Training und Coaching von weiblichen vs. männlichen Athleten auf ihrem Weg zu Gold? Einschätzungen erfolgreicher Trainer von Eliteathleten

This scientific short report investigated how successful male coaches perceive gender differences in training characteristics and coaching practice among medal-winning endurance athletes. Ten male Norwegian coaches with a track record of coaching both female and male endurance world-class athletes (total of 269 Olympic, World and European Championship medals) participated in semi-structured interviews. Inductive thematic analysis revealed that all coaches mainly adjusted their key training and coaching principles to the individual athlete, rather than gender. A coach-driven and athlete-centered individualization process was essential to create trust, mutual understanding, and optimal training content. Potential gender/sex differences were perceived in four main themes: sport-specific competition demands, physiological, psychological and interpersonal factors (e.g., gender of the coach). In this context, all coaches described how training and coaching of female athletes differs from that of men, thus considering male athletes as the reference group and male physiology and psychology as the norm. Furthermore, societal factors such as a male-dominant sports culture and underlying gender stereotypes were suggested as amplifiers of gender differences. Accordingly, our report highlights the need for female perspectives in elite sports and invites further in-depth investigations of the identified gender/sex differences within the respective disciplines of training science, physiology, psychology and sociology.publishedVersio

Training und Coaching von weiblichen vs. männlichen Athleten auf ihrem Weg zu Gold? Einschätzungen erfolgreicher Trainer von Eliteathleten

This scientific short report investigated how successful male coaches perceive gender differences in training characteristics and coaching practice among medal-winning endurance athletes. Ten male Norwegian coaches with a track record of coaching both female and male endurance world-class athletes (total of 269 Olympic, World and European Championship medals) participated in semi-structured interviews. Inductive thematic analysis revealed that all coaches mainly adjusted their key training and coaching principles to the individual athlete, rather than gender. A coach-driven and athlete-centered individualization process was essential to create trust, mutual understanding, and optimal training content. Potential gender/sex differences were perceived in four main themes: sport-specific competition demands, physiological, psychological and interpersonal factors (e.g., gender of the coach). In this context, all coaches described how training and coaching of female athletes differs from that of men, thus considering male athletes as the reference group and male physiology and psychology as the norm. Furthermore, societal factors such as a male-dominant sports culture and underlying gender stereotypes were suggested as amplifiers of gender differences. Accordingly, our report highlights the need for female perspectives in elite sports and invites further in-depth investigations of the identified gender/sex differences within the respective disciplines of training science, physiology, psychology and sociology

Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study

Aims Endurance 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. Method During 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. Results Athletes (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. Conclusion Although older male endurance athletes experienced an increased risk of AF, the long-term risk of stroke was substantially reduced compared with non-athletes

Sex-based differences in sub-technique selection during an international classical cross-country skiing competition

The purpose of this study was to compare speed, sub-technique selection and temporal patterns between world-class male and female cross-country (XC) skiers and to examine the combined associations of sex and speed on sub-technique selection. Thirty-three XC skiers performed an international 10-km (women; n = 8) and 15-km (men; n = 25) time-trial competition in the classical style (with the first 10 km of the race being used for analyses). An integrated GNSS/IMU system was used to continuously track position speed and automatically classify sub-techniques and temporal patterns (i.e. cycle length and–rate). When comparing the eight highest ranked men and women, men spent less time than women (29±2 vs. 45±5% of total time) using diagonal stride (DIA), more time (44±4 vs. 31±4%) using double poling (DP) and more time (23±2 vs. 19±3%) using tucking and turning (all P < .01). Here, men and women used these sub-techniques at similar temporal patterns within the same speed-intervals; although men employed all sub-techniques at steeper uphill gradients (all P < .05). In subsequent analyses including all 33 skiers, adjustment for average racing speed did not fully attenuate the observed sex differences in the proportion of time using DIA (CI95% [-10.7, -1.6]) and DP (CI95% [0.8, 9.3]). Male world-class XC skiers utilized less DIA and more DP compared to women of equal performance levels. Although these differences coincided with men’s higher speed and their ability to use the various sub-techniques at steeper uphill gradients, sexual dimorphism in the proportional use of DIA and DP also occurred independently of these speed-differences.Sex-based differences in sub-technique selection during an international classical cross-country skiing competitionpublishedVersio

New insights from Norwegian and Swedish sports coaches' employment, practices, and beliefs during the first Covid-19 movement restriction period

Introduction: This study (i) examined Norwegian and Swedish sports coaches’ employment, practices, and beliefs during the first wave of the COVID-19 pandemic, (ii) compared these aspects between coaches in Norway and Sweden, two countries with clearly different movement restrictions strategies in this period. Methods: An online survey was distributed to coaches via email and social media. The survey was open between June and August 2020. In total, 348 coaches responded, 141 from Norway, and 207 from Sweden. Results: Among responders, 2% had lost their job due to the pandemic, 17% had been furloughed, 28% worked from home office, and 39% worked as usual. Norwegian coaches were more likely to work from home (48% vs. 15%, p Discussion: Overall, this study showed the imposed movement restrictions had several negative consequences for the employment and work practices of sports coaches in Norway and Sweden. However, it also highlighted that coaches were able to adapt their work practices to the constraints and were able to maintain relationships with their athletes. The consequences raised in this paper can act as a guide during possible future lockdowns

Training Quality-What Is It and How Can We Improve It?

Purpose: The concept of training quality reflects that the effect of training is dependent on more than the mere product of training load (eg, duration, intensity, frequency). The aims of this commentary are to (1) propose a practice-oriented framework to describe training quality and its general and context-dependent characteristics and (2) discuss how athletes and coaches can work to improve training quality. Conclusions: Training quality can be viewed from different perspectives. The holistic dimension includes the entire training process (goal setting, gap analysis, application of training principles and methods, etc), while a narrower dimension encompasses the specific training sessions and how they are executed in relation to the intended purpose. To capture the varying contexts, we define training quality as the degree of excellence related to how the training process or training sessions are executed to optimize adaptations and, thereby, improve overall performance. Although training quality is challenging to quantify, we argue that identification and assessment of quality indicators will increase our scientific understanding and consequently help coaches and athletes to improve training quality. We propose that the physical, technical, and psychological factors of training quality can be improved through an individualized learning process of systematic planning, execution, and debriefing. However, assessment tools should be identified and scientifically validated across different training sessions and sports. We encourage further interventions to improve training quality.acceptedVersio

Combined Association of Cardiorespiratory Fitness and Body Fatness With Cardiometabolic Risk Factors in Older Norwegian Adults: The Generation 100 Study

Objective To investigate the independent and combined associations of fitness and fatness with cardiometabolic risk factors in older Norwegian women and men. Patients and Methods We conducted a cross-sectional study of 505 women and 417 men aged 70 to 77 years enrolled in the Generation 100 study in Norway. Fitness was assessed as peak oxygen uptake and fatness as high body mass index (BMI; ≥25 kg/m2), waist circumference (WC) of 88 cm or greater for women and 102 cm or greater for men, and percent body fat (%BF) of 35% or greater and 25% or greater for women and men, respectively. High cardiometabolic risk was defined as the presence of 2 or more of the following risk factors: elevated triglyceride level, reduced high-density lipoprotein cholesterol concentration, elevated blood pressure, and elevated fasting glucose level or pharmacological treatment of these conditions. Results Receiver operating characteristic curve analyses identified fitness levels of less than 25.7 and less than 30.7 mL/kg per minute in women and men, respectively, as critical thresholds for having high cardiometabolic risk. Individuals with levels below these thresholds had an adjusted odds ratio of 2.77 (95% CI, 2.09-3.66) for having high cardiometabolic risk, while high BMI, WC, and %BF had odds ratios (95% CIs) of 3.58 (2.69-4.77), 3.06 (2.29-4.10), and 3.26 (2.47-4.30), respectively. In our combined analyses, being lean did not attenuate the cardiometabolic risk associated with low fitness, and combinations of low fitness and/or high BMI, WC, or %BF cumulatively increased cardiometabolic risk. Conclusion Low fitness and indication of fatness were independently and cumulatively associated with poor cardiometabolic health. Our results emphasize the importance of including both physical fitness and body fatness in the assessment of cardiometabolic risk and health promotion efforts in older adults

Non-alcoholic fatty liver disease: prevalence and all-cause mortality according to sedentary behaviour and cardiorespiratory fitness. The HUNT Study

Purpose: Sedentary behaviour (SB) and low physical activity (PA) are independently associated with non-alcoholic fatty liver disease (NAFLD). Compared to PA, high cardiorespiratory fitness (CRF) has been associated with a higher protection against all-cause mortality and a number of specific diseases. However, this relationship has not been investigated in NAFLD. This study examined the roles of SB and CRF on: i) the likelihood of having NAFLD in the general population, and ii) the risk of mortality over 9 years within individuals having NAFLD. Methods: A cross-sectional analysis of 15,781 adults (52% female; age range 19–95 years) was conducted. Self-reported SB was divided into tertiles. CRF was estimated using validated non-exercise models, and the presence of NAFLD from the Fatty Liver Index. Adjusted Odds Ratios and 95% Confidence Intervals for NAFLD were estimated using logistic regression analyses. Hazard Ratios for all-cause mortality were estimated using Cox proportional hazard regression in individuals with NAFLD. Results: For each additional 1 h/d of SB, the likelihood of having NAFLD was significantly increased by 4% (CI, 3–6%). In combined analyses, compared with the reference group [high CRF and low (≤4 h/d) SB], individuals with low CRF had a markedly higher likelihood of having NAFLD (OR, 16.9; CI 12.9–22.3), even if they had SB ≤ 4 h/d. High CRF attenuated the negative role of SB up to 7 h/d on NAFLD. Over 9.4 ± 1.3 years of follow-up, individuals with NAFLD and low CRF had the risk of mortality increased by 52% (CI, 10–106%) compared to those with high CRF, regardless of SB or meeting PA guidelines. Conclusions: Low CRF increases the risk of premature death in individuals with NAFLD, and is strongly associated with higher likelihood of having NAFLD, outweighing the influence of SB