@inproceedings{ScharhagHotzkowKopinskietal.2012, author = {Scharhag, J{\"u}rgen and Hotzkow, Kristin and Kopinski, Stephan and Barche, Martin and Mayer, Frank}, title = {Echocardiographic 3d speckle tracking values on cardiac wall motion in elite adult, adolescent and pediatric 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}, publisher = {Lippincott Williams \& Wilkins}, address = {Philadelphia}, issn = {0195-9131}, pages = {241 -- 241}, year = {2012}, language = {en} } @article{MayerBonaventuraCasseletal.2012, author = {Mayer, Frank and Bonaventura, Klaus and Cassel, Michael and M{\"u}ller, Steffen and Weber, Josefine and Scharhag-Rosenberger, Friederike and Carlsohn, Anja and Baur, Heiner and Scharhag, J{\"u}rgen}, title = {Medical results of preparticipation examination in adolescent athletes}, series = {British journal of sports medicine : the journal of sport and exercise medicine}, volume = {46}, journal = {British journal of sports medicine : the journal of sport and exercise medicine}, number = {7}, publisher = {BMJ Publ. Group}, address = {London}, issn = {0306-3674}, doi = {10.1136/bjsports-2011-090966}, pages = {524 -- 530}, year = {2012}, abstract = {Background Preparticipation examinations (PPE) are frequently used to evaluate eligibility for competitive sports in adolescent athletes. Nevertheless, the effectiveness of these examinations is under debate since costs are high and its validity is discussed controversial. Purpose To analyse medical findings and consequences in adolescent athletes prior to admission to a sports school. Methods In 733 adolescent athletes (318 girls, 415 boys, age 12.3+/-0.4, 16 sports disciplines), history and clinical examination (musculoskeletal, cardiovascular, general medicine) was performed to evaluate eligibility. PPE was completed by determination of blood parameters, ECG at rest and during ergometry, echocardiography and x-rays and ultrasonography if indicated. Eligibility was either approved or rated with restriction. Recommendations for therapy and/or prevention were given to the athletes and their parents. Results Historical (h) and clinical (c) findings (eg, pain, verified pathologies) were more frequent regarding the musculoskeletal system (h: 120, 16.4\%; c: 247, 33.7\%) compared to cardiovascular (h: 9, 1.2\%; c: 23, 3.1\%) or general medicine findings (h: 116, 15.8\%; c: 71, 9.7\%). ECG at rest was moderately abnormal in 46 (6.3\%) and severely abnormal in 25 athletes (3.4\%). Exercise ECG was suspicious in 25 athletes (3.4\%). Relevant echocardiographic abnormalities were found in 17 athletes (2.3\%). In 52 of 358 cases (14.5\%), x-rays led to diagnosis (eg, Spondylolisthesis). Eligibility was temporarily restricted in 41 athletes (5.6\%). Three athletes (0.4\%) had to be excluded from competitive sports. Therapy (eg, physiotherapy, medication) and/or prevention (sensorimotor training, vaccination) recommendations were deduced due to musculoskeletal (t:n = 76,10.3\%; p:n = 71,9.8\%) and general medicine findings (t:n = 80, 10.9\%; p:n = 104, 14.1\%). Conclusion Eligibility for competitive sports is restricted in only 5.5\% of adolescent athletes at age 12. Eligibility refusals are rare. However, recommendations for therapy and prevention are frequent, mainly regarding the musculoskeletal system. In spite of time and cost consumption, adolescent preparticipation before entering a career in high-performance sports is supported.}, language = {en} } @article{ScharhagRosenbergerCarlsohnCasseletal.2011, author = {Scharhag-Rosenberger, Friederike and Carlsohn, Anja and Cassel, Michael and Mayer, Frank and Scharhag, J{\"u}rgen}, title = {How to test maximal oxygen uptake a study on timing and testing procedure of a supramaximal verification test}, series = {Applied physiology, nutrition, and metabolism = Physiologie appliqu{\´e}e, nutrition et m{\´e}tabolisme}, volume = {36}, journal = {Applied physiology, nutrition, and metabolism = Physiologie appliqu{\´e}e, nutrition et m{\´e}tabolisme}, number = {1}, publisher = {NRC Research Press}, address = {Ottawa}, issn = {1715-5312}, doi = {10.1139/H10-099}, pages = {153 -- 160}, year = {2011}, abstract = {On utilise de plus en plus les tests de verification pour confirmer l'atteinte du consommation d'oxygene maximale (VO(2 max)). Toutefois, le moment et les methodes d'evaluation varient d'un groupe de travail a l'autre. Les objectifs de cette etude sont de constater si on peut administrer un test de verification apres un test d'effort progressif ou s'il est preferable de le faire une autre journee et si on peut determiner le VO(2 max) tout de meme lors de la premiere seance chez des sujets ne repondant pas au critere de verification. Quarante sujets (age, 24 +/- 4 ans; VO(2 max), 50 +/- 7 mL center dot min(-1)center dot kg(-1)) participent a un test d'effort progressif sur tapis roulant et, 10 min plus tard, a un test de verification (VerifDay1) a 110 \% de la velocite maximale (v(max)). Le critere de verification est un VO(2) de pointe au VerifDay1 < 5,5 \% a la valeur retenue au test d'effort progressif. Les sujets ne repondant pas au critere de verification passent un autre test de verification, mais a 115 \% du VerifDay1', et ce, 10 min plus tard pour confirmer le VO(2) de pointe du VerifDay1 en tant que VO(2 max). Tous les autres sujets repassent le VerifDay1 a un jour different (VerifDay2). Six sujets sur quarante ne repondent pas au critere de verification. Chez quatre d'entre eux, on confirme l'atteinte du VO(2 max) au VerifDay1'. Le VO(2) de pointe au VerifDay1 est equivalent a celui du VerifDay2 (3722 +/- 991 mL center dot min(-1) comparativement a 3752 +/- 995 mL center dot min(-1), p = 0,56), mais le temps jusqu'a l'epuisement est significativement plus long au VerifDay2 (2:06 +/- 0:22 min:s comparativement a 2:42 +/- 0:38 min:s, p < 0,001, n = 34). Le VO(2) de pointe obtenu au test de verification ne semble pas conditionne par un test d'effort progressif maximal prealable. On peut donc realiser le test d'effort progressif et le test de verification lors de la meme seance d'evaluation. Chez presque tous les individus ne repondant pas au critere de verification, on peut determiner le VO(2 max) au moyen d'un autre test de verification plus intense.}, language = {en} } @article{ScharhagRosenbergerWochatzOttoetal.2014, author = {Scharhag-Rosenberger, Friederike and Wochatz, Monique and Otto, Christoph and Cassel, Michael and Mayer, Frank and Scharhag, J{\"u}rgen}, title = {Blood lactate concentrations are mildly affected by mobile gas exchange measurements}, series = {International journal of sports medicine}, volume = {35}, journal = {International journal of sports medicine}, number = {7}, publisher = {Thieme}, address = {Stuttgart}, issn = {0172-4622}, doi = {10.1055/s-0033-1354386}, pages = {590 -- 594}, year = {2014}, abstract = {We sought to investigate the effects of wearing a mobile respiratory gas analysis system during a treadmill test on blood lactate (bLa) concentrations and commonly applied bLa thresholds. A total of 16 recreational athletes (31 +/- 3 years, V0205: 58 6 ml min(-1)-kg(-1)) performed one multistage treadmill test with and one without gas exchange measurements (GEM and noGEM). The whole bLa curve, the lactate threshold (LT), the individual anaerobic thresholds according to Stegmann(IAT(sr)) and Dickhuth (IAT(Di)), and a fixed bLa concentration of 4 mmob.l(-1) (OBLA) were evaluated. The bLa curve was shifted slightly leftward in GEM compared to noGEM (P<0.05), whereas the heart rate response was not different between conditions (P= 0.89). There was no difference between GEM and noGEM for LT (2.61 +/- 0.34 vs. 2.64 +/- 0.39 m(-1) s(-1) P=0.49) and IAT(st) (3.47 +/- 0.42 vs. 3.55 +/- 0.47m-s(-1), P=0.12). However, IATD(Di) (3.57 +/- 0.39 vs. 3.66 +/- 0.44m-s(-1), P<0.01) and OBLA (3.85 +/- 0.46 vs. 3.96 +/- 0.47m-s-1, P<0.01) occurred at slower running velocities in GEM. The bLa response to treadmill tests is mildly affected by wearing a mobile gas analysis system. This also applies to bLa thresholds located at higher exercise intensities. While the magnitude of the effects is of little importance for recreational athletes, it might be relevant for elite athletes and scientific studies.}, language = {en} } @misc{MayerScharhagRosenbergerCarlsohnetal.2011, author = {Mayer, Frank and Scharhag-Rosenberger, Friederike and Carlsohn, Anja and Cassel, Michael and M{\"u}ller, Steffen and Scharhag, J{\"u}rgen}, title = {The intensity and effects of strength training in the elderly}, series = {Deutsches {\"A}rzteblatt international : a weekly online journal of clinical medicine and public health}, volume = {108}, journal = {Deutsches {\"A}rzteblatt international : a weekly online journal of clinical medicine and public health}, number = {21}, publisher = {Dt. {\"A}rzte-Verl.}, address = {Cologne}, issn = {1866-0452}, doi = {10.3238/arztebl.2011.0359}, pages = {359 -- U30}, year = {2011}, abstract = {Background: The elderly need strength training more and more as they grow older to stay mobile for their everyday activities. The goal of training is to reduce the loss of muscle mass and the resulting loss of motor function. The dose-response relationship of training intensity to training effect has not yet been fully elucidated. Methods: PubMed was selectively searched for articles that appeared in the past 5 years about the effects and dose-response relationship of strength training in the elderly. Results: Strength training in the elderly (> 60 years) increases muscle strength by increasing muscle mass, and by improving the recruitment of motor units, and increasing their firing rate. Muscle mass can be increased through training at an intensity corresponding to 60\% to 85\% of the individual maximum voluntary strength. Improving the rate of force development requires training at a higher intensity (above 85\%), in the elderly just as in younger persons. It is now recommended that healthy old people should train 3 or 4 times weekly for the best results; persons with poor performance at the outset can achieve improvement even with less frequent training. Side effects are rare. Conclusion: Progressive strength training in the elderly is efficient, even with higher intensities, to reduce sarcopenia, and to retain motor function.}, 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} } @article{ShaveBaggishGeorgeetal.2010, author = {Shave, Rob and Baggish, Aaron and George, Keith and Wood, Malissa and Scharhag, J{\"u}rgen and Whyte, Gregory and Gaze, David and Thompson, Paul D.}, title = {Exercise : induced cardiac troponin elevation evidence, mechanisms, and implications}, issn = {0735-1097}, doi = {10.1016/j.jacc.2010.03.037}, year = {2010}, abstract = {Regular physical exercise is recommended for the primary prevention of cardiovascular disease. Although the high prevalence of physical inactivity remains a formidable public health issue, participation in exercise programs and recreational sporting events, such as marathons and triathlons, is on the rise. Although regular exercise training reduces cardiovascular disease risk, recent studies have documented elevations in cardiac troponin (cTn) consistent with cardiac damage after bouts of exercise in apparently healthy individuals. At present, the prevalence, mechanism(s), and clinical significance of exercise-induced cTn release remains incompletely understood. This paper will review the biochemistry, prevalence, potential mechanisms, and management of patients with exercise-induced cTn elevations. (J Am Coll Cardiol 2010; 56: 169-76)}, language = {en} } @article{ScharhagKindermann2009, author = {Scharhag, J{\"u}rgen and Kindermann, Wilfried}, title = {Pitfalls in the differentiation between athlete's heart and hypertrophic cardiomyopathy}, issn = {1861-0684}, doi = {10.1007/s00392-009-0035-z}, year = {2009}, language = {en} } @inproceedings{OttoScharhagRosenbergerCarlsohnetal.2012, author = {Otto, Christoph and Scharhag-Rosenberger, Friederike and Carlsohn, Anja and Scharhag, J{\"u}rgen and Mayer, Frank}, title = {Differences in using the same supramaximal verification test protocol for treadmill and cycle ergometry}, 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}, publisher = {Lippincott Williams \& Wilkins}, address = {Philadelphia}, issn = {0195-9131}, pages = {295 -- 295}, year = {2012}, language = {en} } @inproceedings{ScharhagRosenbergerCarlsohnSchueleretal.2012, author = {Scharhag-Rosenberger, Friederike and Carlsohn, Anja and Sch{\"u}ler, Stefan and Lundby, Carsten and Mayer, Frank and Scharhag, J{\"u}rgen}, title = {Physiological changes over four maximal incremental cycling tests within one day}, 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}, publisher = {Lippincott Williams \& Wilkins}, address = {Philadelphia}, issn = {0195-9131}, pages = {933 -- 934}, year = {2012}, language = {en} }