Purpose Clinical significance of cardiac biomarkers response in ultra-endurance runners are not completely elucidated because events vary in distance/duration and competitors modulate running intensity according to individual running capacity. The aim of this study was to examine the relationship between self-selected exercise intensity with cardiac biomarkers comparing experienced (EXP, N = 11) and novice (NOV, N = 14) runners able to finish a 24h ultramarathon (24UM) with significant differences in performance. Methods Cardiac biomarkers (i.e. CKMB/totalCK, cTnT and NT-proBNP), inflammatory markers (i.e. leukocytes and CRP) and cortisol were analyzed before and after a 24UM. Results EXP finished the race with significant ( p < 0.05) longer distance than NOV (158.8 ± 15.8 vs 116.8 ± 10.3 Km). Two-way mixed ANOVA showed significant time × performance level interaction with greater increase of cTnT ( F (1,23) = 6.18, p = 0.021), NT-proBNP ( F (1,23) = 9.27, p = 0.006) and cortisol ( F (1, 23) = 5.13, p = 0.03) in the EXP group. CKMB/totalCK ( F (1, 23) = 71.90, p < 0.0001) decreased while leukocytes ( F (1, 23) = 100.06, p < 0.0001) and CRP ( F (1, 23) = 93.37, p < 0.0001) increased in both groups (main effect of time). Correlations were found between 24UM distance and cortisol (r = 0.58; p = 0.002), CKMB (r = 0.47; p = 0.017), cTnT (r = 0.44; p = 0.027) or NT-proBNP (r = 0.56; p = 0.003). Cortisol and NT-proBNP were also significantly correlated (r = 0.51; p = 0.01). Conclusions Although there is no clear evidence of cardiac risk when comparing cardiac biomarkers levels with clinical cut-off values, cardiac biomarkers are associated with running performance and pituitary-adrenocortical system response. In EXP runners, higher levels of cardiac biomarkers and cortisol suggest a more hemodynamically challenged heart during prolonged endurance exercise.
-We evaluated the effect of performing various distinct warm-up exercises on vertical countermovement jump (VCMJ) performance. Eight volleyball players (age 15.4 ± 0.5 yrs) performed five different warm-up activities (in a counterbalanced, randomized crossover study) over five days, at 24-h intervals: stretching (4 × 30 s, 30 s between sets), cycloergometer (5 min at 50 W + 5 min at 100 W), resistance exercise (leg press 45°, 3 × 5 repetitions maximum, 3-min pause between sets), specific vertical jumping (4 × 10 VCMJ, 2-min pause between sets), and no warm-up at all (control condition). Beginning 3 min after their warm-up, the players performed 3 attempts (at intervals of 3 min) of VCMJ (on a contact carpet), and each player's best jump was considered in the analysis. All warm-up activities presented higher VCMJ performance (p < 0.05) than the control condition, with the exception of stretching. Vertical jumping revealed a large effect size (0.8) than other interventions. We conclude that in practical terms, vertical jumps are the best warm-up exercise (when applied by itself) to acutely improve VCMJ performance in volleyball players, but that other exercises can make a complementary contribution.
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