This essay summarizes and integrates my experiences and observations-starting in the middle 1970s-as an athlete, scientist interested in human performance, biomedical researcher, and "expert," who sometimes advises athletes, coaches, and sports policy-makers. In this context, my focus has been primarily on endurance sports and five concepts underpin what I have learned over the last 50 years. (1) The "competitive significance principle" whereby athletes, coaches, and policy-makers are frequently interested in performance improvements of 1% or less. This is especially true at the elite level. (2) Science frequently explains what coaches and athletes have already discovered in the field. (3) Many science-based performance improvements have reduced the energy cost of moving a given speed. (4) Varied and eclectic training programs have been used by elite athletes with similar performance outcomes. (5) A few things that are actionable matter. Coaches, athletes, and administrators should focus their efforts on what is actionable.
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Gut Microbes
December 2025
MOE/NHC/CAMS Key Lab of Medical Molecular Virology, School of Basic Medical Sciences, & National Clinical Research Center for Aging and Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
The gut microbiota plays a pivotal role in anxiety regulation through pathways involving neurotransmitter production, immune signaling, and metabolic interactions. Among these, gut-derived serotonin (5-hydroxytryptamine, 5-HT), synthesized from tryptophan metabolism, has been identified as a key mediator. However, it remains unclear whether specific microbial factors regulate tryptophan metabolism to influence 5-HT production and anxiety regulation.
View Article and Find Full Text PDFAm J Sports Med
January 2025
Department of Orthopedics and Sports Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Background: In 2014, Costello and colleagues published a sentinel paper spotlighting the large disparity of female versus male representation within sports science and sports medicine (SSSM) research.
Purpose: To (1) revisit the method published by Costello et al a decade later to evaluate female representation and (2) ascertain whether study designs account for menstrual status.
Study Design: Systematic Review; Level of evidence, 4.
Med Sci Sports Exerc
January 2025
Technical University of Munich, Germany; TUM School of Medicine and Health, Department of Health and Sport Sciences, Munich, GERMANY.
Purpose: The purpose was to evaluate the individual and combined use of the Low Energy Availability in Females Questionnaire (LEAF-Q) and the Brief Eating Disorder in Athletes Questionnaire (BEDA-Q) to detect clinical indicators associated with Relative Energy Deficiency in Sport (REDs).
Methods: In this cross-sectional study, 50 female endurance athletes training ≥4x/week completed the LEAF-Q and BEDA-Q and were assessed for presence of selected REDs indicators. Athletes meeting the criteria for mild or more severe REDs severity/risk according to the International Olympic Committee REDs Clinical Assessment Tool Version 2 (IOC REDs CAT2) were classified as REDs cases.
BMC Psychol
January 2025
Research Center in Sport, Health, and Human Development (CIDESD), 5000-558 Vila Real, Portugal.
This study aims to validate the Portuguese version of the Satisfaction with Life Scale (Cronbach's alpha = 0.82) and the Positive and Negative Affect Scale (Cronbach's alpha = 0.86 for positive affect and 0.
View Article and Find Full Text PDFThe Latarjet procedure is a successful treatment for anterior shoulder instability with less than 5% having redislocations - revision surgery and prior surgery having been shown to be significant risk factors for recurrence. Approximately 90% of athletes return to play after Latarjet, comparable to arthroscopic Bankart repair. Patients may be physically unable to return to play, which may be due to persistent pain, apprehension, or weakness.
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