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Anemia is a condition characterized by too few red blood cells, leading to diminished oxygen delivery, which can significantly impact exercise participation and athletic performance. The etiology of anemia is multifactorial. Some forms of anemia develop as a result of deficiencies in specific vitamins and minerals and may be modifiable, whereas other types are inherited disorders. Although nonmodifiable, the latter may be managed with the assistance of trained medical professionals. This article will provide an overview of the pathophysiology associated with common forms of anemia and provide an introduction to diagnostic testing procedures and treatment options. Additionally, the signs and symptoms will be discussed to help strength and conditioning professionals recognize this potentially impactful condition. This article concludes with a discussion of the influence iron deficiency has on sports participation.
Eccentric resistance training has been shown to elicit beneficial effects on performance and injury prevention in sports because of its specific muscular and neural adaptations. Within the different methods used to generate eccentric overload, flywheel eccentric training has gained interest in recent years because of its advantages over other methods such as its portability, the ample exercise variety it allows and its accommodated resistance. Only a limited number of studies that use flywheel devices provide enough evidence to support the presence of eccentric overload. There is limited guidance on the practical implementation of flywheel eccentric training in the current literature. In this article, we provide literature to support the use of flywheel eccentric training and present practical guidelines to develop exercises that allow eccentric overload.
The first step in preparing a comprehensive periodized strength and conditioning program is the needs analysis —that is a formal process for determining the general and specific needs of the athlete based on their sport or task. It involves many more pieces than most consider and is not simply about goal setting. Depth and specificity of event requirements and details are important because there will be variability in needs and program design due to the task and level of prior experience and participation. The specifics of the task and the particulars of the individual athlete may lead to the need for significant study and reading of evidence-based research. The benefit of a well-developed needs analysis is that it can lead to better program planning with greater opportunity for success.
Falls resulting from trips are a leading cause of injury and can sometimes result in death, especially in the older population. Numerous researchers have studied the biomechanical mechanisms that differentiate fallers from nonfallers and determined whether training can beneficially impact those outcomes. Exercise and task-specific interventions have demonstrated fewer falls after trips but can be costly and often require specialized equipment, making their applicability less practical. Qualified health and fitness practitioners can develop evidence-informed, exercise-based programs focusing on 3 components (balance training, task-specific training, and resistance exercise). Such programs may help to reduce fall risk in older adults based on previously documented studies identifying the biomechanical demands of a successful fall arrest after a trip perturbation. These multicomponent programs should include a safe task-specific training element that does not require specialized equipment.
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Agility is a key and complex concept within team sports performance. Because of its multidimensional nature, agility benefits from perceptual and cognitive skills as well as physical capacity (e.g., ability to exert acceleration, deceleration, and changes of direction). Agility should be integrated in different and complementary ways in team sports training. From more analytical to more ecological tasks, there is a need to comprehend the respective adaptations and identify how to integrate such a spectrum and, eventually, combine them in the training process and manage it accordingly to the player’s needs. Based on this premise, the purpose of this article is to present alternative methods and recommendations that may help to develop agility in field-based invasion sports. The main concepts pertaining to agility and associated capacities will be explored. Afterward, a proposal for a more analytical approach based on the use of cones and ladders will be introduced, as well as approaches based on small-sided games. Finally, an integration of agility training and a combination of approaches will be presented using soccer as an example.
The 3-minute all-out exercise test (3MT) was developed over a decade ago and enables the estimation of time for onset of momentary fatigue for a given speed or power output exceeding critical speed (CS) or critical power (CP), respectively. The 3MT has been validated for conducting high-intensity interval training, used with load carriage prediction and prescription, and validated for shuttle running. These prescriptions are novel because they allow for standardizing exercise intensities relative to metabolic
parameters as opposed to a percentage of a given maximum or reserve. Research was identified using leading search engines (e.g., PubMed, Google Scholar, and Research Gate) and citations to similar articles. The objective of this review article was to summarize research that emerged on the CS/CP concept with emphasis on applications since the advent of the 3MT. The review concludes with application of the CS/CP concept to the frequency, intensity, time, and type of exercise for exercise prescription.