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We examined young athletes during a triathlon performed in a hot climate. Complete or partial data were available for 95 athletes competing in the National Triathlon Championship in Costa Rica. Mean ± SD for age and body weight (BW) were 13.1 ± 2.5 years and 46.3 ± 11.5 kg, respectively. Race requirements included: 500 m swimming, 15 km cycling, 3.5 km running for juniors (9-13 years); 800 m swimming, 30 km cycling, 8 km running for seniors (14-17 years). WBGT on race day was >31 °C. BW recorded pre- and post-race was available for 92 athletes and performance data were available for 83 of these. Information regarding symptoms experienced during the race was available for 95 athletes. Change in BW (%ΔBW) was calculated and ranged from +0.6 to -2.4 % for junior boys (-1.2 ± 0.9 %), +0.7 to -2.5 % for junior girls (-1.3 ± 0.9 %), 0 to -2.8 % for senior girls (-1.3 ± 0.9 %), and +0.6 to -4.5 % for senior boys (-1.7 ± 1.1 %). Eighteen participants reported no medical symptoms. Of 77 participants who reported symptoms, 42.9 % reported exhaustion/fatigue, 36.4 % reported side stitch/cramp, and 23.4 % reported dizziness. Participants reporting no medical symptoms achieved almost identical (P = 0.99) %ΔBW as those reporting at least one symptom. %ΔBW was more negative (P = 0.005) in participants who reported dizziness (-1.9 %ΔBW) compared with those who did not (-1.4 %ΔBW). %ΔBW was associated with performance in junior girls (r = 0.47, P = 0.02) and senior boys (r = 0.51, P = 0.01), with a trend in junior boys (r = 0.41, P = 0.053) but not in senior girls (r = 0.004, P = 0.99). Young athletes participating in a triathlon in a hot climate can tolerate mild to moderate levels of dehydration, without detrimental effects to self-assessed health.
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http://dx.doi.org/10.1007/s00421-012-2431-8 | DOI Listing |
Am J Trop Med Hyg
December 2024
Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona.
Helicobacter pylori is one of the most common infectious agents linked to any malignancy. Recent studies report higher H. pylori prevalence and gastric cancer incidence rates in the Navajo Nation than in general U.
View Article and Find Full Text PDFHum Reprod
December 2024
Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
Study Question: To what extent are self-reported diagnoses of food allergies associated with fecundability, the per-cycle probability of conception?
Summary Answer: Fecundability was not appreciably associated with self-reported food allergy diagnoses, number of food allergies, age at first diagnosis, or time since last allergic reaction.
What Is Known Already: Food allergies are atopic diseases that are characterized by an inappropriate immune response to a normally harmless dietary substance. While some studies have observed associations between atopic disorders and infertility, no study has examined the association between food allergies and fecundability, the per-cycle probability of conception.
Hum Reprod
December 2024
Unit for Human Reproduction, 1st Dept of Obstetrics and Gynaecology, Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Study Question: Is the probability of pregnancy different between women using biosimilars versus the originator of follitropin alfa for ovarian stimulation in ART?
Summary Answer: Meta-analysis of eight randomized clinical trials (RCTs) suggests that live birth, clinical, and ongoing pregnancy rates are significantly lower with biosimilars of follitropin alfa compared to the originator.
What Is Known Already: All biosimilars of follitropin alfa have received regulatory approval by demonstrating non-inferiority in the number of retrieved oocytes compared to the originator. Nevertheless, the most clinically relevant outcome in ART for both clinicians and patients is live birth.
J Bone Joint Surg Am
December 2024
Department of Plastic and Reconstructive Surgery, Johns Hopkins University, Baltimore, Maryland.
Background: Previous research has estimated that over one-half of patients with orthopaedic trauma experience financial distress after the injury. However, it is unknown what proportion of patients lived under financial distress before the injury and, therefore, the causal effect of the injury on financial distress. This study examined changes in financial distress after the injury and factors associated with new post-injury financial distress.
View Article and Find Full Text PDFJ Infect Dis
December 2024
Biostatistics Research Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Background: The robustness and persistence of vaccine antigen-induced antibodies are often used as proxy indicators of vaccine efficacy, but immune responses to vaccine vectors are typically less well-defined. Our study considered the kinetics of immunoglobulin (IgG) responses against the vector (vesicular stomatitis Indiana virus [VSIV]) nucleoprotein (N) and the inserted antigen (Ebola virus [EBOV]) glycoprotein (GP1,2) components of the rVSVΔG-ZEBOV-GP (rVSV-ZEBOV) vaccine and evaluated their use as biomarkers to confirm self-reported vaccination status.
Methods: From the Partnership for Research on Ebola Virus in Liberia (PREVAIL) I clinical trial (NCT02344407), we randomly selected 212 participants who received rVSV-ZEBOV (n=107) or placebo (n=105).
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