PhD presentation-Carlos Balsalobre

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Carlos Balsalobre-Fernández Monitorización y estudio de las relaciones entre la carga de entrenamiento, la producción de fuerza, la fatiga y el rendimiento en corredores de alto nivel Monitoring and study of the relationships between training load, force production, fatigue and performance in high-level distance runners Tesis Doctoral Internacional International PhD Thesis Carlos Balsalobre-Fernández

Transcript of PhD presentation-Carlos Balsalobre

Carlos Balsalobre-Fernández

Monitorización y estudio de las relaciones entre la carga de entrenamiento, la producción de fuerza, la fatiga y el rendimiento en corredores de alto nivel

Monitoring and study of the relationships between training load, force production, fatigue and performance in high-level distance runners

Tesis Doctoral Internacional International PhD Thesis

Carlos Balsalobre-Fernández

Carlos Balsalobre-Fernández

Index1. Theoretical Background

2. Empirical work

1. Materials & Methods

2. Main results

1. Paper 1

2. Paper 2

3. Paper 3

3. Discussion & Conclusions

4. Limitations and prospectives

3. Practical applications

Carlos Balsalobre-Fernández

Theoretical background

Carlos Balsalobre-Fernández

Theoretical background

Carlos Balsalobre-Fernández

Theoretical background

ArtScience

Training

Carlos Balsalobre-Fernández

Theoretical background

Art

ScienceTraining

Carlos Balsalobre-Fernández

Theoretical backgroundScientific approach

Collect data

Analyze it

Make decisions

Carlos Balsalobre-Fernández

Theoretical backgroundScientific approach

MONITORING

Carlos Balsalobre-Fernández

Theoretical background

• MONITORING• Systematic, frequent collection

of relevant, objective data during training in order to better understand how the training process is going

• Helps to make adjustments to the training loads and prevent overreaching-overtraining

• Several neurophysiological and physiological markers have been used in the literature

RPE

CMJ

Lactate

HRV

HRR

Anxiety

Sleep qualitySpeed

TRIMPs

CPKHormones

Strength

Carlos Balsalobre-Fernández

Theoretical background

DO IT SIMPLE, BUT DO IT RIGHT!

Carlos Balsalobre-Fernández

Theoretical background

SIMPLE, NON-INVASIVE MARKERS

RPE CMJ Salivary Cortisol

Carlos Balsalobre-Fernández

Theoretical background

• Specifically, CMJ is being widely used because of its ability to detect acute neuromuscular fatigue

• Sanchez-Medina et al. 2011

Carlos Balsalobre-Fernández

Theoretical background

• Moreover, it has been shown that world-class runners from Kenya have better neuromuscular function while jumping than non-elite caucasians

• These variables seems to influence running economy, a key variable in distance running

Sano K, Ishikawa M, Nobue A, Danno Y, Akiyama M, Oda T, et al. Muscle-tendon interaction and EMG profiles of world class endurance

runners during hopping. Eur J Appl Physiol. 2012/12/12 ed. 2013;113(6):1395–403.

Carlos Balsalobre-Fernández

Theoretical background

• Moreover, it has been shown that world-class runners from Kenya have better neuromuscular function while jumping than non-elite caucasians

• These variables seems to influence running economy, a key variable in distance running Stretching-shortening amplitude

50

62,5

75

87,5

100

Kenyans Caucasians

Sano K, Ishikawa M, Nobue A, Danno Y, Akiyama M, Oda T, et al. Muscle-tendon interaction and EMG profiles of world class endurance

runners during hopping. Eur J Appl Physiol. 2012/12/12 ed. 2013;113(6):1395–403.

Carlos Balsalobre-Fernández

Theoretical background

• Moreover, it has been shown that world-class runners from Kenya have better neuromuscular function while jumping than non-elite caucasians

• These variables seems to influence running economy, a key variable in distance running Jump height

50

62,5

75

87,5

100

Kenyans Caucasians

Sano K, Ishikawa M, Nobue A, Danno Y, Akiyama M, Oda T, et al. Muscle-tendon interaction and EMG profiles of world class endurance

runners during hopping. Eur J Appl Physiol. 2012/12/12 ed. 2013;113(6):1395–403.

Carlos Balsalobre-Fernández

Theoretical background

• Moreover, it has been shown that world-class runners from Kenya have better neuromuscular function while jumping than non-elite caucasians

• These variables seems to influence running economy, a key variable in distance running Contact time

50

62,5

75

87,5

100

Kenyans Caucasians

Sano K, Ishikawa M, Nobue A, Danno Y, Akiyama M, Oda T, et al. Muscle-tendon interaction and EMG profiles of world class endurance

runners during hopping. Eur J Appl Physiol. 2012/12/12 ed. 2013;113(6):1395–403.

Carlos Balsalobre-Fernández

Theoretical background

• Thus, in the past few years the interest of strength training for distance running have raised, since ST have been demonstrated to increase RE and distance running performance

• Elite runners most likely won’t increase their VO2max levels; other variables such RE have been proposed to be more critical for elite distance running performance

Carlos Balsalobre-Fernández

Theoretical background

Endurance+Strength Endurance

Increases in strength and RENO changes in strength nor

RE. Decrease in jump performance

No changes in VO2max nor VT2

No changes in VO2max nor VT2

14wk of heavy weight training or control

Carlos Balsalobre-Fernández

Theoretical background

Just a few studies with high-level athletes

Carlos Balsalobre-Fernández

Theoretical background

Purpose 1-Paper 1-

Purpose 2-Paper 2-

Purpose 3-Paper 3-

To study the relationships

between training load, CMJ, RPE and

salivary cortisol throughout a season in elite runners, and compare its values

before best and worst performances

To study the evolution of

strength throughout the season as well as to analyze its correlations with training load and salivary cortisol

To analyze the effects of the most

important competition of the

season on the CMJ, salivary cortisol and

RPE, and to study its correlations

Carlos Balsalobre-Fernández

Empirical work

Carlos Balsalobre-Fernández

Materials & Methods

Carlos Balsalobre-Fernández

• 15 (12 men) high-level middle and long distance runners from CAR Madrid

• Age: 26.3 ± 5.1 yrs• BMI: 19.7 ± 1.1 kg/m2• 1500-PB:

• 3:38-3:58 (M)• 4:12-4:23 (W)

• 10k-PB:• 29:24-31:31 (M)• 33:45-35:56 (W)

Materials & Methods-Participants-

Carlos Balsalobre-Fernández

StrengthPerformance

CMJ

Salivarycortisol

Trainingload

Materials & Methods-Study design-

General overview

Carlos Balsalobre-Fernández

StrengthPerformance

CMJ

Salivarycortisol

Trainingload

Materials & Methods-Study design-

General overview

Carlos Balsalobre-Fernández

PerformanceCMJ Salivarycortisol

Trainingload

Materials & Methods-Study design-

General overview

1 season follow-up (Oct-Sept)

Strength

Carlos Balsalobre-Fernández

Materials & Methods-Training load-

Km Training zone Session-RPE

External load

Training diaries

Total number of KM of each session

External load

Training diaries

Classification of the training in 1 of 3 zones designed with

respect to training pace

Zone1: 3:45-3:10min/km(long distance sets)

Zone2: 3:10-2:50min/km(middle distance sets)Zone3: <2:50min/km

(short distance/sprints sets)

Internal load

Collected after training on-field or via WhatsApp

Borg 0-10

“How hard was the training session today, with 0 being very, very light and 10 being very,

very hard?”

Carlos Balsalobre-Fernández

Materials & Methods-Salivary-free cortisol-

• Recollection tubes were given to each athlete for the collection of the saliva samples

• Immediately after they awake (8:30-9am), with an empty stomach, athletes chewed the cotton inside the tube for 60s and then stored it in their refrigerator (about -20ºC) until they came to the training center. Samples were collected at the same day of the week

• Sample tubes were then collected at the High Performance Center of Madrid and analyzed on the UPM biochemical lab following manufacturer’s instructions

Carlos Balsalobre-Fernández

Materials & Methods-Salivary-free cortisol-

Cortisol concentrations (in ng/mL) were calculated via absorbance using an ELISA kit (CV: 4.3-5.6%)

Carlos Balsalobre-Fernández

Materials & Methods-Countermovement Jump-

• Hands on hips• Countermovement until 90º of knee

flexion followed by a powerful extension of hips, knees and ankles

• Athletes were encouraged to jump as high as possible

• Knees straight during the flight-time• 3 jumps were performed, average

value (jump height, in cm.) were recorded (ICC =0.979-0.990)

• Infrared system was used (i.e. Optojump)

Carlos Balsalobre-Fernández

Materials & Methods-50m sprint-

• Standstill positon• 1 meter behind the start

photocell• Athletes were

encouraged to run as fast as possible until cutting the stop photocell

• 2 sprints were performed, the best one (time, in s) was recorded (CV: 0.33-1.2%)

Carlos Balsalobre-Fernández

Materials & Methods-Half squat force production-

• Incremental test on a smith machine

• T-Force linear velocity transducer

• 50 to 100kg (10kg increments)• 2 repetitions with each load

(2min passive rest between loads). CV: 5.4-6.7%

• Eccentric phase until 90º of knee flexion followed by an explosive concentric contraction

• Athletes were encouraged to perform the concentric phase as fast as possible

Carlos Balsalobre-Fernández

Materials & Methods-Half squat force production-

Recorded variables

Mean propulsive velocity (in m/s); Mean propulsive power (in W); Peak Rate of Force Development (RFD, in N/s); 1-RM (in kg)

MPV

(m/s

)

0,5

0,625

0,75

0,875

1

Load (kg)50 60 70 80 90 100

R² = 0,9851

Carlos Balsalobre-Fernández

Main results

Carlos Balsalobre-Fernández

Main results

Carlos Balsalobre-Fernández

Main results

PURPOSE: To study the relationships between training load, CMJ, RPE and salivary cortisol throughout a season in elite runners, and compare its values before best and

worst performances

Paper 1

Carlos Balsalobre-Fernández

Longitudinal design (39 wk Oct-Jul)15 HL athletes

Correlations & comparison of means study

Measured variablesTraining load (every day)

CMJ & salivary-free cortisol (once a week)Performance (time; every RFEA official race)

Statistical analysesPaired samples T-test

Pearson’s product-moment correlation coefficientEffect size (Hedge’s g)

α = 0.05

Main results-Paper 1-

Carlos Balsalobre-Fernández

Main results-Paper 1-

Correlations between the season average values of the studied variables

Session-RPE Cortisol KM run Training zone

CMJ -0.489* -0.777** 0.133 -0.231

Session-RPE 0.551* 0.168 -0.130

Cortisol -0.051 -0.028

KM run -0.599*

*p < 0,05; **p < 0.001

Carlos Balsalobre-Fernández

Main results-Paper 1-

Correlations between the weekly values of the studied variables

Session-RPE Cortisol KM run Training zone

CMJ -0.426* 0.556** -0.593** 0.437*

Session-RPE -0.037 0.444* -0.080

Cortisol -0.366 0.171

KM run -0.044

*p < 0,05; **p < 0.001

Carlos Balsalobre-Fernández

Main results-Paper 1-

Season Best vs Worst competitions

CMJ

% o

f sea

son

aver

age

75

85

95

105

115

125

135

Best Worst

99%109%

+8.5%

ES = 0.65

p< 0.001

Carlos Balsalobre-Fernández

Main results-Paper 1-

Season Best vs Worst competitions

RPE

% o

f sea

son

aver

age

75

85

95

105

115

125

135

Best Worst

113,8%96,5%

-17.6%

ES = 0.94

p< 0.05

Carlos Balsalobre-Fernández

Main results-Paper 1-

Season Best vs Worst competitions

Cortisol

% o

f sea

son

aver

age

75

85

95

105

115

125

135

Best Worst

100,8%

130,8%

+22.9%

ES = 0.52

p> 0.05

Carlos Balsalobre-Fernández

Main results-Paper 1-

Season Best vs Worst competitions

KM

% o

f sea

son

aver

age

75

85

95

105

115

125

135

Best Worst

102,7%89,3%

-15%

ES = 0.48

p> 0.05

Carlos Balsalobre-Fernández

Main results-Paper 1-

Season Best vs Worst competitions

Training zone

% o

f sea

son

aver

age

75

85

95

105

115

125

135

Best Worst

111%105,5%

-5.2%

ES = 0.21

p> 0.05

Carlos Balsalobre-Fernández

Main results

PURPOSE: To study the evolution of strength throughout the season as well as to analyze its

correlations with training load and salivary cortisol

Paper 2

Carlos Balsalobre-Fernández

Longitudinal design (47 wk Oct-Sep)15 HL athletes

Correlations & comparison of means study

Measured variablesTraining load (every day)

Squat force production & 50m sprint (5 times over the study)Salivary-free cortisol (once a week)

Statistical analysesRepeated measures ANOVA (bonferroni post hoc)

Estimation of % of changePearson’s product-moment correlation coefficient

α = 0.05

Main results-Paper 2-

Carlos Balsalobre-Fernández

Main results-Paper 2-

-40

-30

-20

-10

0

10

Sprint MPV MPP RFD RM

-1,6%

-30,2%

-2,6%

3,1%

-0,4%

* *p< 0.05

Carlos Balsalobre-Fernández

Main results-Paper 2-

RFD

(N/s

)

800

950

1100

1250

1400

P1 P2 P3 P4 P5

*

*p< 0.05

Carlos Balsalobre-Fernández

Main results-Paper 2-

Correlations between the training periods average values of the studied variables

MPV MPP RFD RM CORT RPE KM ZONE

Sprint -0.769** -0.795** -0.247 -0.823** 0.737** 0.560* 0.072 -0.463*

MPV --- 0.910** 0.462* 0.918** -0.335 -0.650** -0.142 0.288

MPP --- 0.478* 0.960** -0.430 -0.602** 0.013 0.269

RFD --- 0.414 -0.33 -0.415 -0.117 -0.192

RM --- -0.514* -0.650** -0.134 0.408

CORT --- 0.318 0.053 -0.528*

RPE --- -0.034 -0.082

KM --- -0.597***p < 0,05; **p < 0.001

Carlos Balsalobre-Fernández

Main results-Paper 2-

MPV

(m/s

)

0,5

0,575

0,65

0,725

0,8

RPE (0-10)4 4,75 5,5 6,25 7

r = 0.650

RPE-MPV

Carlos Balsalobre-Fernández

Main results-Paper 2-

50-m

spr

int (

s)

5,5

6,125

6,75

7,375

8

Salivary-free cortisol (ng/mL)8 10,75 13,5 16,25 19

r = 0.737

Cortisol-Sprint

Carlos Balsalobre-Fernández

Main resultsPaper 3

PURPOSE: To analyze the effects of the most important competition of the season on the CMJ, salivary cortisol

and RPE, and to study its correlations

Carlos Balsalobre-Fernández

Main results-Paper 3-

Observational design (National Champ + 4-week baseline)10 HL (7men) athletes

Correlations & comparison of means study

Measured variablesSalivary-free cortisol & CMJ (once a week during the BL)

Salivary-free cortisol (awakening, before and after the race)CMJ (before and after the competition)

RPE (after the competition)

Statistical analysesPaired-samples T-test

Pearson’s product-moment correlation coefficientα = 0.05

Carlos Balsalobre-Fernández

ES = 0.47

p< 0.001

Main results-Paper 3-

% o

f bas

elin

e va

lue

95

100

105

110

CMJ

106,5%

100%

BaselineCompetiiton day

Baseline vs. competition day

Carlos Balsalobre-Fernández

ES = 1.59

p< 0.001

Main results-Paper 3-

% o

f bas

elin

e va

lue

70

100

130

160

190

220

Salivary cortisol

217,5%

100%

BaselineCompetiiton day

Baseline vs. competition day

Carlos Balsalobre-Fernández

Main results-Paper 3-

Cortisol increase-CMJ increase (BL to competition day)

CMJ

heig

ht in

crea

se (%

)

-3,5

0

3,5

7

10,5

14

Cortisol increase (%)0 100 200 300 400

r = 0.688p< 0.05

Carlos Balsalobre-Fernández

Main results-Paper 3-

Jum

p he

ight

(in

cm)

31

31,6

32,2

32,8

33,4

34

CMJ

31,8

33,2

Pre Post

-3.9%

ES = 0.34

p< 0.05

Pre vs. post competition

Carlos Balsalobre-Fernández

Main results-Paper 3-

Saliv

ary

free

corti

sol

(ng

/mL)

0

8,8

17,6

26,4

35,2

44

Salivary cortisol

43,4

26,7

Pre Post

+98.3%

ES = 0.82

p< 0.05

Pre vs. post competition

Carlos Balsalobre-Fernández

Main results-Paper 3-

CMJ loss-Cortisol increase(Pre-post competition)

CMJ

loss

(%)

0

1,75

3,5

5,25

7

Cortisol increase (%)-75 0 75 150 225 300

r = 0.782p< 0.05

Carlos Balsalobre-Fernández

Main results-Paper 3-

CMJ loss-RPE

CMJ

loss

(%)

-10,5

-7

-3,5

0

3,5

7

10,5

14

RPE (0-10)6,5 7,375 8,25 9,125 10

r = 0.762p< 0.05

Carlos Balsalobre-Fernández

Discussion & Conclusions

Carlos Balsalobre-Fernández

• Previous data in the literature have shown the importance of monitoring RPE, salivary cortisol or CMJ in highly trained athletes.

• For example, Jiménez-Reyes et al (2011) studied weekly CMJ performance for three consecutive seasons in high-level sprinters, and observed that there was a 6%diff between SB and SW

Discussion & Conclusions-Paper 1-

Carlos Balsalobre-Fernández

• Other studies have analyzed the relationship between salivary cortisol and muscular performance in trained athletes.

• Our results are in line with those obtained by Kraemer et. al (2004) who demonstrated that football players starting with high cortisol levels had lower CMJ heights by the end of the season

Discussion & Conclusions-Paper 1-

Carlos Balsalobre-Fernández

Discussion & Conclusions-Paper 1-

CONCLUSION 1

Systematic monitoring of CMJ, RPE and salivary cortisol may provide helpful information of the

training process and the readiness for the competition

Carlos Balsalobre-Fernández

• Our data showed that season RPE values were significantly related to season strength levels; weaker athletes being those with higher RPE throughout the season

• The strength-endurance program conducted (15-20RM) didn’t seem appropriate to increase strength in elite runners.

• This is in line with current research, that recommends explosive and/or maximal strength training to improve distance running, mainly via increases in running economy

Discussion & Conclusions-Paper 2-

Carlos Balsalobre-Fernández

Discussion & Conclusions-Paper 2-

CONCLUSION 2RPE is related to strength performance and its

monitoring could be helpful to control resistance training in elite runners

CONCLUSION 3A strength-endurance type of training doesn’t

seems appropriate to increase the force production capabilities of such athletes

Carlos Balsalobre-Fernández

• Finally, it was observed that post competition CMJ loss significantly correlates with cortisol increase and RPE

• Several studies have also found that post-exercise CMJ loss is highly correlated with markers of fatigue such as blood lactate or ammonia concentrations (Sanchez-Medina et al 2011)

Discussion & Conclusions-Paper 3-

Carlos Balsalobre-Fernández

Discussion & Conclusions-Paper 3-

CONCLUSION 4

Controlling pre-post competition CMJ decrease could help detect the degree of fatigue the

athlete has reached in the race

Carlos Balsalobre-Fernández

Limitations and prospectives

Carlos Balsalobre-Fernández

Limitations and prospectives

Sample size Systematicmonitoring ITL

Carlos Balsalobre-Fernández

Limitations and prospectives

Very difficult to recruit high-level athletes, specially for long-term studies

New technologies offer a promising future solution

Carlos Balsalobre-Fernández

Limitations and prospectives

ResearchKit

Largest study on Parkinson’s disease=1700 patients6h after RK announcement=+7000 patients

Carlos Balsalobre-Fernández

Limitations and prospectives

Wearable devices can measure physiological parameters in a non-invasive, affordable way

Systematic monitoring of ITL

Carlos Balsalobre-Fernández

HRV

Blood pressure

LactateMov. velocity

Muscle power

O2 saturationMuscle glycogen

Sweating rate

Body temperature

Limitations and prospectives

Carlos Balsalobre-Fernández

Practical applications

Carlos Balsalobre-Fernández

Practical applications

Carlos Balsalobre-Fernández

Practical applications

Carlos Balsalobre-Fernández

Practical applications

Carlos Balsalobre-Fernández

Acknowledgements

Carlos Balsalobre-Fernández

Questions & Answers