Food attitudes in female athletes: Association with menstrualcycle length

Abstract

The aim of this study was to examine the relationship between indicators of risk of disordered eating, body image and varied menstrual cycle lengths. Altogether, 151 female athletes were invited from 16 sports and 70 female non-athletic controls were recruited from a university lecture class. The participants completed several surveys, including demographics, menstrual cycle history, physical activity, Eating Disorder Inventory (EDI) and the Three Factor Eating Questionnaire (TFEQ). Selected EDI subscales were summed to reflect eating disorder risk and body image. Menstrual cyclicity was based on self-reported cycle length for the last 6 months (normal cycles = 26–32 days, irregular cycles = <26 or >32 days). Athletes overall had more irregular cycles (29.1%) than the non-athletes (15.7%) (P < 0.05). There were significant differences in scores for eating disorder risk, body dissatisfaction, drive for thinness, cognitive restraint (TFEQ) and disinhibition (TFEQ), only when athletes were divided based on menstrual cyclicity (i.e. irregularly cycling athletes had higher scores than athletes with normal menstrual cycle lengths). No differences in these scores were found between non-athletes with normal or irregular menstrual cycle lengths. In conclusion, irregularly short or long menstrual cycle length is associated with subtle indications of higher risk of disordered eating in female athletes.     

Athletic identity and disordered eating in obligatory and non-obligatory runners

Abstract

Athletic identity is the extent to which an individual identifies with being an athlete. Strong “running” role identity may contribute to increased restrictive dieting behaviours, potentially placing such individuals at risk for eating disorders. In this study, we examined differences in eating and exercise behaviours/attitudes and athletic identity in obligatory versus non-obligatory runners. Male and female participants completed a battery of questionnaires including the Eating Disorder Inventory, Obligatory Exercise Questionnaire (OEQ), and Athletic Identity Measurement Scale (AIMS). OEQ scores ≥50 were indicative of obligatory exercise. The non-obligatory runners (n = 82) and obligatory runners (n = 91) were compared on the various measures. Obligatory runners scored significantly higher (P < 0.002) on all of the eating attitudes/disorder measures, and the AIMS (P ≤ 0.006). Scores on the AIMS were correlated with all disordered eating measures (P < 0.05). Exercising to maintain identification with the running role may be associated with pathological eating and training practices.     

Correlations between serum and salivary hormonal concentrations in response to resistance exercise

Abstract

The aim of present study was to examine the relationships between serum and salivary values of free testosterone, dehydroepiandrosterone, and cortisol before and after a session of resistance exercise. Twenty-eight healthy men (mean age 40 years, s = 4) participated in the present study. Serum and salivary samples were collected at rest and after a multiple-sets resistance exercise protocol, of approximately 25 minutes duration. Concentrations of free testosterone, dehydroepiandrosterone, and cortisol were measured using radioimmunoassay kits. No significant correlation was observed between serum free testosterone and salivary testosterone (r = 0.22 to 0.26, P > 0.05). Serum cortisol was significantly correlated with salivary cortisol before (r = 0.52, P = 0.005) and after (r = 0.62, P = 0.001) the exercise protocol. Serum and salivary concentrations of dehydroepiandrosterone were significantly correlated before (r = 0.68, P < 0.001) and after (r = 0.7, P < 0.001) exercise. The results of the present study suggest that even under exercise conditions, the salivary values of cortisol and dehydroepiandrosterone can reflect the behaviour of these hormones in blood. However, further studies are necessary to verify if salivary testosterone reflects the behaviour of serum free testosterone during resistance exercise.     

The effects of work:rest duration on physiological and perceptual responses during intermittent exercise and performance

Abstract

In this study, we examined the effects of different work:rest durations during 20 min intermittent treadmill running and subsequent performance. Nine males (mean age 25.8 years, s = 6.8; body mass 73.9 kg, s = 8.8; stature 1.75 m, s = 0.05; [Vdot]O_2max 55.5 ml · kg^?1 · min^?1, s = 5.8) undertook repeated sprints at 120% of the speed at which [Vdot]O_2max was attained interspersed with passive recovery. The work:rest ratio was constant (1:1.5) with trials involving either short (6:9 s) or long (24:36 s) work:rest exercise protocols (total exercise time 8 min). Each trial was followed by a performance run to volitional exhaustion at the same running speed. Testing order was randomized and counterbalanced. Heart rate, oxygen consumption, respiratory exchange ratio, and blood glucose were similar between trials (P > 0.05). Blood lactate concentration was greater during the long than the short exercise protocol (P < 0.05), whereas blood pH was lower during the long than the short exercise protocol (7.28, s = 0.11 and 7.30, s = 0.03 at 20 min, respectively; P < 0.05). Perceptions of effort were greater throughout exercise for the long than the short exercise protocol (16.6, s = 1.4 and 15.1, s = 1.6 at 20 min, respectively; P < 0.05) and correlated with blood lactate (r = 0.43) and bicarbonate concentrations (r = ?0.59; P < 0.05). Although blood lactate concentration at 20 min was related to performance time (r = ?0.56; P < 0.05), no differences were observed between trials for time to exhaustion (short exercise protocol: 95.8 s, s = 30.0; long exercise protocol: 92.0 s, s = 37.1) or physiological responses at exhaustion (P > 0.05). Our results demonstrate that 20 min of intermittent exercise involving a long work:rest duration elicits greater metabolic and perceptual strain than intermittent exercise undertaken with a short work:rest duration but does not affect subsequent run time to exhaustion.     

Influence of aerobic versus anaerobic exercise on the relationship between reproductive hormones in men

This study examined the effects of equal anaerobic and aerobic total work outputs on the relationship between reproductive hormones in men. Nine subjects performed three randomized trials on separate days: (1) 1 h period of rest (control), (2) 1 h continuous aerobic exercise (65% VO₂ max), and (3) 1 h intermittent anaerobic exercise (which included 2 min exercise periods at 110% FO₂ max). The total work output of the aerobic and anaerobic trials were equated. For the 8 h after each experimental trial, blood samples were collected hourly and analysed for testosterone, luteinizing hormone (LH), follicle‐stimulating hormone (FSH), prolactin and cortisol. Diet, physical activity and circadian influences were all controlled. Compared with the control, the aerobic and anaerobic trials significantly (P < 0.05) elevated testosterone, prolactin and cortisol; however, these changes were transient and returned to control levels within 1–2 h of recovery. Neither exercise produced significant (P > 0.05) changes from control for LH and FSH. The area under the hormonal response curves (AUC) was calculated for the 8‐h recovery period. The testosterone and LH AUC results did not differ (P > 0.05) among the trials (the FSH AUC was not calculated). The prolactin AUC for the aerobic and anaerobic trials were greater (P < 0.01) than the control trial. The cortisol AUC for the anaerobic trial was greater than both the control and aerobic trials (P < 0.05), but the aerobic and control trials did not differ from one another. Correlation analysis among the AUC results within each trial showed testosterone and LH to be significantly related during the control (r = 0.723, P < 0.05) and aerobic (r = 0.801, P < 0.01) trials, but not so during the anaerobic trial (r = 0.430, P > 0.05). No other significant correlations were found. The present findings suggest the relationship between testosterone and LH is affected by anaerobic exercise but not aerobic exercise. However, the effect of anaerobic exercise upon the testosterone‐LH relationship did not seem related to the concurrently induced prolactin or cortisol changes. Anaerobic exercise may produce some degree of temporary alteration within the testosterone‐LH component of the hypothalamic‐pituitary‐gonadal axis; however, the mechanism for this phenomenon remains unclear.     

The components of the female athlete triad do not identify all physically active females at risk

Abstract

The purpose of the present study was to assess the effectiveness of the triad components (amenorrhoea, disordered eating, and osteoporosis) in identifying physically active women at risk of long-term health problems. Eighty-two females (mean age 31.1 years, s = 6.7; body mass 58.4 kg, s = 6.6; stature 1.65 m, s = 0.06) completed training, menstrual, and dietary questionnaires. Bone mineral density and size-adjusted bone mineral density were assessed at the femoral neck and lumbar spine using dual energy X-ray absorptiometry. Seventy-eight percent of participants were eumenorrhoeic, 20% were oligomenorrhoeic, and 2% were amenorrhoeic. Thirty-six percent and 55% reported disordered eating practices in the present and past respectively. Eighty-one percent, 17%, and 2% were classified as normal, osteopaenic, and osteoporotic at the femoral neck respectively; 92% were normal, 7% osteopaenic, and 1% osteoporotic at the lumbar spine. No significant differences in femoral neck size-adjusted bone mineral density were observed between eumenorrhoeic and oligo/amenorrhoeic participants (F _2,80 = 0.119, P = 0.73); eumenorrhoeic participants had significantly greater lumbar spine size-adjusted bone mineral density (F _2,80 = 9.79, P = 0.003). Disordered eating participants had significantly lower femoral neck size-adjusted bone mineral density than those reporting no disordered eating (F _2,80 = 13.816, P = 0.000). Twenty-two percent of participants fulfilled triad criteria, while 55% were “at risk” of long-term health problems. An accumulation of conditions resulted in lower lumbar spine size-adjusted bone mineral density (F _1,80 = 6.074, P = 0.004). The current triad components do not identify all women “at risk” and more appropriate criteria such as exercise-related menstrual alterations, disordered eating, and osteopaenia are suggested.     

International Physical Activity Questionnaire: Reliability and validity in a Spanish population

Abstract

Although questionnaires are useful for evaluating patterns of physical activity in populations, they need to be validated. The objective of this study was to determine the validity and reliability of the long version of the International Physical Activity Questionnaire (IPAQ) in a Spanish population. The participants wore a uniaxial MTI Actigraph (Computer Science and Application, Inc.) accelerometer for 7 days and self-completed the IPAQ questionnaire twice, to assess its reliability. Criterion validity was assessed by comparing data from the IPAQ and data from the MTI. The final sample included 54 adults for the validity analysis and 66 adults for the reliability analysis. The correlations (r) between the IPAQ and the accelerometer were 0.29 (P<0.05) for total physical activity (MET · min^?1 · day^?1) versus total counts per minute, 0.30 (P<0.05) for time spent in vigorous activity, and 0.34 (P<0.05) for time spent sitting. The IPAQ showed a good reliability coefficient for total physical activity (r=0.82, P<0.05), vigorous activity (r=0.79, P<0.05), moderate activity (r=0.83, P<0.05), and time spent walking (r=0.73, P<0.05). Total time spent on work-related physical activities (r=0.92, P<0.05), on household-related activities (r=0.86, P<0.05), and leisure-time physical activities (excluding walking) (r=0.82, P<0.05) showed good reliability coefficients. Bland Altman analysis showed that discrepancies between the two methods increased with the amount of moderate and vigorous physical activity undertaken. In conclusion, the long version of the IPAQ has acceptable validity for the measurement of total and vigorous physical activity, and good reliability coefficients for application in the Spanish population studied here. The questionnaire showed poor validity for reporting moderate-intensity activity in this Spanish population.     

Relationships among training stress,mood and dehydroepiandrosterone sulphate/cortisol ratio in female cyclists

Abstract

In this study, we examined the effect of rapidly increased training volume and intensity on hormonal responses (salivary cortisol [C] and urinary dehydroepiandrosterone sulphate [DHEA-S]) and recovery-stress state perceived by 12 female cyclists. Over the 4-day experimental period, there was an average increase in training load of approximately 122% compared with that during the previous 12 days. Scores on subscales of the Recovery Stress Questionnaire for Athletes increased for the somatic component of stress (Fatigue, Emotional Stress and Social Stress; P < 0.05) and decreased the factor indicating recovery (General Well Being; P < 0.05) after the heavy training period. The training programme increased resting concentrations of salivary cortisol (P < 0.05) and decreased the DHEA-S/C ratio (P < 0.05). The increase in training load of cyclists was correlated with this hormonal ratio (r = ?0.48, P < 0.05). Changes in resting cortisol concentration as a result of heavy training stress were positively related to the change in Physical Complaints (r = 0.69, P < 0.01). Negative relationships were also found between changes in the DHEA-S/C ratio and changes in the somatic component of stress. The present results suggest that there is a dose–response relationship between increased training load, resting DHEA-S/C ratio and subjective assessment of stress and recovery, implying that this ratio could be used as an indicator of training status in female athletes.     

Psychosocial correlates of cardiorespiratory fitness and muscle strength in overweight and obese post-menopausal women: A MONET study

Abstract

The purpose of this study was to examine the psychosocial correlates of cardiorespiratory fitness ([Vdot]O_2peak) and muscle strength in overweight and obese sedentary post-menopausal women. The study population consisted of 137 non-diabetic, sedentary overweight and obese post-menopausal women (mean age 57.7 years, s = 4.8; body mass index 32.4 kg · m^?2, s = 4.6). At baseline we measured: (1) body composition using dual-energy X-ray absorptiometry; (2) visceral fat using computed tomography; (3) insulin sensitivity using the hyperinsulinaemic-euglycaemic clamp; (4) cardiorespiratory fitness; (5) muscle strength using the leg press exercise; and (6) psychosocial profile (quality of life, perceived stress, self-esteem, body-esteem, and perceived risk for developing chronic diseases) using validated questionnaires. Both [Vdot]O_2peak and muscle strength were significantly correlated with quality of life (r = 0.29, P < 0.01 and r = 0.30, P < 0.01, respectively), and quality of life subscales for: physical functioning (r = 0.28, P < 0.01 and r = 0.22, P < 0.05, respectively), pain (r = 0.18, P < 0.05 and r = 0.23, P < 0.05, respectively), role functioning (r = 0.20, P < 0.05 and r = 0.24, P < 0.05, respectively), and perceived risks (r = ?0.24, P < 0.01 and r = ?0.30, P < 0.01, respectively). In addition, [Vdot]O_2peak was significantly associated with positive health perceptions, greater body esteem, and less time watching television/video. Stepwise regression analysis showed that quality of life for health perceptions and for role functioning were independent predictors of [Vdot]O_2peak and muscle strength, respectively. In conclusion, higher [Vdot]O_2peak and muscle strength are associated with a favourable psychosocial profile, and the psychosocial correlates of [Vdot]O_2peak were different from those of muscle strength. Furthermore, psychosocial factors could be predictors of [Vdot]O_2peak and muscle strength in our cohort of overweight and obese sedentary post-menopausal women.     

Effects of vibration and exercise training on bone mineral density and muscle strength in post-menopausal women

Abstract

The purpose of this study was to compare the effects of a specific vibration programme with those of combined aerobic and resistance exercise training on bone mineral density (BMD), body composition, and muscular strength in post-menopausal women, over a period of 6 months. Thirty-two healthy, inactive post-menopausal women aged 46–62 years were divided into exercise (n = 10), vibration (n = 13), and control (n = 9) groups. The exercise group participated in a supervised programme of strength training at 70% of one-repetition maximum (1-RM) 2 days a week, and aerobic exercise at 70–85% of maximum heart rate one day a week. The vibration group performed vibration training 3 days a week (9 sets×45–80 s per session, 35–40 Hz, peak-to-peak amplitude of vertical vibration = 1.5 mm) on a vibration platform (NemesTM LCB, Bosco System). The BMD of the lumbar spine (L2–L4) was assessed using dual-energy X-ray absorptiometry, and muscle strength with the 1-RM method at baseline and after 6 months of intervention. The BMD of L2–L4 increased in the exercise group (P < 0.05), remained steady in the vibration group, and decreased in the control group (P < 0.05). Muscular strength of leg-extension and leg-curl exercise improved by 28% and 25.5% (P < 0.01) in the exercise group and by 13% (P < 0.01) and 20.5% (P < 0.001) in the vibration group, respectively. The results indicate that conventional training contributed to the increase in BMD of L2–L4, while the vibration programme helped to maintain BMD in post-menopausal women. Both training programmes were efficient in improving muscle strength.     

Autonomy,eating disorders and elite gymnastics: ethical and conceptual issues

Participation in elite sport, and in particular those sports with special demands in terms of weight and shape, is associated with a higher risk for eating disorders such as anorexia nervosa [Sundgot-Borgen, J., & Torstveit, M. K. (2010). Aspects of disordered eating continuum in elite high intensity sports. Scandinavian Journal of Medicine and Science in Sports, 20, 112–121]. We report upon research exploring eating attitudes and behaviours within elite gymnastics. The study comprised 42 semi-structured interviews with gymnasts and support staff—34 gymnasts and 9 staff/support staff. The majority of those interviewed were acrobatic gymnasts (22; 16 males and 6 females) with 7 rhythmic gymnasts (all female) and 5 tumblers (all female). The mean age of those gymnasts interviewed was 17.4. A difficulty in precisely delineating extreme eating patterns (disordered eating) from having an eating disorder was noted. Within an elite sports context behaviours thought to be pathological in a more general setting might be fairly commonplace and even functional to the athlete's performance. The extent to which the athlete consents to these patterns of behaviour is problematic given their age and development. We argue that conceptualising consent as ‘authority to be cared for by a trustworthy coach’, more felicitously applies to the child/adolescent elite sporting context, helping us understand not only the focus of the elite gymnast, but also their relationship with the coach and the coaches' responsibilities.     

Relationships between anthropometric measures and athletic performance,with special reference to repeated-sprint ability,in the Qatar national soccer team

Abstract

The aim of this study was to determine potential relationships between anthropometric parameters and athletic performance with special consideration to repeated-sprint ability (RSA). Sixteen players of the senior male Qatar national soccer team performed a series of anthropometric and physical tests including countermovement jumps without (CMJ) and with free arms (CMJwA), straight-line 20 m sprint, RSA (6 × 35 m with 10 s recovery) and incremental field test. Significant (P < 0.05) relationships occurred between muscle-to-bone ratio and both CMJs height (r ranging from 0.56 to 0.69) as well as with all RSA-related variables (r < –0.53 for sprinting times and r = 0.54 for maximal sprinting speed) with the exception of the sprint decrement score (S_dec). The sum of six skinfolds and adipose mass index were largely correlated with S_dec (r = 0.68, P < 0.01 and r = 0.55, P < 0.05, respectively) but not with total time (TT, r = 0.44 and 0.33, P > 0.05, respectively) or any standard athletic tests. Multiple regression analyses indicated that muscular cross-sectional area for mid-thigh, adipose index, straight-line 20 m time, maximal sprinting speed and CMJwA are the strongest predictors of S_dec (r² = 0.89) and TT (r² = 0.95) during our RSA test. In the Qatar national soccer team, players’ power-related qualities and RSA are associated with a high muscular profile and a low adiposity. This supports the relevance of explosive power for the soccer players and the larger importance of neuromuscular qualities determining the RSA.     

Effects of cigarette smoking on cardiac autonomic function during dynamic exercise

Abstract

The purpose of this study was to investigate the acute effect of cigarette smoking on cardiac autonomic function in young adult smokers during dynamic exercise. Fourteen healthy young smokers (21.4 ± 3.4 years) performed peak and submaximal exercise protocols under control and smoking conditions. Resting and submaximal beat-to-beat R-R series were recorded and spectrally decomposed using the fast Fourier transformation. Smoking resulted in a significant decrease in work time, [Vdot]O_2peak and peak O₂ pulse (P < 0.05). Heart rate increased at rest and during submaximal exercise after smoking (P < 0.05). The raw high frequency and low frequency power were significantly reduced by smoking, both at rest and during exercise (P < 0.05). The low to high frequency ratio was higher after smoking (P < 0.05). The normalised low frequency power was also significantly increased by smoking, but only at rest (P < 0.05). These data demonstrate that the tachycardic effect elicited by smoking is accompanied by acute changes in heart rate spectral components both at rest and during exercise. Therefore, the cardiac autonomic control is altered by smoking not only at rest, but also during exercise, resulting in reduced vagal modulation and increased sympathetic dominance.     

Recovery of pulmonary diffusing capacity after maximal exercise

Abstract

Pulmonary diffusing capacity (Dl_co), together with spirometric variables, arterial oxygen tension (paO₂) and cardiac output were determined before and at intervals after maximal arm cranking, treadmill running and erogmeter rowing. Independent of the type of exercise, Dl_co increased immediately post‐exercise from a median 13.6 (range 7.3–16.3) to 15.1 (9.3–19.6) mmol min^‐1 kPa^‐1 (P <0.01). However, it decreased to 11.6 (6.9–15.5) mmol min^‐1 kPa^‐1 (P <0.01) after 24 h with cardiac output and paO₂ at resting values, and Dl_co normalized after 20 h. Thoracic electrical impedance at 2.5 and 100 kHz increased slightly post‐exercise, indicating a decrease in thoracic fluid balance, and there were no echocardiographic signs of left ventricular failure at the time of the decrease in Dl_co. Also, active muscle (limb) circumference and volume, and an increase in haematocrit from 43.8 (38.0–47.0) to 47.1 (42.7–49.8) (P <0.01), had normalized at the time of the decrease in Dl_co. Vital capacity, forced vital capacity, forced expiratory volume in 1 s, peak and peak mid‐expiratory flows did not change. However, total lung capacity increased from 6.8 (5.0–7.6) to 7.0 (5.1–7.8) litres (P <0.05) immediately after exercise and remained elevated at 6.9 (5.1–8.7) litres (P <0.05) when a decrease in Dl_co was noted. The results demonstrate that independent of the type of maximal exercise, an approximate 15% reduction in Dl_co takes place 2–3 h post‐exercise, which normalizes during the following day of recovery.     

Effect of a concentric warm-up exercise on eccentrically induced soreness and loss of function of the elbow flexor muscles

Abstract

The aim of this study was to examine the effect of concentric warm-up exercise on eccentrically induced changes in muscle strength, range of motion, and soreness of the elbow flexors. Ten resistance-exercise naïve participants performed intermittent incremental eccentric actions (42 in total) of the elbow flexor muscles of each arm to induce muscle damage. The arms of each participant were randomly assigned either to a pre-eccentric exercise warm-up involving intermittent concentric exercise (warm-up) or no prior exercise (control). Strength, range of motion, and ratings of soreness were recorded before and 1, 2, 3, 4, and 7 days after exercise. Strength, range of motion, and soreness during muscular movements changed over time (P at most 0.01; Cohen's d at least 0.51, medium). There was an interaction (P < 0.001) for strength, showing a smaller reduction after exercise for warm-up than control (P < 0.001, d = 2.44, large effect). The decreased range of motion was less for warm-up than control for the arm while extended (P < 0.001), flexed (P = 0.002), and relaxed (P = 0.004). Muscle soreness was reduced for the warm-up group, while the muscle was flexed, extended, and relaxed compared with control (P < 0.001). The results demonstrate that a concentric warm-up exercise attenuates the reduction in loss of strength, range of motion, and muscle soreness after eccentric-exercise-induced muscle damage and might allow higher intensities of training to be performed.     

Relationship between before-to-after-exercise feeling state changes and exercise session attendance over 14 weeks: Testing principles of Operant Conditioning

Abstract

A preliminary field study was conducted to estimate relationships between changes in feelings states occurring from before to after 20- to 30-min bouts of moderate cardiovascular exercise, and two measures of adherence to exercise in 66 adults (M _age=38?yrs, 30% males) initiating regimens of 3x/week. Positive pre- to post-exercise changes in participants’ feeling state scores ranged from 0 to 100% (M=73.2%, SD=28.8). Significant positive correlations were found between percentage of positive changes and exercise session attendance (r=0.36, p=0.003), and number of days of adherence to exercise (r=0.37, p=0.002), over 14 weeks. Results were interpreted as supporting principles of operant conditioning, and the possibility of exercise-induced feeling changes having direct reinforcing and punishing properties on the behavior of exercise in adults initiating programs. Accounting for identified correlates of exercise maintenance was suggested for extensions of this research. Applied uses of the abbreviated feeling state measure adapted for this research were suggested, after sufficient replication.     

Effect of body composition on redox homeostasis at rest and in response to exercise: The case of underfat women

Underfat individuals have been neglected as a malnourished population in terms of redox homeostasis. The aim of the present study was to evaluate the effect of body composition on redox homeostasis at rest and in response to exercise. Underfat, lean and overfat women, classified according to their BMI and body fat percentage, participated in the study and were subjected to an acute session of eccentric exercise. With regard to muscle function and damage, a significant group × time interaction was found for range of motion (P < .01), isometric peak torque at 90° (P < .01), delayed onset muscle soreness (P < .01) and creatine kinase (P < .05), with the lean group generally exhibiting faster recovery compared to the underfat and overfat groups. With regard to redox homeostasis, a significant group × time interaction was found for F₂-isoprostanes, protein carbonyls and glutathione (P < .01 for all biomarkers), with the underfat and overfat groups exhibiting increased resting oxidative stress levels and lower exercise-induced reactive species production . In conclusively, our data underline the importance of normal body composition for redox homeostasis, since underfat and overfat women demonstrate a similar pattern of redox disturbances both at rest and in response to exercise.     

The influence of pre-warming on the physiological responses to prolonged intermittent exercise

To examine the influence of pre-warming on the physiological responses to prolonged intermittent exercise in ambient temperatures of 21.5?±?0.6°C and relative humidities of 35.7?±?5.4% (mean?±?s), six healthy men performed intermittent treadmill running (30-s bouts at 90% of maximal oxygen uptake separated by 30-s static recovery periods) to exhaustion after active pre-warming, passive pre-warming and pre-exercise rest (control). Exercise time to exhaustion was significantly different between all conditions (active, 51.8?±?7.2?min; passive, 38.5?±?11.1?min; control, 72.0?±?17.2?min; P <?0.05). These changes in performance time were closely associated with a significant decline in both the rate of heat storage and heat storage capacity (P <?0.05). Rectal temperature, heart rate and ratings of perceived exertion were significantly higher during exercise in the two pre-warming conditions than in the control condition (P <?0.05). Ratings of perceived exertion were also significantly higher during exercise following passive pre-warming compared with active pre-warming (P <?0.05). During exercise there were no significant differences in serum prolactin, plasma norepinephrine and plasma free fatty acid concentrations between conditions. We conclude that both active and passive pre-warming promote a reduction in prolonged intermittent exercise capacity in environmental temperatures of 21°C compared with pre-exercise rest. These performance decrements were dependent upon the mode of pre-warming and closely reflected alterations in body heat content.