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Częstość występowania Zespołu niefunkcjonalnego przemęczenia i Zespołu przetrenowania u sportowców

100%

Szewczyk A., Rębowska E., Jegier A.

Polish Journal of Sports Medicine

2018

vol. 34(4)

213-218

Background. Imbalance between training load and body recovery leads to the development of the non-functional overreaching syndrome (NFO) or overtraining syndrome (OTS) and deterioration of athlete’s performance. The aim of the study was to determine the prevalence of these syndromes in a sample of athletes. Material and methods. 111 males aged 18-35 years, training long distance running, cycling, triathlon, powerlifting, crossfit, bodybuilding and weightlifting minimum 2 years. The medical assessment was combined with history taking on athletic career and performance. Aerobic capacity was assessed by means of ergospirometry – cardiopulmonary exercise test (CPET) on a mechanical treadmill and anaerobic capacity was measured using Wingate test on a cycle ergometer. The patients with inflammatory conditions, hematological disorders and metabolic disorders were excluded. Anthropometric measurements were taken. Overreaching level and motivation for training were assessed using Profile of Mood State (POMS) questionnaire. The results were next compared with the reference values. Statistical analysis was performed using Statistica program, v.13.0. Results. Based on POMS results and the changes in physical capacity a group of 26 participants was selected (23.4%) with NFO/OTS syndrome symptoms. These were athletes training long distance running, crossfit and bodybuilding within 73 months and those who started in competitions more often than 20 times a year. Statistically significant differences were noted in athletes with NFO/OTS syndromes in mood assessment using POMS questionnaire. Higher values were noted in the following subscales: tension/anxiety, depression and fatigue while lower values were obtained in vigor/ activity subscale. Lower yet statistically insignificant values corresponding to physical anaerobic and anaerobic activity were observed in this group. The amount of sleep and the number of training sessions had no effect on the results. Conclusions. NFO/OTS syndromes are developed in nearly 25% of athletes involved in various sport disciplines, training within about 73 months and starting in competitions 20 times a year on average. POMS questionnaire turned out a useful tool in diagnosing these syndromes.

Wstęp. Zaburzenie równowagi pomiędzy obciążeniem treningowym a regeneracją organizmu prowadzi do rozwinięcia Zespołu niefunkcjonalnego przemęczenia (NFO) lub Zespołu przetrenowania (OTS) i pogorszenia wyniku sportowego. Celem badania jest określenie częstości występowania tych zespołów w grupie sportowców. Materiał i metody. Przebadano 111 mężczyzn w wieku 18-35 lat trenujących min. 2 lata: biegi długie, kolarstwo, triathlon, trójbój siłowy, crossfit, kulturystykę, podnoszenie ciężarów. Przeprowadzono badanie lekarskie z wywiadem sportowym. Oceniano wydolność fizyczną tlenową – badanie ergospirometryczne (CPET) na bieżni mechanicznej oraz wydolność beztlenową podczas testu Wingate na cykloergometrze. Wykluczono stany zapalne, zaburzenia hematologiczne i metaboliczne. Dokonano pomiarów antropometrycznych. Poziom przemęczenia oraz motywację do treningu oceniano kwestionariuszem Oceny profilu nastrojów- POMS (Profile of Mood State)- wyniki odniesiono do wartości referencyjnych. Materiał poddano analizie w programie Statistica v. 13.0. Wyniki. Na podstawie wyników POMS i zmian w wydolności fizycznej wyodrębniono grupę 26 (23,4%) osób z cechami zespołu NFO/OTS. Byli to sportowcy ze średnim stażem treningowym 73 miesiące trenujący: biegi długie, crossfit i kulturystykę, startujący w zawodach częściej niż 20 razy w roku. Obserwowano istotne statystycznie różnice u sportowców z cechami zespołów NFO/OTS w ocenie nastroju POMS: wartości wyższe w subskalach: napięcie/niepokój, depresja, zmęczenie oraz niższe w subskali krzepkość/aktywność. Obserwowano mniejsze wartości wydolności fizycznej tlenowej i beztlenowej w tej grupie, jednak bez istotności statystycznej. Ilość snu, czas trwania i liczba treningów nie wpływały na wyniki badań. Wnioski. Wystąpienie NFO/OTS dotyczy blisko 25% sportowców różnych dyscyplin sportowych, o średnim stażu treningowym ok. 73 miesiące, startujących w zawodach średnio 20 razy w roku. Kwestionariusz oceny nastrojów POMS okazał się przydatnym narzędziem do diagnostyki tych zespołów.

The weight change impact on metabolic syndrome: a 17-year follow-up study

76%

Kwaśniewska M., Kaleta D., Jegier A., Kostka T., Dziankowska-Zaborszczyk E., Drygas W.

2011

vol. 6

issue 6

788-794

Introduction: Data on long-term patterns of weight change in relation to the development of metabolic syndrome (MetS) are scarce. The aim of the study was to evaluate the impact of weight change on the risk of MetS in men. Material and Methods: Prospective longitudinal observation (17.9 ± 8.1 years) of apparently healthy 324 men aged 18–64 years. Metabolic risk was assessed in weight gain (⩾ 2.5 kg), stable weight (> −2.5 kg and < 2.5 kg) and weight loss (⩽ −2.5 kg) groups. Adjusted relative risk (RR) of MetS was analyzed using multivariate logistic regression. Results: The prevalence of MetS over follow-up was 22.5%. There was a strong relationship between weight gain and worsening of MetS components among baseline overweight men. Long-term increase in weight was most strongly related with the risk of abdominal obesity (RR=7.26; 95% CI 2.98–18.98), regardless of baseline body mass index (BMI). Weight loss was protective against most metabolic disorders. Leisure-time physical activity (LTPA) with energy expenditure > 2000 metabolic equivalent/min/week was associated with a significantly lower risk of MetS. Conclusions: Reducing weight among overweight and maintaining stable weight among normal-weight men lower the risk of MetS. High LTPA level may additionally decrease the metabolic risk regardless of BMI.

Exercise Capacity, Functioning and Quality of Life 12 Weeks after Traumatic Thoracic Spinal Cord Injury

76%

Kowalczyk-Jurgiel S., Scheel-Sailer A., Frotzler A., Flueck J. L., Jegier A., Perret C.

Background. A spinal cord injury (SCI) leads to patho-physiological changes that can affect physical and psychological performance. The aim of this observational study was to evaluate the relationship between exercise capacity, functioning and quality of life in patients 12 weeks after traumatic paraplegia participating in early rehabilitation. Material and methods. 13 patients participated in this study and performed cardio-pulmonary exercise testing (CPET) on an arm-crank ergometer to determine peak exercise capacity (VO2peak). Data from the spinal cord independence measure (SCIM) were used to assess different areas of functioning. The 12-item short form survey (SF12) questionnaire was applied to measure quality of life. Spearman correlations were used to relate VO2peak with SCIM data and results from the SF12 questionnaire. Results. VO2peak ranged between 12.6 and 28.1 ml/kg/min. A significant relationship was found between VO2peak and the physical component of the SF12 questionnaire, whereas no correlations were found with either SCIM sub or total score, or with the mental component or the total score of the SF12 questionnaire. Conclusions. 1. Patients with traumatic paraplegia showed fair to average exercise capacity after 12 weeks of early rehabilitation. 2. A significant relationship between VO2peak and subjectively rated physical fitness exists at this time point. 3. The implementation of an individual fitness program tailored to the patients' needs based on CPET results is highly recommended in order to improve functioning and quality of life.

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1 Drygas W.

1 Dziankowska-Zaborszczyk E.

1 Flueck J. L.

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1 Kowalczyk-Jurgiel S.

1 Kwaśniewska M.

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1 Rębowska E.

1 Scheel-Sailer A.

1 Szewczyk A.

Search results

Częstość występowania Zespołu niefunkcjonalnego przemęczenia i Zespołu przetrenowania u sportowców

The weight change impact on metabolic syndrome: a 17-year follow-up study

Exercise Capacity, Functioning and Quality of Life 12 Weeks after Traumatic Thoracic Spinal Cord Injury