@article{CarlsohnCasselLinneetal.2011,
  author    = {Carlsohn, Anja and Cassel, Michael and Linne, Karsten and Mayer, Frank},
  title     = {How much is too much? - a case report of nutritional supplement use of a high-performance athlete},
  series = {The British journal of nutrition : an international journal devoted to the science of human and animal nutrition},
  volume    = {105},
  journal   = {The British journal of nutrition : an international journal devoted to the science of human and animal nutrition},
  number    = {12},
  publisher = {Cambridge Univ. Press},
  address   = {Cambridge},
  issn      = {0007-1145},
  doi       = {10.1017/S0007114510005556},
  pages     = {1724 -- 1728},
  year      = {2011},
  abstract  = {Although dietary nutrient intake is often adequate, nutritional supplement use is common among elite athletes. However, high-dose supplements or the use of multiple supplements may exceed the recommended daily allowance (RDA) of particular nutrients or even result in a daily intake above tolerable upper limits (UL). The present case report presents nutritional intake data and supplement use of a highly trained male swimmer competing at international level. Habitual energy and micronutrient intake were analysed by 3 d dietary reports. Supplement use and dosage were assessed, and total amount of nutrient supply was calculated. Micronutrient intake was evaluated based on RDA and UL as presented by the European Scientific Committee on Food, and maximum permitted levels in supplements (MPL) are given. The athlete's diet provided adequate micronutrient content well above RDA except for vitamin D. Simultaneous use of ten different supplements was reported, resulting in excess intake above tolerable UL for folate, vitamin E and Zn. Additionally, daily supplement dosage was considerably above MPL for nine micronutrients consumed as artificial products. Risks and possible side effects of exceeding UL by the athlete are discussed. Athletes with high energy intake may be at risk of exceeding UL of particular nutrients if multiple supplements are added. Therefore, dietary counselling of athletes should include assessment of habitual diet and nutritional supplement intake. Educating athletes to balance their diets instead of taking supplements might be prudent to prevent health risks that may occur with long-term excess nutrient intake.},
  language  = {en}
}
@article{KochCasselLinneetal.2014,
  author    = {Koch, Sarah and Cassel, Michael and Linne, Karsten and Mayer, Frank and Scharhag, J{\"u}rgen},
  title     = {ECG and echocardiographic findings in 10-15-year-old elite athletes},
  series = {European journal of preventive cardiology : the official ESC journal for primary \& secondary cardiovascular prevention, rehabilitation and sports cardiology},
  volume    = {21},
  journal   = {European journal of preventive cardiology : the official ESC journal for primary \& secondary cardiovascular prevention, rehabilitation and sports cardiology},
  number    = {6},
  publisher = {Sage Publ.},
  address   = {London},
  issn      = {2047-4873},
  doi       = {10.1177/2047487312462147},
  pages     = {774 -- 781},
  year      = {2014},
  abstract  = {Background: Data on electrocardiographic and echocardiographic pre-participation screening findings in paediatric athletes are limited.},
  language  = {en}
}
@inproceedings{HeydenreichCarlsohnLinneetal.2012,
  author    = {Heydenreich, Juliane and Carlsohn, Anja and Linne, Karsten and Mayer, Frank},
  title     = {Micronutrient intake in young athletes},
  series = {Medicine and science in sports and exercise : official journal of the American College of Sports Medicine},
  volume    = {44},
  booktitle = {Medicine and science in sports and exercise : official journal of the American College of Sports Medicine},
  number    = {1},
  publisher = {Lippincott Williams \& Wilkins},
  address   = {Philadelphia},
  issn      = {0195-9131},
  pages     = {951 -- 951},
  year      = {2012},
  language  = {en}
}
@misc{CarlsohnCasselLinneetal.2010,
  author    = {Carlsohn, Anja and Cassel, Michael and Linn{\´e}, Karsten and Mayer, Frank},
  title     = {How much is too much?},
  series = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {515},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-41291},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-412910},
  pages     = {5},
  year      = {2010},
  abstract  = {Although dietary nutrient intake is often adequate, nutritional supplement use is common among elite athletes. However, high-dose supplements or the use of multiple supplements may exceed the recommended daily allowance (RDA) of particular nutrients or even result in a daily intake above tolerable upper limits (UL). The present case report presents nutritional intake data and supplement use of a highly trained male swimmer competing at international level. Habitual energy and micronutrient intake were analysed by 3 d dietary reports. Supplement use and dosage were assessed, and total amount of nutrient supply was calculated. Micronutrient intake was evaluated based on RDA and UL as presented by the European Scientific Committee on Food, and maximum permitted levels in supplements (MPL) are given. The athlete's diet provided adequate micronutrient content well above RDA except for vitamin D. Simultaneous use of ten different supplements was reported, resulting in excess intake above tolerable UL for folate, vitamin E and Zn. Additionally, daily supplement dosage was considerably above MPL for nine micronutrients consumed as artificial products. Risks and possible side effects of exceeding UL by the athlete are discussed. Athletes with high energy intake may be at risk of exceeding UL of particular nutrients if multiple supplements are added. Therefore, dietary counselling of athletes should include assessment of habitual diet and nutritional supplement intake. Educating athletes to balance their diets instead of taking supplements might be prudent to prevent health risks that may occur with long-term excess nutrient intake.},
  language  = {en}
}
@misc{KochCasselLinneetal.2017,
  author    = {Koch, Sarah and Cassel, Michael and Linne, Karsten and Mayer, Frank and Scharhag, J{\"u}rgen},
  title     = {ECG and echocardiographic findings in 10-15-year-old elite athletes},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-403186},
  pages     = {8},
  year      = {2017},
  abstract  = {Background: Data on electrocardiographic and echocardiographic pre-participation screening findings in paediatric athletes are limited. Methods and results: 10-15 year-old athletes (n = 343) were screened using electro- and echocardiography. The electrocardiogram (ECG) was normal in 220 (64\%), mildly abnormal in 108 (31\%), and distinctly abnormal in 15 (4\%) athletes. Echocardiographic upper reference limits (URL, 97.5 percentile) for the left ventricular (LV) wall thickness in 10-11-year-old boys and girls were 9-10 mm and 8-9 mm, respectively; in 12-13-year-old boys and girls 9-10 mm; and in 14-15-year-old boys and girls 10-11 mm and 9-10 mm, respectively. Three athletes were excluded from competitive sports: one for symptomatic Wolff-Parkinson-White syndrome with a normal echocardiogram; one for negative T-waves in V-1-V-4 and a dilated right ventricle by echocardiography suggestive of (arrhythmogenic) right ventricular disease; and one for normal ECG and biscupid aortic valve including an aneurysm of the ascending aorta detected by echocardiography. Related to echocardiographic findings, the sensitivity and specificity of the ECG to identify cardiovascular abnormalities was 38\% and 64\%, respectively. The ECG's positive-predictive and negative-predictive values were 13\% and 88\%, respectively. The numbers needed to screen and calculated costs were 172 for ECG ( 7049), 172 for echocardiography ( 11,530), and 114 combining ECG and echocardiography ( 9323). Conclusions: Compared to adults, paediatric athletes presented with fewer distinctly abnormal ECGs, and there was no gender difference in paediatric athletes' ECG-pattern distribution. A combination of ECG and echocardiography for pre-participation screening of paediatric athletes is superior to ECG alone but 30\% more costly.},
  language  = {en}
}