Concentric left ventricular morphology in aerobically trained kayak canoeists

The aim of the present study was to test the hypothesis that upper body aerobically trained athletes (kayak canoeists) would have greater left ventricular wall thickness, but similar left ventricular diastolic chamber dimensions, compared with recreationally active and sedentary men. Ultrasound echocardiography was used to determine cardiac structure and function in highly trained kayak canoeists (n = 10), moderately active (n = 10) and sedentary men (n = 10). The septal and posterior left ventricular walls were approximately 0.2 cm thicker in kayak canoeists (P < 0.05), and left ventricular mass was 51% and 32% greater (P < 0.05) in canoeists than in the sedentary and moderately trained participants, respectively. There were no differences in left ventricular chamber dimension, suggesting that the kayak canoeists had a concentric pattern of left ventricular adaptation to aerobic upper body training. Scaling the data to body composition indices had no effect on the outcome of the statistical analysis. There were no differences in resting Doppler left ventricular diastolic or systolic function among the groups. Ejection fraction was lower in the kayak canoeists, but the magnitude of the difference was within the normal variability for this measurement. Thus aerobically upper body trained athletes demonstrated a concentric pattern of cardiac enlargement, but resting left ventricle function was not different between athletes, moderately active and sedentary individuals.     

Left ventricular morphology and function in endurance-trained female athletes.

In this study, we investigated resting left ventricular dimensions and function in trained female rowers, canoeists and cyclists. In male populations, such athletes have demonstrated the largest left ventricular wall thicknesses and cavity dimensions. Echocardiograms were analysed from 24 athletes (rowers and canoeists, n = 12; cyclists, n = 12) and 21 age-matched controls to measure left ventricular end-diastolic dimension and volume, and septal (ST) and posterior wall (PWT) thicknesses. Left ventricular mass was calculated from M-mode data. Systolic and diastolic function were calculated from M-mode and Doppler echocardiography, respectively. Height, body mass, body surface area and fat-free mass were determined anthropometrically. The athletes were well matched with the controls for all anthropometric variables except fat-free mass (rowers and canoeists 49.7+/-3.6 kg, cyclists 48.0+/-3.8 kg, controls 45.0+/-5.4 kg; P < 0.05). The left ventricular end-diastolic dimension, mass and volume, and septal and posterior wall thicknesses, were all significantly greater in the athletes than the controls (P < 0.05). These differences persisted (except for left ventricular end-diastolic dimension) even after allometric adjustment for group differences in fat-free mass. Stroke volume was larger (rowers and canoeists 102+/-13 ml, cyclists 103+/-16 ml, controls 80+/-15 ml; P < 0.05) in both groups of athletes but all other functional data were similar between groups. As in male athletes, female rowers, canoeists and cyclists displayed significantly larger left ventricular cavity dimensions and wall thicknesses than controls.     

Left ventricular morphology and function in endurance-trained female athletes

In this study,we investigated resting left ventricular dimensions and function in trained female rowers, canoeists and cyclists. In male populations, such athletes have demonstrated the largest left ventricular wall thicknesses and cavity dimensions. Echocardiograms were analysed from 24 athletes (rowers and canoeists, n=12; cyclists, n=12) and 21 age-matched controls to measure left ventricular end-diastolic dimension and volume, and septal (ST) and posterior wall (PWT) thicknesses. Left ventricular mass was calculated from M-mode data. Systolic and diastolic function were calculated from M-mode and Doppler echocardiography, respectively. Height, body mass, body surface area and fat-free mass were determined anthropometrically. The athletes were well matched with the controls for all anthropometric variables except fat-free mass (rowers and canoeists 49.7 3.6 kg, cyclists 48.0?+\- 3.8 kg, controls 45.0?+\- 5.4 kg; P < 0.05). The left ventricular end-diastolic dimension, mass and volume, and septal and posterior wall thicknesses, were all significantly greater in the athletes than the controls (P < 0.05). These differences persisted (except for left ventricular end-diastolic dimension) even after allometric adjustment for group differences in fat-free mass. Stroke volume was larger (rowers and canoeists 102?+\- 13 ml, cyclists 103?+\0 16 ml, controls 80?+\- 15 ml; P < 0.05) in both groups of athletes but all other functional data were similar between groups. As in male athletes, female rowers, canoeists and cyclists displayed significantly larger left ventricular cavity dimensions and wall thicknesses than controls.     

Resting MAPK expression in chronically trained endurance runners

Purpose: There is a paucity of research investigating the expression of mitogen-activated protein kinases (MAPK) in chronically trained (CT) athletes. Thus, it is unclear how MAPK may contribute to performance and muscle adaptation in CT subjects. The purpose of this study was to determine MAPK total protein, and phosphorylated expression of extracellular signal-regulated kinases 1 and 2 (ERK1/2), c-Jun N-terminal kinase (JNK), and p38-MAPK (p38) between untrained, and chronically trained runners. Methods: Tissue samples were analysed from sedentary (SED; n?=?5) controls and chronically trained runners (CT; n?=?5). Resting muscle biopsy samples were analysed for total-MAPK – and ratio of phosphorylated/total (p-MAPK) – ERK1/2, JNK, and p38-MAPK via western blotting. Mann–Whitney U tests and effect sizes were utilized to determine differences in total MAPK protein content and phosphorylation status between SED and CT subjects. Results: There was no difference in total-MAPK expression between SED and CT (p?>?.05). p-p38-MAPK tended to be greater for CT compared to SED (p?=?.07). There were moderate effect sizes of decreased pERK/total-ERK (d?=??0.69) and increased pJNK/total-JNK (d?=?0.54) in CT compared to SED. There was a positive correlation between p-p38-MAPK/total-MAPK and the percentage of type I fibres (r?=?0.73, p?=?.016). Conclusion: Contrary to previous studies, chronic endurance training does not greatly influence total MAPK protein expression in chronically trained runners. However, resting phosphorylation of p38-MAPK may contribute to enhanced oxidative metabolism at chronically trained levels. These alterations are likely involved in the different physiological adaptations that occur following long-term training or at highly competitive levels.     

青少年足球运动员左室肥厚的生理极限研究

目的:确定青少年足球运动员左室肥厚的生理极限值,预防运动员运动性猝死的发生风险。方法:采用超声心动仪检测60名优秀青少年足球运动员和60名年龄、性别类似的健康对照者及40名其他项目运动员的左心室厚度。结果:与对照组相比,青少年足球运动员的左心室壁厚度(LVWT)较大,为9.5±1.7mm,对照组为8.4±1.4mm。其中5名运动员(8.3%)的最大LVWT超过了预测值的上限;只有1名男运动员的绝对LVWT值大于12mm(1.7%)。5名运动员的LVWT超过了预测限度,提示左心腔扩大(54.4±2.1mm;范围为52~60mm)。而女运动员LVWT值均小于11 mm。结论:与非运动员相比,有训练的青少年足球运动员的LVWT值更大。只有一小部分运动员的LVWT超过了上限,但少有大于12mm,而腔室一般都有扩大现象。提示,当有训练的青少年足球运动员男子LVWT>12mm,女子>11mm,极有可能属于肥厚性心肌病。     

Gender influence on the adaptation of atrial performance to training

Background: High-intensity training has been associated with atrial remodelling and arrhythmias in men. Our purpose was to analyse atrial performance in female endurance athletes, compared to male athletes and controls. Methods: This was a cross-sectional study. We included four groups: female athletes, females controls, male athletes and male controls. Left (LA) and right atrial (RA) volumes and function were assessed using 2D and speckle-tracking echocardiography to determine peak atrial strain-rate at atrial (SRa) and ventricular contraction (SRs), as surrogates of atrial contractile and reservoir function, respectively. ANOVA and Bonferroni’s statistical tests were used to compare variables among groups. Results: We included 82 subjects, 39 women (19 endurance athletes, 20 controls) and 43 men (22 endurance athletes, 21 controls). Mean age was similar between groups (36.6?±?5.6 years). Athletes had larger bi-atrial volumes, compared to controls (women, LA 27.1 vs. 15.8?ml/m², p?<?0.001; RA 22.31 vs. 14.2?ml/m², p?=?0.009; men, LA: 25.0 vs. 18.5?ml/m², p?=?0.003; RA 30.8 vs. 21.9?ml/m², p?<?0.001) and lower strain-rate (women, LASRa ?1.60 vs. ?2.18?s^?1, p?<?0.001; RASRa ?1.89 vs. ?2.38?s^?1, p?=?0.009; men, LASRa ?1.21 vs. ?1.44?s^?1, p?=?1; RASRa ?1.44 vs. ?1.60?s^?1, p?=?1). However, RA indexed size was lower and bi-atrial deformation greater in female athletes, compared to male athletes. Conclusions: The atria of both male and female athletes shows specific remodelling, compared to sedentary subjects, with larger size and less deformation at rest, particularly for the RA. Despite a similar extent of remodelling, the pattern in women had greater bi-atrial myocardial deformation and smaller RA size.     

Performance characteristics of Parkour practitioners: Who are the traceurs?

Parkour is a modern physical activity that consists of using the environment, mostly urban, as a playground of obstacles. The aims of this study were (i) to investigate age, anthropometric and training characteristics of Parkour practitioners, called ‘traceurs’ and (ii) to assess jump performances and muscular characteristics of traceurs, compared to those of gymnasts and power athletes. The mean age of the population of traceurs studied (n?=?130) was 19.4?±?4.3 years, women represented 12.4% of the total field and mean training volume was 8.1?±?0.5?hours/week. Vertical and long jump performances were analysed on smaller samples of participants (four groups, n?=?15 per group); and eccentric (?90°?s^?1, ?30°?s^?1), concentric (30°?s^?1, 90°?s^?1) and isometric knee extensors torques were evaluated by means of an isokinetic dynamometer. Traceurs showed greater (P?P?P?P?相似文献   

Physiological and metabolic responses of wheelchair athletes in different racing classes to prolonged exercise

The aims of this study were to examine and compare selected physiological and metabolic responses of wheelchair athletes in two paraplegic racing classes [T3: n?=?8 (lesion levels T1–T7; paraplegics); T4: n?=?9 (lesion levels below T7; paraplegics)] to prolonged exercise. In addition, we describe the responses of three tetraplegic athletes [T2: n?=?3 (lesion levels C6/C7: tetraplegics)]. Twenty athletes completed 90?min of exercise at 75% [Vdot]O_2peak on a motorized treadmill adapted for wheelchairs. The mean (±s) heart rates of the T3 and T4 racing classes were 165±2 and 172±6 beats?·?min^?1, respectively. For the T4 racing class, heart rate gradually increased during the test (P?<0.05), whereas for the T3 racing class, heart rate reached a plateau after an initial increase. The mean heart rate of the tetraplegics was 114±3 beats?·?min^?1. The T3 and T4 classes exhibited similar respiratory exchange ratios, plasma lactate and glucose concentrations throughout the test. For both the T3 and T4 racing class, free fatty acid, glycerol, ammonia, urea and potassium concentrations had increased from resting values by the end of the test (P?<0.05). In conclusion, the results of this study suggest that endurance-trained wheelchair athletes are able to maintain velocities equivalent to the same relative exercise intensity (75% [Vdot]O_2peak) for prolonged periods irrespective of lesion level.     

Cardiac Dimensions in Elite Young Track Athletes

The purpose of the study was to compare young sprint and distance runners for changes in their cardiac dimensions with increased age (10–17 years) or body surface area (1–2 m²). Echocardiographic dimensions were obtained on 73 male track athletes competing in the 1983 National Age Group Track and Field Association championships. Each group of athletes was also compared with a hypothetical normal population (matched for weight and age) generated from prediction equations derived by Henry, Gardin, & Ware (1980). The cardiac dimensions examined were: Left ventricular internal diameter, left ventricular posterior wall thickness, and interventricular septum thickness. The male distance runners (n = 38) had a significantly greater increase in left ventricular posterior wall thickness and interventricular septum thickness with increasing age or increasing body surface area compared to the sprinters (n = 35) or compared to the predicted normal population. The left ventricular internal diameter was not significantly different between the groups. These results indicate that the hearts of male distance runners are undergoing a training hypertrophy whereas the hearts of sprinters are no different than hearts in a normal population. The changes in cardiac dimensions of these young athletes run counter to the generalizations stated for adult athletes: That endurance training enlarges the left ventricular internal diameter, but does not increase the left ventricular posterior wall or interventricular septum thickness.     

Effects of physical activities that induce moderate external loading on bone metabolism in male athletes

Sports characterized by little or moderate weight bearing or impact have a low osteogenic effect. However, the action of such sports on bone turnover remains unclear. The objective of this study was to determine the effect on bone remodelling of physical activities that induce moderate external loading on the skeleton. Thirty-eight male athletes aged 18–39 years (cyclists, n?=?11; swimmers, n?=?13; triathletes, n?=?14) and 10 age-matched sedentary controls aged 22–35 years participated in the study. The study combined measurement of bone mineral density by dual-energy X-ray absorptiometry and bone turnover assessment from specific biochemical markers: serum bone-specific alkaline phosphatase, osteocalcin, urinary type I collagen C-telopeptide and calcium. Compared with the controls and swimmers, adjusted bone mineral density was higher (P?<?0.05) in triathletes at the total proximal femur and lower limbs. No differences in bone mineral density were found between cyclists, swimmers and controls. Compared with controls, osteocalcin was higher (P?<?0.05) in triathletes and swimmers and urinary type I collagen C-telopeptide was higher in swimmers only. Serum bone-specific alkaline phosphatase was lower (P?<?0.05) in cyclists than in all other groups. In conclusion, an osteogenic effect was found only in triathletes, mainly at bone sites under high mechanical stress. Bone turnover differed in athletes compared with controls, suggesting that bone turnover may be sport-practice dependent. Despite some encouraging observations, it was not possible to show that changes in the bone remodelling process were sport-discipline dependent.     

Does local dynamic stability of kayak paddling technique affect the sports performance? A pilot study

During competition, kayak athletes must optimally adapt to environmental factors (e.g. wind, waves) to achieve peak performance. However, the ability to adapt to such perturbations has never been assessed in kayak paddling. Therefore, the aim of the current study was to evaluate the local dynamic stability in sports technique of youth sprint kayak athletes. In a cross-sectional study, 14 healthy male athletes were recruited from an elite youth sprint kayak squad. During an incremental kayak ergometer test, mean power, heart rates and local dynamic technique stability of hands, arms, trunk and paddle were registered and the association with the athletes 2000?m free-water times were estimated using mixed models. The 2000?m free-water performance significantly predicted the paddles (p?=?.037) local dynamic stability whereas no association was found for the trunk or the upper extremity kinematics. In conclusion, kayak athletes with high-performance capability over 2000?m paddling depict high local dynamic technique stability. This emphasizes the importance of a stable technique for advanced kayak skills, especially regarding paddling movements.     

Insulin sensitivity derived from oral glucose tolerance testing in athletes: Disagreement between available indices

The aims of the present study were to determine whether available “fasting” and oral glucose tolerance test-derived insulin sensitivity indices could effectively discriminate between individuals with higher than normal insulin sensitivity, and whether they would all provide similar information in clinical practice. Sprint runners (n = 8), endurance runners (n = 8) and sedentary controls (n = 7) received a 75-g oral glucose tolerance test. All participants were healthy lean males, aged 21?–?29 years. Besides glucose and insulin responses, a total of nine such indices were computed. Fasting as well as post-load glucose concentrations were similar in the three groups, while basal plasma insulin and the insulinaemic response to glucose were both higher in untrained individuals (at P?<?0.05 and P?<?0.02, respectively). There were no differences between endurance and sprint runners. The results for insulin sensitivity, however, were quite variable: three indices showed that both groups of athletes were more insulin-sensitive than controls; three indicated that this was the case for endurance runners only; one indicated that this was the case for sprint runners only; and two showed that sprint runners were more insulin-sensitive than either sedentary individuals or endurance runners (all differences were significant at P?<?0.05). Controlling for total body weight or lean mass did not effectively resolve this disagreement. Apparently, the various insulin sensitivity indices examined provided different quantitative and qualitative information, despite insulin action being greater in both groups of athletes relative to controls, as reflected by their similar glucose tolerance with lower insulin concentrations. We suggest, therefore, that the use and interpretation of such indices among physically active individuals be made with caution.     

Sedentary behaviour and adiposity in elite athletes

Abstract

Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a health risk. Even in athletes an increased adiposity affects health and performance. Sedentary behaviour has been associated with higher levels of adiposity, independent of moderate-to-vigorous physical activity. However, it is unclear whether this independent relationship still exists in highly trained athletes. The aim of this study was to examine the association of sedentary behaviour with body fatness in elite athletes. Cross-sectional data from 82 male athletes (mean age 22 years) were used. Total and regional body composition was measured by dual energy X-ray absorptiometry. Self-reported time spent in sedentary behaviour and weekly training time was assessed in all participants at one time point and multiple regression analyses were used. Sedentary behaviour predicted total fat mass (β = 0.77; 95% CI: 0.36–1.19, P < 0.001) and trunk fat mass (β = 0.25; 95% CI: 0.07–0.43, P = 0.007), independent of age, weekly training time, and residual mass (calculated as weight-dependent variable) but not abdominal fat. Also, no associations of sedentary behaviour with fat-free mass, appendicular lean soft tissue, and body mass index were found. These findings indicate that athletes with higher amounts of sedentary behaviour presented higher levels of total and trunk fatness, regardless of age, weekly training time, and residual mass. Therefore, even high moderate-to-vigorous physical activity levels do not mitigate the associations between sedentary behaviour and body fatness in highly trained athletes.     

No effect of HMB or α-HICA supplementation on training-induced changes in body composition

β-hydroxy-β-methylbutyrate (calcium: HMB-Ca and free acid: HMB-FA) and α-hydroxyisocaproic acid (α-HICA) are leucine metabolites that have been proposed to improve body composition and strength when combined with resistance exercise training (RET). In this double-blind randomized controlled pragmatic trial, we evaluated the effects of off-the-shelf supplements: α-HICA, HMB-FA and HMB-Ca, on RET-induced changes in body composition and performance. Forty men were blocked randomized to receive α-HICA (n?=?10, fat-free mass [FFM]?=?62.0?±?7.1?kg), HMB-FA (n?=?11, FFM?=?62.7?±?10.5?kg), HMB-Ca (n?=?9, FFM?=?65.6?±?10.1?kg) or placebo (PLA; n?=?10, FFM?=?64.2?±?5.7?kg). The training protocol consisted of a whole-body resistance training routine, thrice weekly for 8 weeks. Body composition was assessed by dual-energy x-ray absorptiometry (DXA) and total body water (TBW) by whole-body bioimpedance spectroscopy (BIS), both at baseline and at the end of weeks 4 and 8. Time-dependent changes were observed for increase in trunk FFM (p?相似文献   

Does a land-based compensatory strength-training programme influences the rotator cuff balance of young competitive swimmers?

Abstract

During the repeated execution of the swimming strokes, the shoulder adductor and internal rotator muscles have a tendency to become proportionally stronger when compared to their antagonist group. This can lead to muscle imbalances. The aim of this study was to examine the effects of a compensatory training programme on the strength and balance of shoulder rotator muscles in young swimmers. A randomized controlled trial design was used. Forty male swimmers took part in the study and were randomly divided into two groups: an experimental group (n?=?20) and a training group (n?=?20). A control group (n?=?16) of young sedentary male students was also evaluated. The experimental group subjects participated in a 16-week shoulder-strength programme with Thera-Band^® elastic bands; the training group was restricted to aquatic training. Peak torque of shoulder internal rotator and external rotator (ER) was measured at baseline and after 16 weeks. Concentric action at 1.04?rad?s^?1 (3 reps) and 3.14?rad?s^?1 (20 reps) was measured using an isokinetic dynamometer. The strength-training programme led to an improvement of the ER strength and shoulder rotator balance in the experimental group (data from both shoulders at 1.04?rad?s^?1). Moreover, concentric action at 3.14?rad?s^?1 presented significant differences only for the dominant shoulder. Findings suggest that the prescribed shoulder-strengthening exercises could be a useful training option for young competitive swimmers. They can produce an increase in absolute strength values and greater muscle balance in shoulder rotators.     

Radial and tibial bone indices in athletes participating in different endurance sports: a pQCT study†

Low magnitude bone-loading sports may benefit bone structure and strength in the exercised limbs. This study compared peripheral quantitative computed tomography measures of radial and tibial diaphyseal strength (strength–strain index, SSI), structure (total area (ToA) and cortical area (CoA), density (CoD) and thickness (CT), and circumferences), muscle cross-sectional area (MCSA) and strength (one-repetition maximum, 1-RM) in male endurance athletes taking part in (i) non-weight-bearing and non-impact sports: swimmers (SWIM, n?=?13) and road cyclists (RC, n?=?10), (ii) non-weight-bearing, impact sport: mountain bikers (MB, n?=?10), (iii) weight bearing and impact sport: runners (RUN, n?=?9). All athlete groups were also compared to sedentary controls (CON, n?=?10). Arm MCSA, 1-RM and radial bone size and strength tended to be greater in SWIM than CON and/or RC (ToA, %difference ±?95%CI, SWIM-CON: 14.6%?±?12.7%; SWIM-RC: 12.9%?±?10.7%) but not different to MB and RUN. RUN had bigger tibial CoA than CON, SWIM and RC (CoA, RUN-CON: 12.1%?±?10.7%; RUN-SWIM: 10.9%?±?9.4%; RUN-RC: 15.8%?±?9.5%) without marked changes in tibial strength indices, lower-limb MCSA or 1-RM. Both MB and RC failed to display any difference in tibial indices, lower-limb MCSA and 1-RM compared to CON. In swimmers, the bone structure and strength of the primary exercised limbs, the arms, is greater than controls and road cyclists. Conversely, although runners experience impact and weight-bearing loading, tibial structure is greater without a substantial difference in tibial strength compared to controls and non-impact sports. Failure to observe a difference in tibial indices in MB and RC compared to controls is unexpected.     

The effect of body composition and BMI on 25(OH)D response in vitamin D-supplemented athletes

Fat mass is inversely associated with vitamin D status, and athletes with the most adipose tissue may have the greatest risk for insufficient (25(OH)D 20–32?ng?mL^?1) or deficient (25(OH)D??1) status. The effects of fat and lean mass on 25(OH)D change in response to vitamin D supplementation have yet to be elucidated in athletes. In addition, vitamin D has a known role in bone health yet a link between short-term changes in 25(OH)D and bone turnover in indoor athletes have not yet been described. Thirty-two collegiate swimmers and divers (19 male, 13 female; 19 (1) years) participated in a 6-month randomized controlled trial and consumed either 4000?IU?d^?1 of vitamin D₃ (n?=?19) or placebo (PLA; n?=?13). Anthropometry and blood collection of 25(OH)D, bone-specific alkaline phosphatase (B-ALP) and N-terminal telopeptide (NTx) occurred at three time points. Dual-energy X-ray absorptiometry measured body composition analysis at baseline and endpoint. In the vitamin D group, BMI was negatively correlated with 6-month 25(OH)D change (R?=??0.496; P?=?.03) and a stronger predictor of 25(OH)D change (P?=?.04) than ultraviolet B exposure and fat mass change. Athletes in the high bone turnover group showed significantly greater losses of 25(OH)D over 6-months compared to athletes in the low bone turnover group (P?=?.03). These results suggest athletes within the normal BMI category experience a diminished response to 4000?IU?d^?1 of vitamin D₃ supplementation, and periods of high bone turnover may be an additional risk factor for developing compromised vitamin D status in athletes.     

Cold water immersion improves recovery of sprint speed following a simulated tournament

Abstract

It is a common requirement in tournament scenarios for athletes to compete multiple times in a relatively short time period, with insufficient recovery time not allowing full restoration of physical performance. This study aimed to develop a greater understanding of the physiological stress experienced by athletes in a tournament scenario, and how a commonly used recovery strategy, cold water immersion (CWI), might influence these markers. Twenty-one trained male games players (age 19?±?2; body mass 78.0?±?8.8?kg) were randomised into a CWI group (n?=?11) or a control group (n?=?10). To simulate a tournament, participants completed the Loughborough Intermittent Shuttle Test (LIST) on three occasions in five days. Recovery was assessed at specific time points using markers of sprint performance, muscle function, muscle soreness and biochemical markers of damage (creatine kinase, CK), inflammation (IL-6 and C-Reactive Protein) and oxidative stress (lipid hydroperoxides and activity of 6 lipid-soluble antioxidants). The simulated tournament was associated with perturbations in some, but not all, markers of physiological stress and recovery. Cold water immersion was associated with improved recovery of sprint speed 24?h after the final LIST (ES?=?0.83?±?0.59; p?=?.034) and attenuated the efflux of CK pre- and post-LIST 3 (p?<?.01). The tournament scenario resulted in an escalation of physiological stress that, in the main, cold water immersion was ineffective at managing. These data suggest that CWI is not harmful, and provides limited benefits in attenuating the deleterious effects experienced during tournament scenarios.