Sports

This study investigates the effect of exercise-induced fatigue on change of direction performance and serve precision among young tennis players. A group of 21 players (age 12.90 ± 0.76 years), ranked among the top 50 players on the national tennis federation scale and the top 300 on the “Tennis Europe” scale, participated in the study. They underwent a standardized physiological load protocol using the “300-m running test” which consists of consecutive runs for 15 shares of 20 m (15 × 20). Its intensity was determined using the Borg Rating of Perceived Exertion (RPE) scale where subjects evaluated their level of experienced load on a scale from 0 to 10. Prior to and after the protocol, they performed a pre-planned change of direction T-test and serve precision test. Results showed significant increase of time in the T-test (from 11.75 ± 0.45 s to 12.99 ± 0.4 s, p = 0.00) and decrease in serve precision parameter from (6.00 ± 1.04 to 4.00 ± 1.26, p = 0.00) after the fatigue test protocol. The RPE increased from 5 to 9, after the fatigue protocol, indicating the desired fatigue effect. These findings indicate that exercise-induced fatigue impairs change of direction performance and serve precision among young tennis players. Full article

Background: A massage is a tool that is frequently used in sports and exercise in general for recovery and increased performance. In this review paper, we aimed to search and systemize current literature findings relating to massages’ effects on sports and exercise performance concerning its effects on motor abilities and neurophysiological and psychological mechanisms. Methods: The review has been written following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) guidelines. One hundred and fourteen articles were included in this review. Results: The data revealed that massages, in general, do not affect motor abilities, except flexibility. However, several studies demonstrated that positive muscle force and strength changed 48 h after the massage was given. Concerning neurophysiological parameters, the massage did not change blood lactate clearance, muscle blood flow, muscle temperature, or activation. However, many studies indicate pain reduction and delayed onset muscle soreness, which are probably correlated with the reduction of the level of creatine kinase enzyme and psychological mechanisms. In addition, the massage treatment led to a decrease in depression, stress, anxiety, and the perception of fatigue and an increase in mood, relaxation, and the perception of recovery. Conclusion: The direct usage of massages just for gaining results in sport and exercise performance seems questionable. However, it is indirectly connected to performance as an important tool when an athlete should stay focused and relaxed during competition or training and recover after them. Full article

The aim of this systematic review is twofold: (i) to examine the effects of micronutrient intake on athletic performance and (ii) to determine the specific micronutrients, such as vitamins, minerals, and antioxidants, that offer the most significant enhancements in terms of athletic performance, with the goal of providing guidance to athletes and coaches in optimizing their nutritional strategies. The study conducted a systematic search of electronic databases (i.e., PubMed, Web of Science, Scopus) using keywords pertaining to micronutrients, athletic performance, and exercise. The search involved particular criteria of studies published in English between 1950 and 2023. The findings suggest that vitamins and minerals are crucial for an athlete’s health and physical performance, and no single micronutrient is more important than others. Micronutrients are necessary for optimal metabolic body’s functions such as energy production, muscle growth, and recovery, which are all important for sport performance. Meeting the daily intake requirement of micronutrients is essential for athletes, and while a balanced diet that includes healthy lean protein sources, whole grains, fruits, and vegetables is generally sufficient, athletes who are unable to meet their micronutrient needs due to malabsorption or specific deficiencies may benefit from taking multivitamin supplements. However, athletes should only take micronutrient supplements with the consultation of a specialized physician or nutritionist and avoid taking them without confirming a deficiency. Full article

Warm-up routines include various tasks focused on the peripheral contractile properties and nervous motor command. This present study was aimed at investigating the acute effects of different warm-up routines, emphasizing either peripheral (post-activation performance enhancement, PAPE) or central (motor imagery, MI) contributions on sport-specific tasks. Eleven young female athletes took part in this cross-over, randomized, controlled trial. They underwent three experimental sessions composed of a standardized warm-up followed by 10 min of (1) rest (CONTROL), (2) maximal concentric leg press (PAPE), or (3) mental repetitions of sprint tasks (MI). Post-tests consisted of reaction time, arrowhead agility test, 20 m sprint, repeated sprint ability, and NASA-TLX fatigue questionnaire. PAPE and MI significantly enhanced the arrowhead agility test (p < 0.001 and p = 0.012, respectively) and repeated sprint ability (p = 0.002 and p = 0.035, respectively) compared to CONTROL, without any difference between PAPE and MI. The 20 m sprint time was better after PAPE as compared to MI (p = 0.005) and CONTROL (p < 0.001), without any difference between MI and CONTROL. Reaction time and the NASA-TLX questionnaire were not affected by the warm-up modalities (p > 0.05). PAPE was the most efficient to optimize warm-up due to its greater peripheral contribution that would improve muscle contractility. MI specifically improved the imagined tasks mostly by central contribution. Full article

The phase angle (PhA) of bioelectrical impedance is determined by primary factors such as age, body mass index and sex. The researchers’ interest in applying PhA to better understand the skeletal muscle property and ability has grown, but the results are still heterogeneous. This systematic review with a meta-analysis aimed to examine the existence of the relationship between PhA and muscle strength in athletes. The data sources used were PubMed, Scielo, Scopus, SPORTDiscus, and Web of Science and the study eligibility criteria were based on the PECOS. The searches identified 846 titles. From those, thirteen articles were eligible. Results showed a positive correlation between PhA and lower limb strength (r = 0.691 [95% CI 0.249 to 0.895]; p = 0.005), while no meta-analysis was possible for the relationships between PhA and lower limb strength. Furthermore, GRADE shows very low certainty of evidence. In conclusion, it was found that most studies showed a positive correlation between PhA and vertical jump or handgrip strength. The meta-analysis showed the relationship between PhA and vertical jump, however, little is known for the upper limbs as was not possible to perform a meta-analysis, and for the lower limbs we performed it with four studies and only with vertical jump. Full article

(1) Background: There is a lack of literature that examines the impact of early vs. late sport specialization on quality of life after retirement from tennis. Thus, the purpose of this study was to examine the relationship between early specialization in the sport of tennis and health outcomes after retirement from collegiate/professional sport; (2) Methods: Participants were recruited through social media posts, newsletters, and contacts with tennis organizations. Basic demographic and injury information was collected from 157 former tennis players, along with the age of tennis specialization and two questionnaires: the Oslo Sports Trauma Research Center Questionnaire on Health Problems (OSTRC), and the CDC HRQOL-14 “Healthy Days Measure” Questionnaire (HRQOL); (3) Results: Significant differences (F_1,117 = 5.160, p < 0.025) in the specialization age between the low (11.9 ± 4.5 y) and high (9.8 ± 4.1 y) OSTRC groups were found after covarying for the current age. No difference (F_1,72 = 0.676, p < 0.414) was shown among the high (10.9 ± 4.4 y) and low (11.28 ± 4.6 y) HRQOL groups for the specialization age after covarying for the current age. A weak negative correlation was identified between the OSTRC score and specialization age (r = −0.233, p = 0.008), while no significant changes were shown between the specialization age and HRQOL score (r = −0.021, p = 0.857), or between the OSTRC and HRQOL scores (r = 0.146, p = 0.208); (4) Conclusions: Retired tennis players with low injury/illness severity scores specialized in tennis later than those with high injury/illness severity scores, while no differences in the specialization age were noted when the sample was separated into HRQOL groups. Full article

Both music and endpoint knowledge of exercise have been shown to independently influence exercise performance. However, whether these factors work as synergists or counteract one another during exercise is unknown. The purpose of this study was to determine the single and combined effect of listening to preferred music and types of endpoint knowledge on repeated countermovement jump (CMJ) test performance. Twenty-four (n = 24) current or previously competitive basketball players underwent CMJ testing under the following endpoint knowledge conditions: (1) unknown/no knowledge, (2) knowledge of the number of jumps, and (3) knowledge of exercise duration. For each of these, participants listened to either their preferred music or no music during the duration of testing. For the exercise portion, participants completed repeated CMJs where participants were encouraged to jump as high as possible with jump height, contact time, and flight time as outcomes. Rate of perceived exertion (RPE) and feeling scale were measured before and after exercise. The results showed that, regardless of knowledge type, preferred music resulted in a significant decrease in both contact time and flight time (F ≥ 10.4, p ≤ 0.004, and η_p² ≥ 0.35), and a significant improvement of jump height (F = 11.36, p = 0.001, and η_p² = 0.09) and feeling scale ratings (F = 36.9, p < 0.001, and η_p² = 0.66) compared to no-music condition, while RPE was not significantly affected. Regardless of the presence of music, knowledge of the number of jumps and duration resulted in lower contact time (p < 0.001, 0.9 < d < 1.56) versus unknown condition during CMJs. Moreover, a significant decrease in RPE values was found during prior endpoint knowledge of number (p = 0.005; d = 0.72) and duration (p = 0.045; d = 0.63) compared to unknown condition. However, feeling scale ratings were not significantly affected. Moreover, no interactions with significance findings were found for any parameters. Overall, data suggest that listening to music and endpoint knowledge alter exercise responses in basketball players, but they do not interact with one another. Full article

Background: Despite its small population, Norway wins a disproportionately large number of medals in international competitions. Therefore, it has been thought that the Norwegian sports model and sports school programs are influential in developing young Norwegian athletes to achieve such results. Today, more than 110 Norwegian private and public schools offer the elite sports program in Norway. Most student athletes attending those schools combine their high school education with elite sports, where they attend training sessions at both school and clubs. The number of people involved with the student athlete on a daily basis (i.e., other student athletes, club coaches, school coaches, schoolteachers, parents, and health personnel) indicate the importance of optimal communication and coordination. However, to the authors’ knowledge, no previous studies have explored communication and coordination among this population group. Therefore, the primary objective of this study was to use a holistic analysis of team dynamics using the Relational Coordination Survey as a measure to explore the relational coordination within and between student athletes, club coaches, and school coaches. A secondary objective of this study was to explore student athletes’, club coaches’, and school coaches’ relational coordination with schoolteachers, parents, and health personnel. In addition, the study aimed to explore differences in student athletes’ relational coordination with their significant others according to sport, school, performance level, sex, and school year. Methods: The quality of relational coordination was measured by a cross-sectional questionnaire of student athletes (n = 345), club coaches (n = 42), and school coaches (n = 25) concerning training load and life load. Multiple one-way analyses of variance were used to assess differences between groups. Results: The results show that student athletes, club coaches, and school coaches perceived moderate to weak relational coordination with parents, schoolteachers, and health personnel. Student athletes’ relational coordination score with parents was the only strong score observed. Furthermore, the results reveal notable differences in student athletes’ relational coordination with the roles according to their characteristics. Conclusions: The findings suggest a potential for enhancing relationships and communication within and between the significant roles involved with student athletes. The results further indicate that those involved with the student athlete should consider a holistic approach to enhance communication and coordination, including physical, psychological, and other life factors, for optimal student athlete management and development. More resources are necessary to facilitate effective communication and coordination regarding the student athlete’s total load. Full article

Breathing is a natural and necessary process for humans. At the same time, the respiratory pace and frequency can vary so much, depending on the status of the subject. Specifically, in sports, breathing can have the effect of limiting performance from a physiological point of view, or, on the other hand, breathing can regulate the psychological status of the athletes. Therefore, the aim of this narrative review is to focus on the literature about the physiological and psychological aspects of breathing pace in sports performance, merging these two aspects because they are usually considered split, in order to create a new integrated vision of breathing and sports performance. Voluntary breathing can be divided into a slow or fast pace (VSB and VFB, respectively), and their effects on both the physiological and psychological parameters are very different. VSB can benefit athletes in a variety of ways, not just physically but mentally as well. It can help improve cardiovascular fitness, reduce stress and anxiety, and improve overall health and well-being, allowing athletes to maintain focus and concentration during training and competition. VFB is normal during physical training and competition, but away from training, if it is not voluntary, it can cause feelings of anxiety, panic, dizziness, and lightheadedness and trigger a stress response in the body, affecting the athlete’s quality of life. In summary, the role of breathing in the performance of athletes should be considered, although no definitive data are available. The connection between breathing and sports performance is still unclear, but athletes can obtain benefits in focus and concentration using slow breathing strategies. Full article

The number of breast cancer (BCa) survivors has been steadily increasing due to advances in anti-cancer treatments, though these individuals suffer from various cancer- and treatment-related long-term side effects. The present study aimed at investigating the effects of a home-based tele-exercise training intervention on physical- and mental health-associated parameters in BCa survivors. A total of 13 female BCa survivors (age: 58.31 ± 3.13 years, BMI: 25.68 ± 0.62 kg/m², waist circumference: 96.54 ± 1.84 cm) participated in a two-month group tele-exercise program twice per week which included aerobic, resistance and flexibility exercises. The results of the study revealed that the tele-exercise intervention improved participants’ body mass index (BMI) (p < 0.001), waist circumference (p < 0.001), cardiorespiratory fitness (6 min walk test) (p < 0.001) and muscle function (sit to stand (p < 0.01), sit ups (p < 0.001) and push-ups (p < 0.001)). Beneficial effects were also observed on perceived anxiety (Zung Self-Rating Anxiety Scale) (p < 0.001), post-traumatic stress disorder (PTSD) symptoms (PCL-C) (p < 0.01), self-reported fatigue (p < 0.001), quality of life (QoL) (p < 0.05) and physical (p < 0.05), cognitive (p < 0.01) and emotional (p < 0.05) functioning (EORTQ-QLQ-C30). Our findings suggest that common cancer- and treatment-related adverse effects on physical performance, mental health and the overall QoL can be ameliorated through tele-exercise training programs in BCa survivors. Full article

People with Type 2 diabetes mellitus (T2DM) are reported to have a high prevalence of metabolic syndrome (MetS), which increases their risk of cardiovascular events. Our aim was to determine the effect of physical activity (PA) on metabolic syndrome markers in people with T2DM. The study design was a systematic review and meta-analysis of randomised controlled trials evaluating the effect of PA on MetS in adults with T2DM. Relevant databases including SPORTdiscus, Cochrane Central Register of Controlled Trials, CINAHL, MEDLINE, PsycINFO, EMBASE, SocINDEX were searched up to August 2022. Primary endpoints were changes in MetS markers (blood pressure, triglyceride, high-density lipoprotein, fasting blood sugar, and waist circumference) after an exercise intervention. Using a random effect model with 95% confidence interval (CI), the mean difference between intervention groups and control groups were calculated. Twenty-six articles were included in the review. Overall, aerobic exercise had a significant effect on waist circumference (Mean Difference: −0.34 cm, 95% CI: −0.84, −0.05; effect size: 2.29, I² = 10.78%). The effect sizes on blood pressure, triglyceride, high-density lipoprotein, fasting blood sugar were not statistically significant. No significant differences were found between exercise and control group following resistance training. Our findings suggest that aerobic exercise can improve waist circumference in people with T2DM and MetS. However, both aerobic and resistance exercise produced no significant difference in the remaining MetS markers. Larger and higher-quality studies are required to determine the full effects of PA on MetS markers in this population. Full article

In women’s artistic gymnastics, difficult elements with great flight heights have to be performed on the apparatuses. However, the importance of the physical condition for generating flight height and its development with age remains elusive. Therefore, we investigated the age-related differences of lower body power, reactive strength, 20 m sprint speed, flight heights (basic elements on beam and floor) and run-up speed on the vault of 33 youth female gymnasts. Further, we calculated correlations between all parameters separately for different age groups (7–9 y; 10–12 y; 13–15 y). We found larger differences between the age groups 7–9 y and 10–12 y than between 10–12 y and 13–15 y on the apparatuses (10–12 y vs. 7–9 y: +23% to +52%; 13–15 y vs. 10–12 y: +2% to +24%) and for physical conditioning variables (10–12 y vs. 7–9 y: +12 to +24%; 13–15 y vs. 10–12 y: + 5% to +16%). The correlations between flight heights and physical condition were the lowest for age group 7–9 y (r: from −0.47 to 0.78; 10–12 y: r: from −0.19 to 0.80; 13–15 y: r: from −0.20 to 0.90). An optimal application of the physical condition to enhance the gymnastics-specific performance (e.g., flight height) is strongly age-dependent. Regular monitoring of jumping abilities and the derivation of training recommendations can accelerate this development and the future performance of young athletes. Full article

In soccer, blood flow restriction (BFR) is used to optimise between-match recovery. However, the benefits are unclear. This study evaluated the effects of BFR as a recovery strategy after a competition on countermovement jump (CMJ) height, rating of perceived exertion (RPE) and the wellness of soccer players. Forty national-level soccer players were allocated into two conditions: BFR (an active recovery session wearing a BFR device, 24 h after a competition) or NoBFR (the same recovery without BFR). CMJ, RPE and wellness were evaluated the day (CMJ and RPE) or the morning (wellness) before the competition; just after the competition (CMJ and RPE); and 24, 48 (wellness) and 72 h later. After 4 weeks, the players changed conditions. All players showed impaired CMJ (p = 0.013), RPE (p < 0.001) and wellness (p < 0.001) after the match compared with the baseline. The CMJ returned to the baseline 24 h later and wellness returned 48 h later. Only in the BFR condition did the RPE remain impaired 24 h after the match, which was also the moment after finishing the BFR recovery session (p < 0.001). BFR during active recovery does not provide any additional benefits compared with traditional exercise modalities to recover CMJ, RPE and wellness in youth national-level soccer players. BFR could even induce an immediate higher RPE. Full article

Postural control, the ability to control the body’s position in space, is considered a critical aspect of health outcomes. This current study aimed to investigate the effects of age and visual contribution on postural control. To this end, principal component analysis (PCA) was applied to extract movement components/synergies (i.e., principal movements, PMs) from kinematic marker data of bipedal balancing on stable and unstable surfaces with eyes closed and open, pooled from 17 older adults (67.8 ± 6.6 years) and 17 young adults (26.6 ± 3.3 years), one PCA-analysis for each surface condition. Then, three PCA-based variables were computed for each PM: the relative explained variance of PM-position (PP_rVAR) and of PM-acceleration (PA_rVAR) for measuring the composition of postural movements and of postural accelerations, respectively, and the root mean square of PM-acceleration (PA_RMS) for measuring the magnitude of neuromuscular control. The results show the age and visual contribution effects observed in PM₁, resembling the anteroposterior ankle sway in both surface conditions. Specifically, only the greater PA₁_rVAR and PA₁_RMS are observed in older adults (p ≤ 0.004) and in closed-eye conditions (p < 0.001), reflecting their greater need for neuromuscular control of PM₁ than in young adults and in open-eye conditions. Full article

Introduction: Professional athletes are endangered by COVID-19 and belong to the high-risk population due to their lifestyle. To obtain information on the behavior of COVID-19 in professional athletes, serological, cytokine, and virus neutralization capacities were analyzed. Materials and methods: Hungarian national teams participated in international sports events during the early phases of the COVID-19 epidemic in 2020. Altogether, 29 professional athletes volunteered to donate plasma. Their serological status was evaluated by IgA, IgM, and IgG ELISAs and the highest virus neutralization titer in an in vitro live tissue assay. Plasma cytokine patterns were analyzed with a Bioplex multiplex ELISA system. Results: Surprisingly, only one athlete (3%) had anti-SARS-CoV-2 IgG, while IgA was more common (31%). Neither plasma showed direct virus neutralization in a titer over 1:10; hence, they were not suitable for reconvalescent treatment. The ‘cytokine storm’ markers IL-6 and IL-8 were at baseline levels. In contrast, either the TNF-alpha-related cytokines or the IFN-gamma-associated cytokines were elevated. There was a strong negative correlation between the TNF-alpha- or IFN-gamma-related cytokines. Conclusions: Professional athletes are susceptible to the SARS-CoV-2 infection without developing long-term immunity through neutralizing immunoglobulins. Elevated secretory and cellular immunity markers indicate that these systems are probably responsible for virus elimination in this subpopulation. Full article

Isometric leg press (ILP) and countermovement jump (CMJ) are commonly used to obtain strength- and power-related variables with important implications for health maintenance and sports performance. To enable the identification of true changes in performance with these measurements, the reliability must be known. This study evaluates the between-session reliability of strength- and power-related measures obtained from ILP and CMJ. Thirteen female elite ice hockey players (21.5 ± 5.1 years; 66.3 ± 8.0 kg) performed three maximal ILPs and CMJs on two different occasions. Variables from the ILP (peak force and peak rate of force development) and CMJ (peak power, peak force, peak velocity, and peak jump height) were obtained. The results were reported using the best trial, an average of the two best trials, or an average of three trials. The intraclass correlation coefficient (ICC) and coefficient of variation (CV) were high (ICC > 0.97; CV < 5.2%) for all outcomes. The CV for the CMJ (1.5–3.2%) was lower than that for the ILP (3.4–5.2%). There were no differences between reporting the best trial, an average of the two best trials, or an average of the three trials for the outcomes. ILP and CMJ are highly reliable when examining strength- and power-related variables in elite female ice hockey players. Full article

On behalf of the Strength and Conditioning Society (SCS) and the Nucleus of High Performance in Sport (NAR), we are pleased to present the abstracts of the SCS 5th Annual Conference, which, for the first time, took place outside of Europe. The event was held at NAR’s state-of-the-art facilities in São Paulo, Brazil, on 3–5 November 2022, and comprised several invited sessions from international and national speakers on a variety of topics related to strength and conditioning practices and their application to health, injury prevention and sports performance. These included strength training in high-performance sports and older adults, sleep and recovery in elite athletes, performance optimization of the female athlete, high-intensity interval training, velocity-based resistance training, and running and cycling biomechanics, among others. The Conference also included different practical workshops conducted by renowned academics and practitioners on post-competition recovery strategies, plyometric training, hamstring strain injuries in soccer, and resisted sprint training. Finally, the event disseminated up-to-date strength and conditioning research by providing practitioners and researchers with the opportunity to present their most recent findings. In this regard, all abstracts of the communications presented at the SCS 5th Annual Conference can be found in this Conference Report. Full article

Whole-body vibration (WBV) training programs were reported to improve knee extensor muscle (KE) strength in healthy participants. Unfortunately, the underlying mechanisms of these strength gains remain unresolved. In addition, WBV training was shown to increase the time-to-exhaustion of a static submaximal endurance task. However, the effects of WBV training on neuromuscular fatigue (i.e., a decrease of the maximal voluntary isometric contraction; MVIC) induced by an endurance task is unknown. We, therefore, investigated the influence of WBV training on (i) KE MVIC and neuromuscular function, (ii) the time-to-exhaustion of the KE associated with a submaximal isometric fatiguing exercise, and (iii) KE neuromuscular fatigue and its etiology. Eighteen physically active males were assigned to a WBV group (n = 10) or a sham training group (SHAM; n = 8). The MVIC of the KE, voluntary activation, and electrically evoked responses of the KE were assessed (i) before and after a fatiguing exercise (i.e., submaximal isometric contraction) performed until failure, and (ii) before (PRE) and after a 6-week training (POST) period. At POST, the WBV training increased the KE MVIC (+12%, p = 0.001) and voluntary activation (+6%, p < 0.05) regardless of the fatiguing exercise. The time-to-exhaustion was also lengthened at POST in the WBV group (+34%, p < 0.001). Finally, the relative percentage of MVIC decrease after fatiguing exercises diminished in the WBV group between PRE and POST (−14% vs. −6%, respectively, p < 0.001). Significant neural adaptation enhancements account for the trend in KE strength improvements observed after the WBV training program. In addition, the WBV training was effective at increasing the time-to-exhaustion and attenuating neuromuscular fatigue. Full article

The intake of anthocyanin-rich New Zealand blackcurrant (NZBC) extract (300 mg per day) over a week enhanced 16.1 km cycling time trial (TT) performance in endurance-trained cyclists without acute performance effects. In the present study, the acute effects of an intake of 900 mg of NZBC extract 2 h before performing the 16.1 km cycling TT were examined. A total of 34 cyclists (26 males; 8 females) (age: 38 ± 7 years, $\dot{V}$O_2max: 57 ± 5 mL·kg⁻¹·min⁻¹) completed 4 16.1 km TTs (2 familiarization and 2 experimental trials) over 4 mornings on a home turbo-trainer connected with the online training simulator ZWIFT. There was no difference in time to complete the 16.1 km TT between conditions (placebo: 1422 ± 104 s; NZBC extract: 1414 ± 93 s, p = 0.07). However, when participants were split between faster (<1400 s; 1 female; 16 males) and slower (>1400 s; 7 females; 10 males) cyclists based on average familiarization TTs, a difference in TT performance was observed only in the slower group (placebo: 1499 ± 91 s; NZBC extract: 1479 ± 83 s, p = 0.02). At 12 km (quartile analysis), power output (p = 0.04) and speed (p = 0.04) were higher compared to the placebo with no effects on heart rate and cadence. The acute effects of 900 mg of NZBC extract on a 16.1 km cycling time-trial may depend on the performance ability of male endurance-trained cyclists. More work is needed to address whether there is a sex-specific time-trial effect of NZBC extract independent of performance ability. Full article