed using the modified reactive strength index (RSIMOD during CMJ) and the reactive strength index (RSI during DJ) as well as three indices using propulsion time, propulsion work (PWI), and propulsion power. Adults jumped significantly higher than adolescents (mean difference [MD]: 0.05 m) while JH (MD: 0.05 m) and ground contact time (MD: 0.29 s) decreased significantly from CMJ to DJ. WNORM (MD: 4.2 J/kg) and PONORM (MD: 24.2 W/kg) during the absorption phase of CMJ were significantly less than these variables during the propulsion phases of the jumps. The reactive strength index variants increased significantly from the CMJ to DJ (MD: 0.23) while all other plyometric indices decreased significantly. Neither RSIMOD nor RSI contributed significantly to the prediction of JH during CMJ and DJ, respectively, while PWI was able to explain ≥68% of the variance in JH. Variants of the reactive strength index do not reflect the changes in mechanical variables during the ground contact phase of CMJ and DJ and may not provide an accurate assessment of plyometric ability during different vertical jumps