Objective:  To present best-practice recommendations for the prevention, recognition, and treatment of exertional heat illnesses (EHIs) and to describe the relevant physiology of thermoregulation. ...

/pdf/national-athletic-trainers-association-position-statement-44l1th5sc2.pdf

National Athletic Trainers' Association Position Statement: Exertional Heat Illnesses

Position Statement: The position of The Society regarding caffeine supplementation and sport performance is summarized by the following seven points: 1.) Caffeine is effective for enhancing sport performance in trained athletes when consumed in low-to-moderate dosages (~3-6 mg/kg) and overall does not result in further enhancement in performance when consumed in higher dosages (≥ 9 mg/kg). 2.) Caffeine exerts a greater ergogenic effect when consumed in an anhydrous state as compared to coffee. 3.) It has been shown that caffeine can enhance vigilance during bouts of extended exhaustive exercise, as well as periods of sustained sleep deprivation. 4.) Caffeine is ergogenic for sustained maximal endurance exercise, and has been shown to be highly effective for time-trial performance. 5.) Caffeine supplementation is beneficial for high-intensity exercise, including team sports such as soccer and rugby, both of which are categorized by intermittent activity within a period of prolonged duration. 6.) The literature is equivocal when considering the effects of caffeine supplementation on strength-power performance, and additional research in this area is warranted. 7.) The scientific literature does not support caffeine-induced diuresis during exercise, or any harmful change in fluid balance that would negatively affect performance.

/pdf/international-society-of-sports-nutrition-position-stand-1fibenkpb4.pdf

International society of sports nutrition position stand: caffeine and performance

https://cyberleninka.org/article/n/662127.pdf

A review of caffeine's effects on cognitive, physical and occupational performance.

The consumption of energy drinks is rapidly increasing, as demonstrated by their large market growth. The targeted demographic group is teenagers, young adults, 18 to 34 y old; although expansion into nontraditional markets is also occurring. It is claimed that energy drinks can offer an increased energy boost related to their ingredient profile of caffeine, taurine, herbal extracts, and vitamins. Research suggests that energy drink formulations, in addition to increasing energy utilization, may also improve mood, enhance physical endurance, reduce mental fatigue, and increase reaction time. However, in most cases, the corresponding mechanisms of action are not clear. In addition, concerns have been raised over their safety and with a currently weak regulatory environment, efforts need to be made to ensure consumer safety. The objective of this article is to review the current U.S. energy drink market with emphasis on its market size, target demographic, active ingredients, potential benefits, safety, and regulations.

https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1541-4337.2010.00111.x

Energy Drinks: An Assessment of Their Market Size, Consumer Demographics, Ingredient Profile, Functionality, and Regulations in the United States

The aim of this study was to develop and test the practical utility of a perceived recovery status (PRS) scale. Sixteen volunteers (8 men, 8 women) performed 4 bouts of high-intensity intermittent sprint exercise. After completion of the baseline trial, in a repeated-measures design, subjects were given variable counterbalanced recovery periods of 24, 48, and 72 hours whereupon they repeated an identical intermittent exercise protocol. After a warm-up period, but before beginning each subsequent bout of intermittent sprinting, each individual provided their perceived level of recovery with a newly developed PRS scale. Similar to perceived exertion during exercise, PRS was based on subjective feelings. The utility of the PRS scale was assessed by measuring the level of agreement of an individual's perceived recovery relative to their performance during the exercise bout. Perceived recovery status and change (both positive and negative) in sprint performance during multiple bouts of repeated sprint exercise were moderately negative correlated (r = -0.63). Additionally, subjects were able to accurately assess level of recovery using the PRS scale indicated by correspondence with negative and positive changes in total sprint time relative to their previous session. The ability to detect changes in performance using a noninvasive psychobiological tool to identify differences in performance was independent of other psychological and physiological markers measured during testing, because there were no differences (p > 0.05) among ratings of perceived exertion (RPE), heart rate, blood lactate concentration, or session RPE values among any of the performance trials. Although further study is needed, current results indicate a subjective approach may be an effective means for assessing recovery from day to day, at least under similar conditions.

A practical approach to monitoring recovery: development of a perceived recovery status scale.

The effect caffeine elicits on endurance performance is well founded. However, comparatively less research has been conducted on the ergogenic potential of anaerobic performance. Some studies showing no effect of caffeine on performance used untrained subjects and designs often not conducive to observing an ergogenic effect. Recent studies incorporating trained subjects and paradigms specific to intermittent sports activity support the notion that caffeine is ergogenic to an extent with anaerobic exercise. Caffeine seems highly ergogenic for speed endurance exercise ranging in duration from 60 to 180 seconds. However, other traditional models examining power output (i.e. 30-second Wingate test) have shown minimal effect of caffeine on performance. Conversely, studies employing sport-specific methodologies (i.e. hockey, rugby, soccer) with shorter duration (i.e. 4–6 seconds) show caffeine to be ergogenic during high-intensity intermittent exercise. Recent studies show caffeine affects isometric maximal force and offers introductory evidence for enhanced muscle endurance for lower body musculature. However, isokinetic peak torque, one-repetition maximum and muscular endurance for upper body musculature are less clear. Since relatively few studies exist with resistance training, a definite conclusion cannot be reached on the extent caffeine affects performance.

Caffeine and anaerobic performance: ergogenic value and mechanisms of action.

Clothing targeting the exercise enthusiast has been advertised to keep individuals drier, cooler, and more comfortable during exercise in the heat. The marketing of such clothing has increased dramatically within the last decade. In hot environments, clothing acts as a barrier to thermal balance by inhibiting evaporative and convective cooling. Clothing construction, fit, and fabric are all critical influences on the amount of sweat absorbed from the skin and transported throughout the clothing. The majority of the research analyzing advertised synthetic fabrics has shown no difference in thermoregulation or clothing comfort while exercising in those fabrics in the heat compared to natural fabrics. The influence of clothing construction on thermal balance has received minimal research in regards to exercise. Further research is needed in this area, since it is poorly understood from ecologically valid human testing. Future research should also consider examining the effects of clothing characteristics on comfort during exercise and recovery. The incorporation of protocols that more closely mirror sporting and recreational activity lasting >60 min as well as simulated work-related protocols lasting >120 min is warranted.

Impact of clothing on exercise in the heat

AB Purpose: Cold water immersion (CWI) provides rapid cooling in events of exertional heat stroke. Optimal procedures for CWI in the field are not well established. This meta-analysis aimed to provide structured analysis of the effectiveness of CWI on the cooling rate in healthy adults subjected to exercise-induced hyperthermia. Methods: An electronic search (December 2014) was conducted using the PubMed and Web of Science. The mean difference of the cooling rate between CWI and passive recovery was calculated. Pooled analyses were based on a random-effects model. Sources of heterogeneity were identified through a mixed-effects model Q statistic. Inferential statistics aggregated the CWI cooling rate for extrapolation. Results: Nineteen studies qualified for inclusion. Results demonstrate CWI elicited a significant effect: mean difference, 0.03[degrees]C[middle dot]min-1; 95% confidence interval, 0.03-0.04[degrees]C[middle dot]min-1. A conservative, observed estimate of the CWI cooling rate was 0.08[degrees]C[middle dot]min-1 across various conditions. CWI cooled individuals twice as fast as passive recovery. Subgroup analyses revealed that cooling was more effective (Q test P =38.6[degrees]C, immersion water temperature =20[degrees]C, immersion duration <=10 min, and using torso plus limbs immersion. There is insufficient evidence of effect using forearms/hands CWI for rapid cooling: mean difference, 0.01[degrees]C[middle dot]min-1; 95% confidence interval, -0.01[degrees]C[middle dot]min-1 to 0.04[degrees]C[middle dot]min-1. A combined data summary, pertaining to 607 subjects from 29 relevant studies, was presented for referencing the weighted cooling rate and recovery time, aiming for practitioners to better plan emergency procedures. Conclusions: An optimal procedure for yielding high cooling rates is proposed. Using prompt vigorous CWI should be encouraged for treating exercise-induced hyperthermia whenever possible, using cold water temperature (approximately 10[degrees]C) and maximizing body surface contact (whole-body immersion).

Optimizing Cold Water Immersion for Exercise-Induced Hyperthermia: A Meta-analysis.

PURPOSE: This study examined effects of heat gain, circulatory adjustment to temperature regulation (HR), and [La] consequent to interval (INT) and constant-load (CON) cycling on session RPE (S-RPE). METHODS: Male volunteers (N = 10) completed a cycle ergometer VO2peak test and then, in a randomized, counterbalanced order, four cycling bouts, including constant load (approximately 45% VO2peak) (CON) and interval (8 x 1 min at about 90% VO2peak, 1 min between intervals) (INT), in hot (approximately 32.5 WBGT) (HOT) and cool (approximately 21.0 WBGT) (COOL) environments. Trials included a standardized warm-up and cool-down (10 min each: 0 W, 60 rpm). Total external work was equated among all trials, with blood lactate ([La]), heart rate (HR), rectal temperature (Tre), and acute RPE recorded at 10, 13, 17, 21, 25, and 36 min. S-RPE was recorded 20 min after each session. RESULTS: HOT (CON and INT) resulted in significantly (P < 0.05) greater heat gain (Tre), HR, and RPE-O, whereas INT had significantly elevated [La] versus CON (HOT and COOL). HOT yielded significantly higher S-RPE versus COOL for CON (HOT = 5.6 +/- 2.1, COOL = 4.3 +/- 1.3) and INT (HOT = 7.0 +/- 1.9, COOL = 5.1 +/- 2.0). S-RPE was significantly higher for INT/HOT than CON/HOT. CONCLUSIONS: Heat gain and cardiac strain (Tre, HR) and [La]) were manipulated with environment and exercise type while holding total work constant. The added strain of HOT was reflected in elevated S-RPE for both CON and INT. S-RPE linkage with [La] was limited to HOT trials, indicating only a loose association. These data indicate that under the conditions of this study, S-RPE is similar to acute RPE in that no single mediator seems universally dominant.

Session RPE following interval and constant-resistance cycling in hot and cool environments.

This study examined heat stress, heart rate (HR), fluid balance, micro-environment temperature and humidity with Islamic athletic clothing (IC) compared to traditional soccer uniform (SC). Ratings of perceived exertion (RPE), session RPE (S-RPE), comfort, and cooling response were also examined. Female volunteers (N = 8) completed a treadmill [Formula: see text] test and then, in a randomized, counter-balanced order, two intermittent running bouts (45 min total) in a hot environment (30.0°C WBGT) in IC and SC. Thereafter, participants sat for 40 min in the hot ambient environment. Repeated measures ANOVA revealed significantly greater micro-environment temperature (p = 0.02) (IC 33.3 ± 3.2°C, SC 32.0 ± 2.8°C) and humidity (p = 0.04) (IC 48.4 ± 8.1%, SC 42.9 ± 7.9%) in IC during the exercise trial but no difference in the 40-min recovery period for micro-environment temperature (p = 0.25) or humidity (p = 0.18). No significant difference (p > 0.05) was shown for core temperature (T (rec)) (IC 38.3 ± 0.4°C, SC 38.2 ± 0.4°C), HR (IC l54 ± 28 beats min(-1), SC 151 ± 26 beats min(-1)) or RPE (IC 4.7 ± 2.1, SC 3.8 ± 1.7) during the exercise trial or recovery period. Results from a paired t test revealed a significantly greater (p < 0.05) S-RPE (IC 5.8 ± 1.2, SC 4.3 ± 1.9), sweat loss (IC 1.4 ± 0.4 L h(-1), SC 1.2 ± 0.4 L h(-1)) and greater discomfort during the exercise and recovery period for the IC. IC clothing appears to have no detrimental effects on heat storage or heat strain during exercise or recovery.

Jon-Kyle Davis

Papers

Caffeine and anaerobic performance: ergogenic value and mechanisms of action.

Impact of clothing on exercise in the heat

Optimizing Cold Water Immersion for Exercise-Induced Hyperthermia: A Meta-analysis.

Session RPE following interval and constant-resistance cycling in hot and cool environments.

Fluid balance, thermal stress, and post exercise response in women's Islamic athletic clothing.