@article{BehmAlizadehHadjizedahAnvaretal.2021,
  author    = {Behm, David G. and Alizadeh, Shahab and Hadjizedah Anvar, Saman and Hanlon, Courtney and Ramsay, Emma and Mahmoud, Mohamed Mamdouh Ibrahim and Whitten, Joseph and Fisher, James P. and Prieske, Olaf and Chaabene, Helmi and Granacher, Urs and Steele, James},
  title     = {Non-local muscle fatigue effects on muscle strength, power, and endurance in healthy individuals},
  series = {Sports medicine : the world's premier sports medicine preview journal},
  volume    = {51},
  journal   = {Sports medicine : the world's premier sports medicine preview journal},
  number    = {9},
  publisher = {Springer},
  address   = {Berlin [u.a.]},
  issn      = {0112-1642},
  doi       = {10.1007/s40279-021-01456-3},
  pages     = {1893 -- 1907},
  year      = {2021},
  abstract  = {Background The fatigue of a muscle or muscle group can produce global responses to a variety of systems (i.e., cardiovascular, endocrine, and others). There are also reported strength and endurance impairments of non-exercised muscles following the fatigue of another muscle; however, the literature is inconsistent. Objective To examine whether non-local muscle fatigue (NLMF) occurs following the performance of a fatiguing bout of exercise of a different muscle(s). Design Systematic review and meta-analysis. Search and Inclusion A systematic literature search using a Boolean search strategy was conducted with PubMed, SPORTDiscus, Web of Science, and Google Scholar in April 2020, and was supplemented with additional 'snowballing' searches up to September 2020. To be included in our analysis, studies had to include at least one intentional performance measure (i.e., strength, endurance, or power), which if reduced could be considered evidence of muscle fatigue, and also had to include the implementation of a fatiguing protocol to a location (i.e., limb or limbs) that differed to those for which performance was measured. We excluded studies that measured only mechanistic variables such as electromyographic activity, or spinal/supraspinal excitability. After search and screening, 52 studies were eligible for inclusion including 57 groups of participants (median sample = 11) and a total of 303 participants. Results The main multilevel meta-analysis model including all effects sizes (278 across 50 clusters [median = 4, range = 1 to 18 effects per cluster) revealed a trivial point estimate with high precision for the interval estimate [- 0.02 (95\% CIs = - 0.14 to 0.09)], yet with substantial heterogeneity (Q((277)) = 642.3, p < 0.01), I-2 = 67.4\%). Subgroup and meta-regression analyses showed that NLMF effects were not moderated by study design (between vs. within-participant), homologous vs. heterologous effects, upper or lower body effects, participant training status, sex, age, the time of post-fatigue protocol measurement, or the severity of the fatigue protocol. However, there did appear to be an effect of type of outcome measure where both strength [0.11 (95\% CIs = 0.01-0.21)] and power outcomes had trivial effects [- 0.01 (95\% CIs = - 0.24 to 0.22)], whereas endurance outcomes showed moderate albeit imprecise effects [- 0.54 (95\% CIs = - 0.95 to - 0.14)]. Conclusions Overall, the findings do not support the existence of a general NLMF effect; however, when examining specific types of performance outcomes, there may be an effect specifically upon endurance-based outcomes (i.e., time to task failure). However, there are relatively fewer studies that have examined endurance effects or mechanisms explaining this possible effect, in addition to fewer studies including women or younger and older participants, and considering causal effects of prior training history through the use of longitudinal intervention study designs. Thus, it seems pertinent that future research on NLMF effects should be redirected towards these still relatively unexplored areas.},
  language  = {en}
}
@article{SaidiBenAbderrahmanHackneyetal.2021,
  author    = {Saidi, Karim and Ben Abderrahman, Abderraouf and Hackney, Anthony C. and Bideau, Benoit and Zouita, Sghaeir and Granacher, Urs and Zouhal, Hassane},
  title     = {Hematology, hormones, inflammation, and muscle damage in elite and professional soccer players},
  series = {Sports medicine : the world's premier sports medicine preview journal},
  volume    = {51},
  journal   = {Sports medicine : the world's premier sports medicine preview journal},
  number    = {12},
  publisher = {Springer},
  address   = {Berlin [u.a.]},
  issn      = {0112-1642},
  doi       = {10.1007/s40279-021-01522-w},
  pages     = {2607 -- 2627},
  year      = {2021},
  abstract  = {Background Knowledge of the long-term effects of soccer training on hematological, hormonal, inflammatory, and muscle damage markers and physical performance may help to better design strength and conditioning programs for performance development and injury prevention for the individual player and the team. Objectives The aim of this systematic review was to summarize and discuss evidence on the long-term effects of soccer training on selected hematological, hormonal, inflammatory, and muscle damage markers and physical performance in elite and professional soccer players. A second goal was to investigate associations between selected physiological markers and measures of performance. Methods Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, a systematic literature search was conducted in four electronic databases (PubMed, ISI Web of Knowledge, Web of Science, and SPORTDiscus) from inception until August 2020 to identify articles related to soccer training effects. To be included in this systematic review, studies had to examine male elite (national level) and/or professional (international level) soccer players aged > 17 years and a soccer training period > 4 weeks, and report outcomes related to hematological, hormonal, inflammatory, muscle damage, and performance markers. Results The search syntax initially identified 2420 records. After screening titles, abstracts, and full texts, 20 eligible studies were included in this systematic review, with training durations lasting between 4 and 18 weeks in 15 studies, around 6 months in four studies, and around 1 year in one study. Effects of long-term soccer training revealed parameter-specific increases or decreases in hematological, hormonal, inflammatory, and muscle damage markers and physical performance. Two studies showed a moderate increase in hematological markers such as hemoglobin (effect size [ES] = 0.67-0.93). Parameter-specific changes were noted for hormonal markers in the form of increases for total testosterone (ES = 0.20-0.67) and free testosterone (FT) (ES = 0.20-0.65) and decreases for cortisol (ES = - 0.28 to - 1.31). Finally, moderate to very large increases were found for muscle damage markers such as creatine kinase (ES = 0.94-6.80) and physical performance such as countermovement jump (CMJ) height (ES = 0.50-1.11) and squat jump (SJ) height (ES = 0.65-1.28). After long-term periods of soccer training, significant positive correlations were found between percentage change (Delta\%) in FT and Delta\% in CMJ height (r = 0.94; p = 0.04) and between Delta\% in total testosterone/cortisol (TT/C) ratio and Delta\% in SJ (r = 0.89; p = 0.03). Conclusions Findings suggest that long-term soccer training induces increases/decreases in hematological, hormonal, inflammatory, and muscle damage markers and physical performance in male elite and professional soccer players. These fluctuations can be explained by different contextual factors (e.g., training load, duration of training, psychological factors, mood state). Interestingly, the observed changes in hormonal parameters (FT and TT/C) were related to vertical jump performance changes (e.g., CMJ and SJ). Anabolic hormones and TT/C can possibly be used as a tool to identify physical performance alteration after long-term soccer training.},
  language  = {en}
}
@article{MuecksteinHeinzelGranacheretal.2022,
  author    = {M{\"u}ckstein, Marie and Heinzel, Stephan and Granacher, Urs and Brahms, Markus and Rapp, Michael A. and Stelzel, Christine},
  title     = {Modality-specific effects of mental fatigue in multitasking},
  series = {Acta psychologica : international journal of psychonomics},
  volume    = {230},
  journal   = {Acta psychologica : international journal of psychonomics},
  publisher = {Elsevier},
  address   = {Amsterdam},
  issn      = {0001-6918},
  doi       = {10.1016/j.actpsy.2022.103766},
  pages     = {12},
  year      = {2022},
  abstract  = {The mechanisms underlying increased dual-task costs in the comparison of modality compatible stimulus -response mappings (e.g., visual-manual, auditory-vocal) and modality incompatible mappings (e.g., visual -vocal, auditory-manual) remain elusive. To investigate whether additional control mechanisms are at work in simultaneously processing two modality incompatible mappings, we applied a transfer logic between both types of dual-task mappings in the context of a mental fatigue induction. We expected an increase in dual-task costs for both modality mappings after a fatigue induction with modality compatible tasks. In contrast, we expected an additional, selective increase in modality incompatible dual-task costs after a fatigue induction with modality incompatible tasks. We tested a group of 45young individuals (19-30 years) in an online pre-post design, in which participants were assigned to one of three groups. The two fatigue groups completed a 90-min time-on -task intervention with a dual task comprising either compatible or incompatible modality mappings. The third group paused for 90 min as a passive control group. Pre and post-session contained single and dual tasks in both modality mappings for all participants. In addition to behavioral performance measurements, seven subjective items (effort, focus, subjective fatigue, motivation, frustration, mental and physical capacity) were analyzed. Mean dual-task performance during and after the intervention indicated a practice effect instead of the presumed fatigue effect for all three groups. The modality incompatible intervention group showed a selective performance improvement for the modality incompatible mapping but no transfer to the modality compatible dual task. In contrast, the compatible intervention group showed moderately improved performance in both modality map-pings. Still, participants reported increased subjective fatigue and reduced motivation after the fatigue inter-vention. This dynamic interplay of training and fatigue effects suggests that high control demands were involved in the prolonged performance of a modality incompatible dual task, which are separable from modality compatible dual-task demands.},
  language  = {en}
}
@article{SandauGranacher2022,
  author    = {Sandau, Ingo and Granacher, Urs},
  title     = {Long-term monitoring of training load, force-velocity profile, and Performance in elite weightlifters: a case series with two male Olympic athletes},
  series = {Journal of strength and conditioning research : the research journal of the NSCA},
  volume    = {36},
  journal   = {Journal of strength and conditioning research : the research journal of the NSCA},
  number    = {12},
  publisher = {Lippincott Williams \& Wilkins},
  address   = {Philadelphia, Pa.},
  issn      = {1064-8011},
  doi       = {10.1519/JSC.0000000000004228},
  pages     = {3446 -- 3455},
  year      = {2022},
  abstract  = {The aim of this case series approach was to analyze weekly changes in force-velocity relationship (FvR) parameters ((v) over bar, (F) over bar (0), (P) over bar (max)) and theoretical snatch performance (snatchth) assessed through a specific snatch pull test in preparation of the European and World Championships in 2 male elite weightlifters. A second aim was to examine associations of training load (volume, volume load, average load), barbell -, and snatchth over a period of 2 macrocycles in preparation of the same competitions. FvR-parameters, snatchth, training load data, and body mass were assessed weekly over 40 weeks. Using the smallest real difference approach, significant (p <= 0.05) decreases in (v) over bar (0) and increases in (v) over bar, (F) over bar (0), (P) over bar (max), and snatchth were found within macrocycles. However, the large significant loss in body mass (approximate to 11\%) in athlete 1 during macrocycle 2 represents most likely a main factor for diminished (P) over bar (max), and snatchth in macrocycle 2. Based on cross-correlation analyses, barbell FvR-parameters and snatchth were significantly (p <= 0.05) associated with maximal strength, muscle power, and speed training load variables. Moderate correlations (0.31-0.47) were found between training load and (P) over bar (max) and snatchth in athlete 2. It can be concluded that the applied training loads elicits improvements in <(P)(max) and snatchth because the athlete approached the main competitions. However, because of the large loss in body mass, the relations between training load and barbell FvR-parameters and snatchth were less clear in athlete 1. It seems that a loss in body mass as a result of a change in bodyweight category mitigates <(P)over bar>(max) development during the macrocycle and hindered to reach peak snatchth at the main competitions.},
  language  = {en}
}
@article{ZhouFischerBrahmsetal.2023,
  author    = {Zhou, Lin and Fischer, Eric and Brahms, Clemens Markus and Granacher, Urs and Arnrich, Bert},
  title     = {DUO-GAIT},
  series = {Scientific data},
  volume    = {10},
  journal   = {Scientific data},
  number    = {1},
  publisher = {Nature Publ. Group},
  address   = {London},
  issn      = {2052-4463},
  doi       = {10.1038/s41597-023-02391-w},
  pages     = {10},
  year      = {2023},
  abstract  = {In recent years, there has been a growing interest in developing and evaluating gait analysis algorithms based on inertial measurement unit (IMU) data, which has important implications, including sports, assessment of diseases, and rehabilitation. Multi-tasking and physical fatigue are two relevant aspects of daily life gait monitoring, but there is a lack of publicly available datasets to support the development and testing of methods using a mobile IMU setup. We present a dataset consisting of 6-minute walks under single- (only walking) and dual-task (walking while performing a cognitive task) conditions in unfatigued and fatigued states from sixteen healthy adults. Especially, nine IMUs were placed on the head, chest, lower back, wrists, legs, and feet to record under each of the above-mentioned conditions. The dataset also includes a rich set of spatio-temporal gait parameters that capture the aspects of pace, symmetry, and variability, as well as additional study-related information to support further analysis. This dataset can serve as a foundation for future research on gait monitoring in free-living environments.},
  language  = {en}
}
@article{JebabliZouhalBoullosaetal.2022,
  author    = {Jebabli, Nidhal and Zouhal, Hassane and Boullosa, Daniel and Govindasamy, Karuppasamy and Tourny, Claire and Hackney, Anthony C. and Granacher, Urs and Ben Abderrahman, Abderraouf},
  title     = {The effects of preferred music and its timing on performance, pacing, and psychophysiological responses during the 6-min test},
  series = {Journal of human kinetics},
  volume    = {82},
  journal   = {Journal of human kinetics},
  number    = {1},
  publisher = {Academy of Physical Education},
  address   = {Katowice},
  issn      = {1640-5544},
  doi       = {10.2478/hukin-2022-0038},
  pages     = {123 -- 133},
  year      = {2022},
  abstract  = {The aim of this study was to investigate the effects of listening to preferred music during a warm up or exercise, on performance during a 6-min all-out exercise test (6-MT) in young adult males. Twenty-five healthy males volunteered to participate in this study. Following a within subject design, participants performed three test conditions (MDT: music during the test; MDW: music during the warm-up; WM: without music) in random order. Outcomes included mean running speed over the 6-min test (MRS6), total distance covered (TDC), heart rate responses (HRpeak, HRmean), blood lactate (3-min after the test), and the rating of perceived exertion (RPE); additionally, feeling scale scores were recorded. Listening to preferred music during running resulted in significant TDC (Delta up arrow 10\%, p=0.006, ES=0.80) and MRS6 (Delta up arrow 14\%, p=0.012, ES=1.02) improvement during the 6-MT, improvement was also noted for the warm-up with music condition (TDC:Delta up arrow 8\%, p=0.028, ES=0.63; MRS6:Delta up arrow 8\%, p=0.032, ES=0.61). A similar reverse "J-shaped" pacing profile was detected during the three conditions. Blood lactate was lower in the MDT condition by 8\% (p=0.01, ES=1.10), but not the MDW condition, compared to MW. In addition, no statistically significant differences were found between the test sessions for the HR, RPE, and feeling scale scores. In conclusion, listening to music during exercise testing would be more beneficial for optimal TDC and MRS6 performances compared to MDW and WM.},
  language  = {en}
}
@article{TeichFuehnerBaehretal.2023,
  author    = {Teich, Paula and F{\"u}hner, Thea Heidi and Baehr, Florian and Puta, Christian and Granacher, Urs and Kliegl, Reinhold},
  title     = {Covid pandemic effects on the physical fitness of primary school children},
  series = {Sports Medicine - Open},
  volume    = {9},
  journal   = {Sports Medicine - Open},
  number    = {1},
  publisher = {Springer},
  address   = {New York},
  issn      = {2198-9761},
  doi       = {10.1186/s40798-023-00624-1},
  pages     = {19},
  year      = {2023},
  abstract  = {BackgroundIn spring of 2020, the Sars-CoV-2 incidence rate increased rapidly in Germany and around the world. Throughout the next 2 years, schools were temporarily closed and social distancing measures were put in place to slow the spread of the Covid-19 virus. Did these social restrictions and temporary school lockdowns affect children's physical fitness? The EMOTIKON project annually tests the physical fitness of all third-graders in the Federal State of Brandenburg, Germany. The tests assess cardiorespiratory endurance (6-min-run test), coordination (star-run test), speed (20-m sprint test), lower (powerLOW, standing long jump test), and upper (powerUP, ball-push test) limbs muscle power, and static balance (one-legged stance test with eyes closed). A total of 125,893 children were tested in the falls from 2016 to 2022. Primary analyses focused on 98,510 keyage third-graders (i.e., school enrollment according to the legal key date, aged 8 to 9 years) from 515 schools. Secondary analyses included 27,383 older-than-keyage third-graders (i.e., OTK, delayed school enrollment or repetition of a grade, aged 9 to 10 years), who have been shown to exhibit lower physical fitness than expected for their age. Linear mixed models fitted pre-pandemic quadratic secular trends, and took into account differences between children and schools.ResultsThird-graders exhibited lower cardiorespiratory endurance, coordination, speed and powerUP in the Covid pandemic cohorts (2020-2022) compared to the pre-pandemic cohorts (2016-2019). Children's powerLOW and static balance were higher in the pandemic cohorts compared to the pre-pandemic cohorts. From 2020 to 2021, coordination, powerLOW and powerUP further declined. Evidence for some post-pandemic physical fitness catch-up was restricted to powerUP. Cohen's |ds| for comparisons of the pandemic cohorts 2020-2022 with pre-pandemic cohorts 2016-2019 ranged from 0.02 for powerLOW to 0.15 for coordination. Within the pandemic cohorts, keyage children exhibited developmental losses ranging from approximately 1 month for speed to 5 months for cardiorespiratory endurance. For powerLOW and static balance, the positive pandemic effects translate to developmental gains of 1 and 7 months, respectively. Pre-pandemic secular trends may account for some of the observed differences between pandemic and pre-pandemic cohorts, especially in powerLOW, powerUP and static balance. The pandemic further increased developmental delays of OTK children in cardiorespiratory endurance, powerUP and balance.ConclusionsThe Covid-19 pandemic was associated with declines in several physical fitness components in German third-graders. Pandemic effects are still visible in 2022. Health-related interventions should specifically target those physical fitness components that were negatively affected by the pandemic (cardiorespiratory endurance, coordination, speed).},
  language  = {en}
}
@article{TeichFuehnerGranacheretal.2023,
  author    = {Teich, Paula and F{\"u}hner, Thea Heidi and Granacher, Urs and Kliegl, Reinhold},
  title     = {Physical fitness of primary school children differs depending on their timing of school enrollment},
  series = {Scientific reports},
  volume    = {13},
  journal   = {Scientific reports},
  number    = {1},
  publisher = {Springer Nature},
  address   = {London},
  issn      = {2045-2322},
  doi       = {10.1038/s41598-023-35727-y},
  pages     = {16},
  year      = {2023},
  abstract  = {Previous research has shown that children who were enrolled to school according to the legal key date (i.e., keyage children, between eight and nine years in third grade) exhibited a linear physical fitness development in the ninth year of life. In contrast, children who were enrolled with a delay (i.e., older-than-keyage children [OTK], between nine and ten years in third grade) exhibited a lower physical fitness compared to what would be expected for their age. In these studies, cross-sectional age differences within third grade and timing of school enrollment were confounded. The present study investigated the longitudinal development of keyage and OTK children from third to fifth grade. This design also afforded a comparison of the two groups at the same average chronological age, that is a dissociation of the effects of timing of school enrollment and age. We tested six physical fitness components: cardiorespiratory endurance, coordination, speed, power of lower and upper limbs, and static balance. 1502 children (i.e., 1206 keyage and 296 OTK children) from 35 schools were tested in third, fourth, and fifth grade. Except for cardiorespiratory endurance, both groups developed from third to fourth and from fourth to fifth grade and keyage children outperformed OTK children at the average ages of 9.5 or 10.5 years. For cardiorespiratory endurance, there was no significant gain from fourth to fifth grade and keyage and OTK children did not differ significantly at 10.5 years of age. One reason for a delayed school enrollment could be that a child is (or is perceived as) biologically younger than their chronological age at the school entry examination, implying a negative correlation between chronological and biological age for OTK children. Indeed, a simple reflection of chronological age brought the developmental rate of the chronologically youngest OTK children in line with the developmental rate observed for keyage children, but did not eliminate all differences. The mapping of chronological and biological age of OTK children and other possible reasons for lower physical fitness of OTK children remain a task for future research.},
  language  = {en}
}
@article{DelfanJuybariGorganiFiruzjaeeetal.2022,
  author    = {Delfan, Maryam and Juybari, Raheleh Amadeh and Gorgani-Firuzjaee, Sattar and H{\o}iriis Nielsen, Jens and Delfan, Neda and Laher, Ismail and Saeidi, Ayoub and Granacher, Urs and Zouhal, Hassane},
  title     = {High-intensity interval training improves cardiac function by miR-206 dependent HSP60 induction in diabetic rats},
  series = {Frontiers in cardiovascular medicine},
  volume    = {9},
  journal   = {Frontiers in cardiovascular medicine},
  publisher = {Frontiers Media},
  address   = {Lausanne},
  issn      = {2297-055X},
  doi       = {10.3389/fcvm.2022.927956},
  pages     = {11},
  year      = {2022},
  abstract  = {ObjectiveA role for microRNAs is implicated in several biological and pathological processes. We investigated the effects of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on molecular markers of diabetic cardiomyopathy in rats. MethodsEighteen male Wistar rats (260 +/- 10 g; aged 8 weeks) with streptozotocin (STZ)-induced type 1 diabetes mellitus (55 mg/kg, IP) were randomly allocated to three groups: control, MICT, and HIIT. The two different training protocols were performed 5 days each week for 5 weeks. Cardiac performance (end-systolic and end-diastolic dimensions, ejection fraction), the expression of miR-206, HSP60, and markers of apoptosis (cleaved PARP and cytochrome C) were determined at the end of the exercise interventions. ResultsBoth exercise interventions (HIIT and MICT) decreased blood glucose levels and improved cardiac performance, with greater changes in the HIIT group (p < 0.001, eta(2): 0.909). While the expressions of miR-206 and apoptotic markers decreased in both training protocols (p < 0.001, eta(2): 0.967), HIIT caused greater reductions in apoptotic markers and produced a 20\% greater reduction in miR-206 compared with the MICT protocol (p < 0.001). Furthermore, both training protocols enhanced the expression of HSP60 (p < 0.001, eta(2): 0.976), with a nearly 50\% greater increase in the HIIT group compared with MICT. ConclusionsOur results indicate that both exercise protocols, HIIT and MICT, have the potential to reduce diabetic cardiomyopathy by modifying the expression of miR-206 and its downstream targets of apoptosis. It seems however that HIIT is even more effective than MICT to modulate these molecular markers.},
  language  = {en}
}
@article{SaidiZouhalBoullosaetal.2022,
  author    = {Saidi, Karim and Zouhal, Hassane and Boullosa, Daniel and Dupont, Gregory and Hackney, Anthony C. and Bideau, Benoit and Granacher, Urs and Ben Abderrahman, Abderraouf},
  title     = {Biochemical markers and wellness status during a congested match play period in elite soccer players},
  series = {International journal of sports physiology and performance : IJSSP},
  volume    = {17},
  journal   = {International journal of sports physiology and performance : IJSSP},
  number    = {4},
  publisher = {Human Kinetics Publ.},
  address   = {Champaign},
  issn      = {1555-0265},
  doi       = {10.1123/ijspp.2020-0914},
  pages     = {605 -- 620},
  year      = {2022},
  abstract  = {Objectives: To analyze biochemical markers, wellness status, and physical fitness in elite soccer players in relation to changes in training and match exposure during a congested period of match play. Methods: Fourteen elite soccer players were evaluated 3 times (T1, T2, and T3) over 12 weeks (T1-T2: 6-wk regular period of match play and T2-T3: 6-wk congested period of match play). Players performed vertical jump tests, repeated shuttle sprint ability test, and the Yo-Yo Intermittent Recovery Test at T1, T2, and T3. Plasma C-reactive protein, creatinine, and creatine kinase were analyzed at T1, T2, and T3. Wellness status was measured daily using the Hopper questionnaire (delayed onset of muscle soreness, stress, fatigue, and sleep quality). Training session rating of perceived exertion was also recorded on a daily basis. Results: A significant increase was found in stress, fatigue, delayed onset of muscle soreness scores, and Hopper index during the congested period (between T2 and T3) compared with the regular period (between T1 and T2) (.001 < P < .008, 0.8 < ES < 2.3). Between T2 and T3, significant relationships were found between the percentage variations (Delta\%) of C-reactive protein, and Delta\% of creatine kinase with the Hopper Index, and the Delta\% of fatigue score. In addition, the Delta\% of fatigue score and Delta\% of delayed onset of muscle soreness score correlated with Delta\% Yo-Yo Intermittent Recovery Test and Delta\% best of repeated shuttle sprint ability test (.49 < r < P < .01). Conclusions: An intensive period of congested match play significantly compromised elite soccer players' physical fitness and wellness status. Elite soccer players' wellness status reflects declines in physical fitness during this period while biochemical changes do not.},
  language  = {en}
}