Das Elektrokardiogramm des Sporttreibenden und der Sport-assoziierte plötzliche Herztod.

Regelmässiges körperliches Training induziert strukturelle, elektrische und funktionelle Anpassungen des Herzens. Die grösste Herausforderung für den Arzt liegt darin, Veränderungen hinweisend für eine strukturelle Herzerkrankung von physiologischen, trainingsassoziierten Anpassungen im Sinne eines 'Athlete's heart' zu unterscheiden. Bei zugrundliegender Kardiopathie ist sportliche Aktivität nicht die Ursache, sondern kann ein Trigger für belastungsabhängige Tachyarrhythmien bzw. für den belastungsabhängigen plötzlichen Herztod (SCD) sein. Um Athleten mit einer kardialen Grunderkrankung und erhöhtem Risiko für einen SCD frühzeitig zu identifizieren wird in Europa ein Preparticipation Screening empfohlen, welches von der Schweizerischen Gesellschaft für Sportmedizin (SGSM) übernommen wurde. Dieses Screening umfasst neben der spezifischen Anamnese und der Herzauskultation auch ein Ruhe-Elektrokardiogramm (Ruhe-EKG). Aufgrund der hohen Anzahl falsch-positiver EKG-Befunde wurden in den letzten Jahren die Beurteilungskriterien des Athleten-EKGs wiederholt angepasst, die Sensitivität und insbesondere auch die Spezifität konnte mit den „verfeinerten Seattle Kriterien“ 2014 deutlich verbessert werden. Der frühen Repolarisation galt in den letzten Jahren ein Hauptaugenmerk: neben dem (Ausdauer-) Training besteht eine klare Assoziation zum männlichen Geschlecht, zur Ethnie, zu den Veränderungen des vegetativen Nervensystems und zu erhöhten QRS-Voltage-Kriterien.

La educación virtual antidoping como estrategia para desarrollar la cultura del juego limpio en el deporte mexicano : Un estudio de género

El propósito del estudio fue analizar el nivel de conocimiento y dominio sobre el doping que tienen las deportistas élite en México, para emprender acciones que permitan educar a los deportistas y su equipo de entrenamiento en el juego limpio, a través de acciones psicopedagógicas que faciliten un aprendizaje significativo, evitando que las deportistas usen de manera voluntaria o involuntaria sustancias y métodos prohibidos. Las pregunta principal que orientó la investigación fue la siguiente: ¿Qué nivel de conocimiento y dominio sobre el doping tienen las deportistas élite en México?. Para la investigación de campo, se elaboró un cuestionario de 22 preguntas para explorar el nivel de conocimiento y dominio que tenían los deportistas considerados élite por pertenecer a la selección estatal o nacional de los deportes de gimnasia olímpica, tiro con arco y hockey sobre pasto. Las respuestas encontradas demuestran que en algunos aspectos existe desconocimiento en materia de dopaje, y se devela la necesidad de profundizar en el programa de educación antidoping. Se manifiesta que la ignorancia que existe en diferentes aspectos, pone en riesgo a los deportistas en el uso inconsciente de sustancias y métodos prohibidos en el deporte

La educación virtual antidoping como estrategia para desarrollar la cultura del juego limpio en el deporte mexicano : Un estudio de género

El propósito del estudio fue analizar el nivel de conocimiento y dominio sobre el doping que tienen las deportistas élite en México, para emprender acciones que permitan educar a los deportistas y su equipo de entrenamiento en el juego limpio, a través de acciones psicopedagógicas que faciliten un aprendizaje significativo, evitando que las deportistas usen de manera voluntaria o involuntaria sustancias y métodos prohibidos. Las pregunta principal que orientó la investigación fue la siguiente: ¿Qué nivel de conocimiento y dominio sobre el doping tienen las deportistas élite en México?. Para la investigación de campo, se elaboró un cuestionario de 22 preguntas para explorar el nivel de conocimiento y dominio que tenían los deportistas considerados élite por pertenecer a la selección estatal o nacional de los deportes de gimnasia olímpica, tiro con arco y hockey sobre pasto. Las respuestas encontradas demuestran que en algunos aspectos existe desconocimiento en materia de dopaje, y se devela la necesidad de profundizar en el programa de educación antidoping. Se manifiesta que la ignorancia que existe en diferentes aspectos, pone en riesgo a los deportistas en el uso inconsciente de sustancias y métodos prohibidos en el deporte

La educación virtual antidoping como estrategia para desarrollar la cultura del juego limpio en el deporte mexicano : Un estudio de género

El propósito del estudio fue analizar el nivel de conocimiento y dominio sobre el doping que tienen las deportistas élite en México, para emprender acciones que permitan educar a los deportistas y su equipo de entrenamiento en el juego limpio, a través de acciones psicopedagógicas que faciliten un aprendizaje significativo, evitando que las deportistas usen de manera voluntaria o involuntaria sustancias y métodos prohibidos. Las pregunta principal que orientó la investigación fue la siguiente: ¿Qué nivel de conocimiento y dominio sobre el doping tienen las deportistas élite en México?. Para la investigación de campo, se elaboró un cuestionario de 22 preguntas para explorar el nivel de conocimiento y dominio que tenían los deportistas considerados élite por pertenecer a la selección estatal o nacional de los deportes de gimnasia olímpica, tiro con arco y hockey sobre pasto. Las respuestas encontradas demuestran que en algunos aspectos existe desconocimiento en materia de dopaje, y se devela la necesidad de profundizar en el programa de educación antidoping. Se manifiesta que la ignorancia que existe en diferentes aspectos, pone en riesgo a los deportistas en el uso inconsciente de sustancias y métodos prohibidos en el deporte

Efectos de una intervención nutricional personalizada a largo plazo sobre los hábitos alimentarios de jugadores profesionales de baloncesto y su influencia en la percepción del esfuerzo y la fatiga

El presente trabajo consistió en el desarrollo de una intervención nutricional a largo plazo llevada a cabo con jugadores profesionales de baloncesto, en función al cumplimiento de las recomendaciones nutricionales, con los siguientes dos objetivos: 1) valorar los cambios que dicha intervención produce sobre las prácticas nutricionales diarias de estos deportistas y 2) conocer la influencia de las modificaciones nutricionales producidas sobre la tasa de percepción del esfuerzo por sesión (RPE-Sesión) y la fatiga, a lo largo de una temporada competitiva, tanto para entrenamientos como partidos oficiales. Los objetivos del estudio se fundamentan en: 1) la numerosa evidencia científica que muestra la inadecuación de los hábitos nutricionales de los jugadores de baloncesto y otros deportistas respecto a las recomendaciones nutricionales; 2) el hecho ampliamente reconocido en la literatura especializada de que una ingesta nutricional óptima permite maximizar el rendimiento deportivo (a nivel físico y cognitivo), promoviendo una rápida recuperación y disminuyendo el riesgo de enfermedades y lesiones deportivas. No obstante, pocos estudios han llevado a cabo una intervención nutricional a largo plazo para mejorar los hábitos alimentarios de los deportistas y ninguno de ellos fue realizado con jugadores de baloncesto; 3) la elevada correlación entre la percepción del esfuerzo (RPE) y variables fisiológicas relacionadas al desarrollo de un ejercicio (por ej.: frecuencia cardíaca, consumo máximo de oxígeno o lactato sanguíneo) y los múltiples estudios que muestran la atenuación de la RPE durante la realización del ejercicio mediante una ingesta puntual de nutrientes, (especialmente de hidratos de carbono) aunque ninguno fue desarrollado en baloncesto; 4) el estudio incipiente de la relación entre la ingesta nutricional y la RPE-Sesión, siendo éste un método validado en baloncesto y otros deportes de equipo como indicador de la carga de trabajo interna, el rendimiento deportivo y la intensidad del ejercicio realizado; 5) el hecho de que la fatiga constituye uno de los principales factores influyentes en la percepción del esfuerzo y puede ser retrasada y/o atenuada mediante la ingesta de carbohidratos, pudiendo disminuir consecuentemente la RPE-Sesión y la carga interna del esfuerzo físico, potenciando el rendimiento deportivo y las adaptaciones inducidas por el entrenamiento; 6) la reducida evidencia acerca del comportamiento de la RPE-Sesión ante la modificación de la ingesta de nutrientes, encontrándose sólo un estudio llevado a cabo en baloncesto y 7) la ausencia de investigaciones acerca de la influencia que puede tener la mejora del patrón nutricional de los jugadores sobre la RPE-Sesión y la fatiga, desconociéndose si la adecuación de los hábitos nutricionales conduce a una disminución de estas variables en el largo plazo para todos los entrenamientos y partidos oficiales a nivel profesional. Por todo esto, este trabajo comienza con una introducción que presenta el marco teórico de la importancia y función de la nutrición en el deporte, así como de las recomendaciones nutricionales actuales a nivel general y para baloncesto. Además, se describen las intervenciones nutricionales llevadas a cabo previamente con otros deportistas y las consecuentes modificaciones sobre el patrón alimentario, coincidiendo este aspecto con el primer objetivo del presente estudio. Posteriormente, se analiza la RPE, la RPE-Sesión y la fatiga, focalizando el estudio en la relación de dichas variables con la carga de trabajo físico, la intensidad del entrenamiento, el rendimiento deportivo y la recuperación post ejercicio. Finalmente, se combinan todos los aspectos mencionados: ingesta nutricional, RPE percepción del esfuerzo y fatiga, con el fin de conocer la situación actual del estudio de la relación entre dichas variables, conformando la base del segundo objetivo de este estudio. Seguidamente, se exponen y fundamentan los objetivos antes mencionados, para dar lugar después a la explicación de la metodología utilizada en el presente estudio. Ésta consistió en un diseño de estudios de caso, aplicándose una intervención nutricional personalizada a tres jugadores de baloncesto profesional (cada jugador = un estudio de caso; n = 1), con el objetivo de adecuar su ingesta nutricional en el largo plazo a las recomendaciones nutricionales. A su vez, se analizó la respuesta individual de cada uno de los casos a dicha intervención para los dos objetivos del estudio. Para ello, cada jugador completó un registro diario de alimentos (7 días; pesada de alimentos) antes, durante y al final de la intervención. Además, los sujetos registraron diariamente a lo largo del estudio la RPE-Sesión y la fatiga en entrenamientos físicos y de balón y en partidos oficiales de liga, controlándose además en forma cuantitativa otras variables influyentes como el estado de ánimo y el sueño. El análisis de los datos consistió en el cálculo de los estadísticos descriptivos para todas las variables, la comparación de la ingesta en los diferentes momentos evaluados con las recomendaciones nutricionales y una comparación de medias no paramétrica entre el período pre intervención y durante la intervención con el test de Wilcoxon (medidas repetidas) para todas las variables. Finalmente, se relacionaron los cambios obtenidos en la ingesta nutricional con la percepción del esfuerzo y la fatiga y la posible influencia del estado de ánimo y el sueño, a través de un estudio correlacional (Tau_b de Kendall). Posteriormente, se presentan los resultados obtenidos y la discusión de los mismos, haciendo referencia a la evidencia científica relacionada que se encuentra publicada hasta el momento, la cual facilitó el análisis de la relación entre RPE-Sesión, fatiga y nutrición a lo largo de una temporada. Los principales hallazgos y su correspondiente análisis, por lo tanto, pueden resumirse en los siguientes: 1) los tres jugadores de baloncesto profesional presentaron inicialmente hábitos nutricionales inadecuados, haciendo evidente la necesidad de un nutricionista deportivo dentro del cuerpo técnico de los equipos profesionales; 2) las principales deficiencias correspondieron a un déficit pronunciado de energía e hidratos de carbono, que fueron reducidas con la intervención nutricional; 3) la ingesta excesiva de grasa total, ácidos grasos saturados, etanol y proteínas que se halló en alguno/s de los casos, también se adecuó a las recomendaciones después de la intervención; 4) la media obtenida durante un período de la temporada para la RPE-Sesión y la fatiga de entrenamientos, podría ser disminuida en un jugador individual mediante el incremento de su ingesta de carbohidratos a largo plazo, siempre que no existan alteraciones psico-emocionales relevantes; 5) el comportamiento de la RPE-Sesión de partidos oficiales no parece estar influido por los factores nutricionales modificados en este estudio, dependiendo más de la variación de elementos externos no controlables, intrínsecos a los partidos de baloncesto profesional. Ante estos resultados, se pudo observar que las diferentes características de los jugadores y las distintas respuestas obtenidas después de la intervención, reforzaron la importancia de utilizar un diseño de estudio de casos para el análisis de los deportistas de élite y, asimismo, de realizar un asesoramiento nutricional personalizado. Del mismo modo, la percepción del esfuerzo y la fatiga de cada jugador evolucionaron de manera diferente después de la intervención nutricional, lo cual podría depender de las diferentes características de los sujetos, a nivel físico, psico-social, emocional y contextual. Por ello, se propone que el control riguroso de las variables cualitativas que parecen influir sobre la RPE y la fatiga a largo plazo, facilitaría la comprensión de los datos y la determinación de factores desconocidos que influyen sobre estas variables. Finalmente, al ser la RPE-Sesión un indicador directo de la carga interna del entrenamiento, es decir, del estrés psico-fisiológico experimentado por el deportista, la posible atenuación de esta variable mediante la adecuación de los hábitos nutricionales, permitiría aplicar las cargas externas de entrenamiento planificadas, con menor estrés interno y mejor recuperación entre sesiones, disminuyendo también la sensación de fatiga, a pesar del avance de la temporada. ABSTRACT This study consisted in a long-term nutritional intervention carried out with professional basketball players according to nutritional recommendations, with the following two main objectives: 1) to evaluate the changes produced by the intervention on daily nutritional practices of these athletes and 2) to determine the influence of long term nutritional intake modifications on the rate of perceived exertion per session (Session-RPE) and fatigue, throughout a competitive season for training as well as competition games. These objectives are based on: 1) much scientific evidence that shows an inadequacy of the nutritional habits of basketball players and other athletes regarding nutritional recommendations; 2) the fact widely recognized in the scientific literature that an optimal nutrition allows to achieve the maximum performance of an athlete (both physically and cognitively), promoting fast recovery and decreasing risks of sports injuries and illnesses. However, only few studies carried out a long term nutritional intervention to improve nutritional practices of athletes and it could not be found any research with basketball players; 3) the high correlation between the rate of perceived exertion (RPE) and physiological variables related to the performance of physical exercise (e.g.: heart rate, maximum consumption of oxygen or blood lactate) and multiple studies showing the attenuation of RPE during exercise due to the intake of certain nutrients (especially carbohydrates), while none of them was developed in basketball; 4) correlation between nutritional intake and Session-RPE has been recently studied for the first time. Session-RPE method has been validated in basketball players and other team sports as an indicator of internal workload, sports performance and exercise intensity; 5) fatigue is considered one of the main influential factor on RPE and sport performance. It has also been observed that carbohydrates intake may delay or mitigate the onset of fatigue and, thus, decrease the perceived exertion and the internal training load, which could improve sports performance and training-induced adaptations; 6) there are few studies evaluating the influence of nutrient intake on Session-RPE and only one of them has been carried out with basketball players. Moreover, it has not been analyzed the possible effects of the adequacy of players’ nutritional habits through a nutritional intervention on Session-RPE and fatigue, variables that could be decreased for all training session and competition games because of an improvement of daily nutritional intake. Therefore, this work begins with an introduction that provides the conceptual framework of this research focused on the key role of nutrition in sport, as well as on the current nutritional recommendations for athletes and specifically for basketball players. In addition, previous nutritional interventions carried out with other athletes are described, as well as consequential modifications on their food pattern, coinciding with the first objective of the present study. Subsequently, RPE, Session-RPE and fatigue are analyzed, with focus on their correlation with physical workload, training intensity, sports performance and recovery. Finally, all the aforementioned aspects (nutritional intake, RPE and fatigue) were combined in order to know the current status of the relation between each other, this being the base for the second objective of this study. Subsequently, the objectives mentioned above are explained, continuing with the explanation of the methodology used in the study. The methodology consisted of a case-study design, carrying out a long term nutritional intervention with three professional basketball players (each player = one case study; n = 1), in order to adapt their nutritional intake to nutritional recommendations. At the same time, the individual response of each player to the intervention was analyzed for the two main objectives of the study. Each player completed a food diary (7 days; weighing food) in three moments: before, during and at the end of the intervention. In addition, the Session-RPE and fatigue were daily recorded throughout the study for all trainings (training with ball and resistance training) and competition games. At the same time, other potentially influential variables such as mood state and sleeping were daily controlled throughout the study. Data analysis consisted in descriptive statistics calculation for all the variables of the study, the comparison between nutritional intake (evaluated at different times) and nutritional recommendations and a non-parametric mean comparison between pre intervention and during intervention periods was made by Wilcoxon test (repeated measurements) for all variables too. Finally, the changes in nutritional intake, mood state and sleeping were correlated with the perceived exertion and fatigue through correctional study (Tau_b de Kendall). After the methodology, the study results and the associated discussion are presented. The discussion is based on the current scientific evidence that contributes to understand the relation between Session-RPE, fatigue and nutrition throughout the competitive season. The main findings and results analysis can be summarized as follows: 1) the three professional basketball players initially had inadequate nutritional habits and this clearly shows the need of a sports nutritionist in the coaching staff of professional teams; (2) the major deficiencies of the three players’ diet corresponded to a pronounced deficit of energy intake and carbohydrates consumption which were reduced with nutritional intervention; (3) the excessive intake of total fat, saturated fatty acids, ethanol and protein found in some cases were also adapted to the recommendations after the intervention; (4) Session-RPE mean and fatigue of a certain period of the competition season, could be decreased in an individual player by increasing his carbohydrates intake in the long term, if there are no relevant psycho-emotional disorders; (5) the behavior of the Session-RPE in competition games does not seem to be influenced by the nutritional factors modified in this study. They seem to depend much more on the variation of external non-controllable factors associated with the professional basketball games. Given these results, the different characteristics of each player and the diverse responses observed after the intervention in each individual for all the variables, reinforced the importance of the use of a case study design for research with elite athletes as well as personalized nutritional counselling. In the same way, the different responses obtained for RPE and fatigue in the long term for each player due to modification of nutritional habits, show that there is a dependence of such variables on the physical, psychosocial, emotional and contextual characteristics of each player. Therefore it is proposed that the rigorous control of the qualitative variables that seem to influence the RPE and fatigue in the long term, may facilitate the understanding of data and the determination of unknown factors that could influence these variables. Finally, because Session-RPE is a direct indicator of the internal load of training (psycho-physiological stress experienced by the athlete), the possible attenuation of Session-RPE through the improvement in nutritional habits, would allow to apply the planned external loads of training with less internal stress and better recovery between sessions, with a decrease in fatigue, despite of the advance of the season.

Community Size in Youth Sport Settings: Examining Developmental Assets and Sport Withdrawal

Despite the popularity of youth sport programs, little research has examined the psychosocial benefits assumed to stem from involvement. Some studies suggest birthplace influences the development of elite athletes, but little work has examined other influences of community contexts. The purpose of this study was to examine relationships between young athletes’ community size, developmental assets, and sport involvement. Current and recently withdrawn competitive swimmers (N = 181) completed the Developmental Assets Profile (Search Institute, 2004). Athletes from smaller cities had significantly higher developmental asset scores for support, commitment to learning, and boundaries/expectations. Further, community size was a significant predictor of withdrawal. Findings suggest community context should be given additional attention in youth sport literature.

Birthplace Effects on the Development of Female Athletic Talent

This study examined the extent to which an athlete's place of birth can influence the likelihood of playing professional sport. Information regarding the birthplace of all American female athletes in the Ladies Professional Golf Association and Women's United Soccer Association was gathered from official league websites. Monte Carlo simulations were used to determine if the birthplace of these professional athletes differed in any systematic way from official census population distributions. Odds-ratios were determined for cities within specific population ranges to ascertain if the likelihood of playing professional sport was influenced in any systematic way by city size. The analyses revealed that female professional soccer players born in cities of less than 1,000,000 were over-represented, as were female professional golfers born in cities of less than 250,000. Results are consistent with those of male professional athletes in suggesting that areas of lower population provide conditions more conducive to the development of expertise than do larger city environments.

When “Where” is More Important Than “When”: Birthplace and Birthdate Effects On The Achievement Of Sporting Expertise

In this study, we assessed whether contextual factors related to where or when an athlete is born influence their likelihood of playing professional sport. The birthplace and birth month of all American players in the National Hockey League, National Basketball Association, Major League Baseball, and Professional Golfer's Association, and all Canadian players in the National Hockey League were collected from official websites. Monte Carlo simulations were used to verify if the birthplace of these professional athletes deviated in any systematic way from the official census population distribution, and chi-square analyses were conducted to determine whether the players' birth months were evenly distributed throughout the year. Results showed a birthplace bias towards smaller cities, with professional athletes being over-represented in cities of less than 500,000 and under-represented in cities of 500,000 and over. A birth month/relative age effect (in the form of a distinct bias towards elite athletes being relatively older than their peers) was found for hockey and baseball but not for basketball and golf. Comparative analyses suggested that contextual factors associated with place of birth contribute more influentially to the achievement of an elite level of sport performance than does relative age and that these factors are essentially independent in their influences on expertise development.

The Benefits of Sampling Sports During Childhood

Sampling may promote prolonged engagement in sport by limiting physical injuries (Fraser-Thomas et al., 2005). Overtraining injuries are a concern for young athletes who specialize in one sport and engage in high volumes of deliberate practice (Hollander, Meyers, & Leunes, 1995; Law, Côté, & Ericsson, 2007). For instance, young gymnasts who practice for over 16 hours a week have been shown to have higher incidences of back injuries (Goldstein, Berger, Windier, & Jackson, 1991). A sampling approach in child-controlled play (e.g. deliberate play) rather than highly adult-controlled practice (e.g. deliberate practice) has been proposed as a strategy to limit overuse and other sport-related injuries (Micheli, Glassman, & Klein, 2000). In summary, sampling may protect against sport attrition by limiting sport related injuries and allowing children to have early experiences in sport that are enjoyable. Psychosocial Benefits of Sampling Only a small percentage of children who participate in school sports ever become elite athletes. Therefore, the psychosocial outcomes of sport participation are particularly important to consider. Recent studies with youth between the ages of 11 to 17 have found that those who are involved in a variety of extracurricular activities (e.g. sports, volunteer, arts) score more favourably on outcome measures such as Grade Point Average (GPA; Fredricks & Eccles, 2006a) and positive peer relationships (Fredricks & Eccles, 2006b) than youth who participate in fewer activities. These patterns are thought to exist due to each extracurricular activity bringing its own distinct pattern of socialization experiences that reinforce certain behaviours and/or teach various skills (Fredricks & Eccles, 2006b; Rose-Krasnor, Bussen, Willoughby, & Chambers, 2006). This contention is corroborated by studies of children and youths' experiences in extracurricular activities indicating that youth have unique experiences in each activity that contribute to their development (Hansen, Larson, & Dworkin, 2003; Larson, Hansen, & Moneta, 2006). This has led Wilkes and Côté (2007) to propose that children who sample different activities (through their own choice or by virtue of parental direction), have a greater chance of developing the following five developmental outcomes compared to children who specialize in one activity: 1) life skills, 2) prosocial behaviour, 3) healthy identity, 4) diverse peer groups and 5) social capital.

Self-determination theory: A case study of evidence-based coaching

The coach is central to the development of expertise in sport (Bloom, 1985) and is subsequently key to facilitating adaptive forms of motivation to enhance the quality of sport performance (Mallett & Hanrahan, 2004). In designing optimal training environments that are sensitive to the underlying motives of athletes, the coach requires an in-depth understanding of motivation. This paper reports on the application of self-determination theory (SDT; Deci & Ryan, 1985; Ryan & Deci, 2000) to coaching elite athletes. Specifically, the application of SDT to designing an autonomy-supportive motivational climate is outlined, which was used in preparing Australia's two men's relay teams for the 2004 Olympic Games in Athens.

When "where'' is more important than "when": Birthplace and birthdate effects on the achievement of sporting expertise

In this study, we assessed whether contextual factors related to where or when an athlete is born influence their likelihood of playing professional sport. The birthplace and birth month of all American players in the National Hockey League, National Basketball Association, Major League Baseball, and Professional Golfer's Association, and all Canadian players in the National Hockey League were collected from official websites. Monte Carlo simulations were used to verify if the birthplace of these professional athletes deviated in any systematic way from the official census population distribution, and chi-square analyses were conducted to determine whether the players' birth months were evenly distributed throughout the year. Results showed a birthplace bias towards smaller cities, with professional athletes being over-represented in cities of less than 500,000 and under-represented in cities of 500,000 and over. A birth month/relative age effect (in the form of a distinct bias towards elite athletes being relatively older than their peers) was found for hockey and baseball but not for basketball and golf. Comparative analyses suggested that contextual factors associated with place of birth contribute more influentially to the achievement of an elite level of sport performance than does relative age and that these factors are essentially independent in their influences on expertise development.

Female Collegiate Volleyball Player with Celiac Disease: A Case Report

Estimates of one in every 200 to 400 individuals, including the athletic population, suffer from celiac disease. Elite athletes present a unique complication when implementing a gluten-free diet because of the need for a high energy fuel. Dietetic adjustments such as increasing the caloric content and frequency are necessary to meet energy needs of highly physically active individuals.

The Benefits of Sampling Sports During Childhood

Sampling may promote prolonged engagement in sport by limiting physical injuries (Fraser-Thomas et al., 2005). Overtraining injuries are a concern for young athletes who specialize in one sport and engage in high volumes of deliberate practice (Hollander, Meyers, & Leunes, 1995; Law, Côté, & Ericsson, 2007). For instance, young gymnasts who practice for over 16 hours a week have been shown to have higher incidences of back injuries (Goldstein, Berger, Windier, & Jackson, 1991). A sampling approach in child-controlled play (e.g. deliberate play) rather than highly adult-controlled practice (e.g. deliberate practice) has been proposed as a strategy to limit overuse and other sport-related injuries (Micheli, Glassman, & Klein, 2000). In summary, sampling may protect against sport attrition by limiting sport related injuries and allowing children to have early experiences in sport that are enjoyable. Psychosocial Benefits of Sampling Only a small percentage of children who participate in school sports ever become elite athletes. Therefore, the psychosocial outcomes of sport participation are particularly important to consider. Recent studies with youth between the ages of 11 to 17 have found that those who are involved in a variety of extracurricular activities (e.g. sports, volunteer, arts) score more favourably on outcome measures such as Grade Point Average (GPA; Fredricks & Eccles, 2006a) and positive peer relationships (Fredricks & Eccles, 2006b) than youth who participate in fewer activities. These patterns are thought to exist due to each extracurricular activity bringing its own distinct pattern of socialization experiences that reinforce certain behaviours and/or teach various skills (Fredricks & Eccles, 2006b; Rose-Krasnor, Bussen, Willoughby, & Chambers, 2006). This contention is corroborated by studies of children and youths' experiences in extracurricular activities indicating that youth have unique experiences in each activity that contribute to their development (Hansen, Larson, & Dworkin, 2003; Larson, Hansen, & Moneta, 2006). This has led Wilkes and Côté (2007) to propose that children who sample different activities (through their own choice or by virtue of parental direction), have a greater chance of developing the following five developmental outcomes compared to children who specialize in one activity: 1) life skills, 2) prosocial behaviour, 3) healthy identity, 4) diverse peer groups and 5) social capital.

The application of PCA as a movement pattern recognition technique: A proof of principle

Quantitative methods can help us understand how underlying attributes contribute to movement patterns. Applying principal components analysis (PCA) to whole-body motion data may provide an objective data-driven method to identify unique and statistically important movement patterns. Therefore, the primary purpose of this study was to determine if athletes’ movement patterns can be differentiated based on skill level or sport played using PCA. Motion capture data from 542 athletes performing three sport-screening movements (i.e. bird-dog, drop jump, T-balance) were analyzed. A PCA-based pattern recognition technique was used to analyze the data. Prior to analyzing the effects of skill level or sport on movement patterns, methodological considerations related to motion analysis reference coordinate system were assessed. All analyses were addressed as case-studies. For the first case study, referencing motion data to a global (lab-based) coordinate system compared to a local (segment-based) coordinate system affected the ability to interpret important movement features. Furthermore, for the second case study, where the interpretability of PCs was assessed when data were referenced to a stationary versus a moving segment-based coordinate system, PCs were more interpretable when data were referenced to a stationary coordinate system for both the bird-dog and T-balance task. As a result of the findings from case study 1 and 2, only stationary segment-based coordinate systems were used in cases 3 and 4. During the bird-dog task, elite athletes had significantly lower scores compared to recreational athletes for principal component (PC) 1. For the T-balance movement, elite athletes had significantly lower scores compared to recreational athletes for PC 2. In both analyses the lower scores in elite athletes represented a greater range of motion. Finally, case study 4 reported differences in athletes’ movement patterns who competed in different sports, and significant differences in technique were detected during the bird-dog task. Through these case studies, this thesis highlights the feasibility of applying PCA as a movement pattern recognition technique in athletes. Future research can build on this proof-of-principle work to develop robust quantitative methods to help us better understand how underlying attributes (e.g. height, sex, ability, injury history, training type) contribute to performance.

Effects of season period, team quality, and playing time on basketball players' game-related statistics

The aim of this study was to identify within-season differences in basketball players' game-related statistics according to team quality and playing time. The sample comprised 5309 records from 198 players in the Spanish professional basketball league (2007-2008). Factor analysis with principal components was applied to the game-related statistics gathered from the official box-scores, which limited the analysis to five factors (free-throws, 2-point field-goals, 3-point field-goals, passes, and errors) and two variables (defensive and offensive rebounds). A two-step cluster analysis classified the teams as stronger (69 ± 8 winning percentage), intermediate (43 ± 5 winning percentage), and weaker teams (32 ± 5 winning percentage); individual players were classified based on playing time as important players (28 ± 4 min) or less important players (16 ± 4 min). Seasonal variation was analysed monthly in eight periods. A mixed linear model was applied to identify the effects of team quality and playing time within the months of the season on the previously identified factors and game-related statistics. No significant effect of season period was observed. A team quality effect was identified, with stronger teams being superior in terms of 2-point field-goals and passes. The weaker teams were the worst at defensive rebounding (stronger teams: 0.17 ± 0.05; intermediate teams: 0.17 ± 0.06; weaker teams: 0.15 ± 0.03; P = 0.001). While playing time was significant in almost all variables, errors were the most important factor when contrasting important and less important players, with fewer errors being made by important players. The trends identified can help coaches and players to create performance profiles according to team quality and playing time. However, these performance profiles appear to be independent of season period.