Nutrition on match day

What players should eat on match day is a frequently asked question in sports nutrition. The recommendation from the available evidence is that players should eat a high-carbohydrate meal about 3 h before the match. This may be breakfast when the matches are played around midday, lunch for late afternoon matches, and an early dinner when matches are played late in the evening. The combination of a high-carbohydrate pre-match meal and a sports drink, ingested during the match, results in a greater exercise capacity than a high-carbohydrate meal alone. There is evidence to suggest that there are benefits to a pre-match meal that is composed of low-glycaemic index (GI) carbohydrate foods rather than high-GI foods. A low-GI pre-match meal results in feelings of satiety for longer and produces a more stable blood glucose concentration than after a high-GI meal. There are also some reports of improved endurance capacity after low-GI carbohydrate pre-exercise meals. The physical demands of soccer training and match-play draw heavily on players' carbohydrate stores and so the benefits of good nutritional practices for performance and health should be an essential part of the education of players, coaches, and in particular the parents of young players.     

Changes in technique within a sprint hurdle run

The aim of this study was to understand changes in technique within an athlete's own performance during a sprint hurdles run. Four athletes performed a training session containing four trials each over 10 hurdles. Clearances at hurdles three and nine were videotaped from a side view and manually digitised. All athletes in this study yielded a lower running speed over the hurdle at the ninth hurdle in comparison to the third hurdle in each run. All athletes also showed further signs of potential tiredness in the clearances of the ninth hurdle. Interestingly, these changes in technique varied among the athletes. This poses challenges to coaches, as they need to evaluate individually what changes in training should be introduced to keep the quality of clearances as high as possible throughout training. To match more closely the velocities to those in competitions, consideration could be given in training to shorten gradually the distances between the hurdles more during the latter part of the run, although this should be individually checked, based on the athlete. This way, athletes could learn to clear the hurdle with a higher horizontal velocity, even when fatigue is potentially influencing the performance.     

Variability in muscle damage after eccentric exercise and the repeated bout effect

The first purpose of this study was to determine a possible explanation for the variability in the response to eccentric exercise by having participants repeat the same exercise 1 year apart. The second purpose was to examine whether initial injury in response to eccentric exercise was associated with the extent of the repeated bout effect (RBE). Male students performed 30 eccentric contractions (ECC) of the elbow flexors using a dumbbell set at 80% of the pre-exercise maximal isometric force (MIF). Participants were then classified into low (LR; n=6), medium (MR; n=6), high (HR; n=5), and higher (HrR; n=7) based on the increase in blood creatine kinase (CK) activity. A year later, participants repeated this exercise (ECC30). Four days after ECC30, participants performed 70 eccentric contractions (ECC70). Range of motion, MFI upper arm circumference, soreness, and blood CK activity were measured before and up to 9 days after each bout. The change in the criterion measures following ECC and ECC30 were similar for each group. There were no further changes in all parameters after ECC70 for MR, HR, and HrR, although there was a small increase in CK after ECC70 for LR. LR showed a smaller RBE after ECC70 compared with the other groups. It is concluded that participants who exercised 1 year apart showed remarkably similar responses between the bouts. The extent of the RBE following the second bout for the LR group is less for participants who demonstrate the least evidence of muscle damage after a first exercise bout.     

The influence of diagnostic labeling on special education placement decisions

The present study investigated the possible bias of diagnostic labeling on special education placement decisions. Two groups of child study team members were given the task of either placing or both labeling and placing ten exceptional children. Results showed that the labeling process did not lead diagnosticians to place children in more restrictive educational programs. A comprehensive assessment-intervention-follow-through model that would minimize some of the potential dangers and abuses of labeling is proposed.     

Widening access by changing the criteria for selecting medical students

Objective: To review the principles underlying medical student selection from the perspective of the imperatives of widening access policies.     

帮助运动员支持1天进行2次训练

1天2次的训练通常是美国橄榄球进行比赛季节早期身体条件训练和许多其他运动项目进行常年运动训练的一部分。额外的训练有助于加速身体条件训练，给力量训练和技能发展留出时间，还有助于在队友中发展同志合作精神。1天2次训练的特点是强调体质的适应性。在夏季训练时，运动员频繁地置身于附加的湿热环境应激下。我们专家组就1天2次训练中的高能量需要、有限的恢复时间和“制造伤口”的心理应激问题进行讨论，基于科学理论和临床经验提出帮助运动员在1天2次的训练中获得最大的成效的策略。