scholarly journals Mild Dehydration and Cycling Performance During 5-Kilometer Hill Climbing

2013 ◽  
Vol 48 (6) ◽  
pp. 741-747 ◽  
Author(s):  
Costas N. Bardis ◽  
Stavros A. Kavouras ◽  
Giannis Arnaoutis ◽  
Demosthenes B. Panagiotakos ◽  
Labros S. Sidossis
Keyword(s):  
Body Mass ◽  
Core Temperature ◽  
Perceived Exertion ◽  
Performance Test ◽  
Sweat Rate ◽  
Cycling Performance ◽  
Rating Of Perceived Exertion ◽  
Hill Climbing ◽  
Performance Time ◽  
Steady State Cycling

Context: Hydration has been shown to be an important factor in performance; however, the effects of mild dehydration during intense cycling are not clear. Objective: To determine the influence of mild dehydration on cycling performance during an outdoor climbing trial in the heat (ambient temperature = 29.0°C ± 2.2°C). Design: Crossover study. Setting: Outdoor. Patients or Other Participants: Ten well-trained, male endurance cyclists (age = 28 ± 5 years, height = 182 ± 0.4 cm, mass = 73 ± 4 kg, maximal oxygen uptake = 56 ± 9 mL·min−1·kg−1, body fat = 23% ± 2%, maximal power = 354 ± 48 W). Intervention(s): Participants completed 1 hour of steady-state cycling with or without drinking to achieve the desired pre-exercise hydration level before 5-km hill-climbing cycling. Participants started the 5-km ride either euhydrated (EUH) or dehydrated by −1% of body mass (DEH). Main Outcome Measure(s): Performance time, core temperature, sweat rate, sweat sensitivity, and rating of perceived exertion (RPE). Results: Participants completed the 5-km ride 5.8% faster in the EUH (16.6 ± 2.3 minutes) than DEH (17.6 ± 2.9 minutes) trial (t1 = 10.221, P = .001). Postexercise body mass was −1.4% ± 0.3% for the EUH trial and −2.2% ± 0.2% for the DEH trial (t1 = 191.384, P < .001). Core temperature after the climb was greater during the DEH (39.2°C ± 0.3°C) than EUH (38.8°C ± 0.2°C) trial (t1 = 8.04, P = .005). Sweat rate was lower during the DEH (0.44 ± 0.16 mg·m−2·s−1) than EUH (0.51 ± 0.16 mg·m−2·s−1) trial (t8 = 2.703, P = .03). Sweat sensitivity was lower during the DEH (72.6 ± 32 g·°C−1·min−1) than EUH (102.6 ± 54.2 g·°C−1·min−1) trial (t8 = 3.072, P = .02). Lastly, RPE after the exercise performance test was higher for the DEH (19.0 ± 1.0) than EUH (17.0 ± 1.0) participants (t9 = −3.36, P = .008). Conclusions: We found mild dehydration decreased cycling performance during a 5-km outdoor hill course, probably due to greater heat strain and greater perceived intensity.

Impairment of Thermoregulation and Performance via Mild Dehydration in Ice Hockey Goaltenders

2020 ◽  
Vol 15 (6) ◽  
pp. 833-840
Author(s):  
Devin G. McCarthy ◽  
Kate A. Wickham ◽  
Tyler F. Vermeulen ◽  
Danielle L. Nyman ◽  
Shane Ferth ◽  
...  
Keyword(s):  
Heart Rate ◽  
Reaction Time ◽  
Body Mass ◽  
Core Temperature ◽  
Perceived Exertion ◽  
Ice Hockey ◽  
Rating Of Perceived Exertion ◽  
Physiological Strain ◽  
And Performance ◽  
Post Hoc

During play, ice hockey goaltenders routinely dehydrate through sweating and lose ≥2% body mass, which may impair thermoregulation and performance. Purpose: This randomized, crossover study examined the effects of mild dehydration on goaltender on-ice thermoregulation, heart rate, fatigue, and performance. Methods: Eleven goaltenders played a 70-minute scrimmage followed by a shootout and drills to analyze reaction time and movements. On ice, they either consumed no fluid (NF) and lost 2.4% (0.3%) body mass or maintained body mass with water (WAT) or a carbohydrate–electrolyte solution (CES). Save percentage, rating of perceived exertion, heart rate, and core temperature were recorded throughout, and a postskate questionnaire assessed perceived fatigue. Results: Relative to NF, intake of both fluids decreased heart rate (interaction: P = .03), core temperature (peak NF = 39.0°C [0.1°C], WAT = 38.6°C [0.1°C], and CES = 38.5°C [0.1°C]; P = .005), and rating of perceived exertion in the scrimmage (post hoc: P < .04), as well as increasing save percentage in the final 10 minutes of scrimmage (NF = 75.8% [1.9%], WAT = 81.7% [2.3%], and CES = 81.3% [2.3%], post hoc: P < .04). In drills, movement speed (post hoc: P < .05) and reaction time (post hoc: P < .04) were slower in the NF versus both fluid conditions. Intake of either fluid similarly reduced postskate questionnaire scores (condition: P < .0001). Only CES significantly reduced rating of perceived exertion in drills (post hoc: P < .05) and increased peak movement power versus NF (post hoc: P = .02). Shootout save percentage was similar between conditions (P = .37). Conclusions: Mild dehydration increased physiological strain and fatigue and decreased ice hockey goaltender performance versus maintaining hydration. Also, maintaining hydration with a CES versus WAT may further reduce perceived fatigue and positively affect movements.

scholarly journals Blinded and unblinded hypohydration similarly impair cycling time trial performance in the heat in trained cyclists

2019 ◽  
Vol 126 (4) ◽  
pp. 870-879 ◽  
Author(s):  
Mark P. Funnell ◽  
Stephen A. Mears ◽  
Kurt Bergin-Taylor ◽  
Lewis J. James
Keyword(s):  
Body Mass ◽  
Perceived Exertion ◽  
Time Trial ◽  
Cycling Performance ◽  
Rating Of Perceived Exertion ◽  
Hydration Status ◽  
Time Trial Performance ◽  
Cycling Time Trial ◽  
The Many ◽  
Trial Performance

Knowledge of hydration status may contribute to hypohydration-induced exercise performance decrements; therefore, this study compared blinded and unblinded hypohydration on cycling performance. Fourteen trained, nonheat-acclimated cyclists (age: 25 ± 5 yr; V̇o2peak: 63.3 ± 4.7 ml·kg−1·min−1; cycling experience: 6 ± 3 yr) were pair matched to blinded (B) or unblinded (UB) groups. After familiarization, subjects completed euhydrated (B-EUH; UB-EUH) and hypohydrated (B-HYP; UB-HYP) trials in the heat (31°C); 120-min cycling preload (50% Wpeak) and a time trial (~15 min). During the preload of all trials, 0.2 ml water·kg body mass−1 was ingested every 10 min, with additional water provided during EUH trials to match sweat losses. To blind the B group, a nasogastric tube was inserted in both trials and used to provide water in B-EUH. The preload induced similar ( P = 0.895) changes in body mass between groups (B-EUH: −0.6 ± 0.5%; B-HYP: −3.0 ± 0.5%; UB-EUH: −0.5 ± 0.3%; UB-HYP −3.0 ± 0.3%). All variables responded similarly between B and UB groups ( P ≥ 0.558), except thirst ( P = 0.004). Changes typical of hypohydration (increased heart rate, rating of perceived exertion, gastrointestinal temperature, serum osmolality and thirst, and decreased plasma volume; P ≤ 0.017) were apparent in HYP by 120 min. Time trial performance was similar between groups ( P = 0.710) and slower ( P ≤ 0.013) with HYP for B (B-EUH: 903 ± 89 s; B-HYP: 1,008 ± 121 s; −11.4%) and UB (UB-EUH: 874 ± 108 s; UB-HYP: 967 ± 170 s; −10.1%). Hypohydration of ~3% body mass impairs time trial performance in the heat, regardless of knowledge of hydration status. NEW & NOTEWORTHY This study demonstrates, for the first time, that knowledge of hydration status does not exacerbate the negative performance consequences of hypohydration when hypohydration is equivalent to ~3% body mass. This is pivotal for the interpretation of the many previous studies that have not blinded subjects to their hydration status and suggests that these previous studies are not likely to be confounded by the overtness of the methods used to induce hypohydration.

scholarly journals Caffeine improves biochemical and specific performance after judo training: a double-blind crossover study in a real judo training situation

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Kelvin Euton Oliveira Carmo ◽  
Diego Ignácio Valenzuela Pérez ◽  
Charles Nardelli Valido ◽  
Jymmys Lopes dos Santos ◽  
Bianca Miarka ◽  
...  
Keyword(s):  
Heart Rate ◽  
Uric Acid ◽  
Body Mass ◽  
Perceived Exertion ◽  
Rating Of Perceived Exertion ◽  
Power Performance ◽  
Double Blind ◽  
Biochemical Effect ◽  
Plasma Uric Acid ◽  
Hemodynamic Variables

Abstract Background Nutritional ergogenic aids are foods or nutrients that can improve physical performance. Among these foods with ergogenic properties, caffeine has shown that it can increase the fat catabolism, strength, and improve the cognition and time reaction of an athlete, therefore, it is hoped that it can improve the performance of judokas. This study through a double-blind crossover (supplement X placebo) protocol, investigated the effects caffeine supplementation (single capsule containing 5 mg/kg body mass intake 60 min before the session) on biochemical, anthropometrical, physical, subjective and hemodynamic variables measured before, during and after two typical judo trainingcxs sessions (120-min: 40-min of gymnastics; 40-min of specific technics and; 40-min of judo combat). Methods 8 high-level athletes (21.4 ± 2.0 years; 83.6 ± 15.2 kg; 1.8 ± 0.1 m; 17.9 ± 7.0 Fat%) were evaluated before and after each training for body mass, hydration, upper and lower limb power, performance in the special judo fitness test (SJFT), free fatty acids (FFA) in plasma, uric acid, glucose, lactate, heart rate, and pain. In addition, heart rate, FFA in plasma, uric acid, glucose, lactate, rating of perceived exertion and pain were assessed during the training. Results At 120 min, supplementation resulted in a higher concentration of plasma FFA (1.5 ± 0.5 vs. 1.0 ± 0.3 mmol/L; p = 0.047) and lactate (4.9 ± 1.8 vs. 3.0 ± 1.2 mmol/L; p = 0.047), and a lower concentration of uric acid (5.4 ± 0.9 vs. 7.0 ± 1.5 mg/dL; p = 0.04). Supplementation also resulted in performance maintenance (fatigue index) in the SJFT (Δ0.3 ± 2.0 vs Δ1.7 ± 2.5, for caffeine and placebo respectively, p = 0.046). No adverse effects were observed. Conclusion Based on the applied dose, intake time, and sample of this study, we can conclude that caffeine produces an ergogenic biochemical effect, and improves performance in judo athletes.

A Systematic Review of Submaximal Cycle Tests to Predict, Monitor, and Optimize Cycling Performance

2016 ◽  
Vol 11 (6) ◽  
pp. 707-714 ◽  
Author(s):  
Benoit Capostagno ◽  
Michael I. Lambert ◽  
Robert P. Lamberts
Keyword(s):  
Heart Rate ◽  
Power Output ◽  
Perceived Exertion ◽  
Heart Rate Recovery ◽  
Mechanical Efficiency ◽  
Cycling Performance ◽  
Rating Of Perceived Exertion ◽  
Time To Exhaustion ◽  
Gross Mechanical Efficiency ◽  
Multiple Variables

Finding the optimal balance between high training loads and recovery is a constant challenge for cyclists and their coaches. Monitoring improvements in performance and levels of fatigue is recommended to correctly adjust training to ensure optimal adaptation. However, many performance tests require a maximal or exhaustive effort, which reduces their real-world application. The purpose of this review was to investigate the development and use of submaximal cycling tests that can be used to predict and monitor cycling performance and training status. Twelve studies met the inclusion criteria, and 3 separate submaximal cycling tests were identified from within those 12. Submaximal variables including gross mechanical efficiency, oxygen uptake (VO2), heart rate, lactate, predicted time to exhaustion (pTE), rating of perceived exertion (RPE), power output, and heart-rate recovery (HRR) were the components of the 3 tests. pTE, submaximal power output, RPE, and HRR appear to have the most value for monitoring improvements in performance and indicate a state of fatigue. This literature review shows that several submaximal cycle tests have been developed over the last decade with the aim to predict, monitor, and optimize cycling performance. To be able to conduct a submaximal test on a regular basis, the test needs to be short in duration and as noninvasive as possible. In addition, a test should capture multiple variables and use multivariate analyses to interpret the submaximal outcomes correctly and alter training prescription if needed.

Increased Cardiorespiratory Stress During Submaximal Cycling After Ketone Monoester Ingestion in Endurance-Trained Adults

2021 ◽  
Author(s):  
Devin Goddard McCarthy ◽  
William Bostad ◽  
Fiona Jane Powley ◽  
Jonathan P. Little ◽  
Douglas Richards ◽  
...  
Keyword(s):  
Body Mass ◽  
Ketone Body ◽  
Perceived Exertion ◽  
Bolus Dose ◽  
Ventilatory Threshold ◽  
Time Trial ◽  
Rating Of Perceived Exertion ◽  
Threshold Intensity ◽  
Double Blind ◽  
And Performance

There is growing interest in the effect of exogenous ketone body supplementation on exercise responses and performance. The limited studies to date have yielded equivocal data, likely due in part to differences in dosing strategy, increase in blood ketones, and participant training status. Using a randomized, double-blind, counterbalanced design, we examined the effect of ingesting a ketone monoester (KE) supplement (600 mg/kg body mass) or flavour-matched placebo in endurance-trained adults (n=10 males, n=9 females; VO2peak=57±8 ml/kg/min). Participants performed a 30-min cycling bout at ventilatory threshold intensity (71±3% VO2peak), followed 15 min later by a 3 kJ/kg body mass time-trial. KE versus placebo ingestion increased plasma [β-hydroxybutyrate] before exercise (3.9±1.0 vs 0.2±0.3 mM, p<0.0001, dz=3.4), ventilation (77±17 vs 71±15 L/min, p<0.0001, dz=1.3) and heart rate (155±11 vs 150±11 beats/min, p<0.001, dz=1.2) during exercise, and rating of perceived exertion at the end of exercise (15.4±1.6 vs 14.5±1.2, p<0.01, dz=0.85). Plasma [β-hydroxybutyrate] remained higher after KE vs placebo ingestion before the time-trial (3.5±1.0 vs 0.3±0.2 mM, p<0.0001, dz=3.1), but performance was not different (KE: 16:25±2:50 vs placebo: 16:06±2:40 min:s, p=0.20; dz=0.31). We conclude that acute ingestion of a relatively large KE bolus dose increased markers of cardiorespiratory stress during submaximal exercise in endurance-trained participants. Novelty bullets: •Limited studies have yielded equivocal data regarding exercise responses after acute ketone body supplementation. •Using a randomized, double-blind, placebo-controlled, counterbalanced design, we found that ingestion of a large bolus dose of a commercial ketone monoester supplement increased markers of cardiorespiratory stress during cycling at ventilatory threshold intensity in endurance-trained adults.

A synthetic undergarment increases physiological strain

2019 ◽  
Vol 28 (4) ◽  
pp. 275 ◽  
Author(s):  
Matthew C. Dorton ◽  
Brent C. Ruby ◽  
Charles L. Dumke
Keyword(s):  
Blood Flow ◽  
Skin Blood Flow ◽  
Perceived Exertion ◽  
Sweat Rate ◽  
Rest Period ◽  
Time Trial ◽  
Rating Of Perceived Exertion ◽  
Physiological Strain ◽  
Physiological Factors ◽  
Increased Risk

Our aim was to examine the effect of a synthetic material undergarment on heat stress during exercise in a hot environment. Ten active males completed two trials of intermittent (50min walking, 10min sitting) treadmill walking over 3h in 35°C and 30% relative humidity. Subjects wore wildland firefighter flame-resistant meta-aramid blend pants and shirt with either a 100% cotton (C) or flame-retardant modacrylic undergarment (S), while carrying a 16-kg pack, helmet and leather gloves. Exercise was followed by a 30-min rest period without pack, helmet, gloves, and outerwear shirt. Rectal temperature and physiological strain were greater in S than C (P=0.04). No significant differences were found for heart rate, rating of perceived exertion, energy expenditure or skin temperature between C and S. Skin blood flow increased significantly in S following the second hour of exercise, resulting in a time×trial interaction (P=0.001). No significant differences for skin blood flow were found post exercise. Sweat rate and percent dehydration were not different between C and S. These data indicate that, of the two undergarments investigated, the synthetic undergarment negatively affected physiological factors that have been shown to indicate an increased risk of heat-related injuries.

Player Session Rating of Perceived Exertion: A More Valid Tool Than Coaches’ Ratings to Monitor Internal Training Load in Elite Youth Female Basketball

2020 ◽  
Vol 15 (4) ◽  
pp. 548-553 ◽  
Author(s):  
Corrado Lupo ◽  
Alexandru Nicolae Ungureanu ◽  
Riccardo Frati ◽  
Matteo Panichi ◽  
Simone Grillo ◽  
...  
Keyword(s):  
Body Mass ◽  
Perceived Exertion ◽  
Team Sports ◽  
Training Load ◽  
Rating Of Perceived Exertion ◽  
Basketball Players ◽  
Mixed Effect ◽  
Maximal Intensity ◽  
Session Duration ◽  
Post Hoc

Purpose: To monitor elite youth female basketball training to verify whether players’ and coaches’ (3 technical coaches and 1 physical trainer) session rating of perceived exertion (s-RPE) has a relationship with Edwards’ method. Methods: Heart rate of 15 elite youth female basketball players (age 16.7 [0.5] y, height 178 [9] cm, body mass 72 [9] kg, body mass index 22.9 [2.2] kg·m−2) was monitored during 19 team (268 individual) training sessions (102 [15] min). Mixed effect models were applied to evaluate whether s-RPE values were significantly (P ≤ .05) related to Edwards’ data, total session duration, maximal intensity (session duration at 90–100% HRmax), type of training (ie, strength, conditioning, and technique), and whether differences emerged between players’ and coaches’ s-RPE values. Results: The results showed that there is a relationship between s-RPE and Edwards’ methods for the players’ RPE scores (P = .019) but not for those of the trainers. In addition, as expected, both players’ (P = .014) and coaches’ (P = .002) s-RPE scores were influenced by total session duration but not by maximal intensity and type of training. In addition, players’ and coaches’ s-RPE values differed (P < .001)—post hoc differences emerged for conditioning (P = .01) and technique (P < .001) sessions. Conclusions: Elite youth female basketball players are better able to quantify the internal training load of their sessions than their coaches, strengthening the validity of s-RPE as a tool to monitor training in team sports.

Drink-Flavor Change’s Lack of Effect on Endurance Cycling Performance in Trained Athletes

2007 ◽  
Vol 17 (4) ◽  
pp. 315-327 ◽  
Author(s):  
Ben Desbrow ◽  
Clare Minahan ◽  
Michael Leveritt
Keyword(s):  
Perceived Exertion ◽  
Time Trial ◽  
Cycling Performance ◽  
Rating Of Perceived Exertion ◽  
Controlled Trials ◽  
Exercise Protocol ◽  
Male Athletes ◽  
Subsequent Performance ◽  
Sports Drink ◽  
Endurance Cycling

This study investigated whether a change in beverage favor during endurance cycling improves subsequent performance. Eight trained male athletes (age 24.3 ± 3.9 y, weight 74.7 ± 6.0 kg, peak O2 uptake [VO2peak] 65.4 ± 5.4 mL·kg−1·min−1; mean ± SD) undertook 3 trials, with training and diet being controlled. Trials consisted of 120 min of steady-state (SS) cycling at ~70% VO2peak, immediately followed by a 7-kJ/kg time trial (TT). During exercise subjects were provided with fluids every 20 min. After 80 min of SS cycling subjects either continued drinking the same-favor sports drink or changed to an alternate favor—either an alternate-favor sports drink (AFSD) or cola. All beverages were carbohydrate and volume matched. Changing drink favor caused no significant change in TT time (sports drink 27:16 ± 03:12, AFSD 27:06 ± 03:16, cola 27:03 ± 02:42; min: s). The various favors produced no treatment effects on heart rate, blood glucose, or rating of perceived exertion throughout the SS exercise protocol. The influence of other taste variables such as palatability, bitterness, or timing of favor change on endurance-exercise performance requires more rigorous investigation.

scholarly journals Impaired Heat Adaptation From Combined Heat Training and “Live High, Train Low” Hypoxia

2019 ◽  
Vol 14 (5) ◽  
pp. 635-643 ◽  
Author(s):  
Erin L. McCleave ◽  
Katie M. Slattery ◽  
Rob Duffield ◽  
Philo U. Saunders ◽  
Avish P. Sharma ◽  
...  
Keyword(s):  
Heart Rate ◽  
Oxygen Uptake ◽  
Core Temperature ◽  
Perceived Exertion ◽  
Sweat Rate ◽  
Cardiovascular Responses ◽  
Sodium Concentration ◽  
Peak Oxygen Uptake ◽  
Submaximal Heart Rate ◽  
Independent Heat

Purpose: To determine whether combining training in heat with “Live High, Train Low” hypoxia (LHTL) further improves thermoregulatory and cardiovascular responses to a heat-tolerance test compared with independent heat training. Methods: A total of 25 trained runners (peak oxygen uptake = 64.1 [8.0] mL·min−1·kg−1) completed 3-wk training in 1 of 3 conditions: (1) heat training combined with “LHTL” hypoxia (H+H; FiO2 = 14.4% [3000 m], 13 h·d−1; train at <600 m, 33°C, 55% relative humidity [RH]), (2) heat training (HOT; live and train <600 m, 33°C, 55% RH), and (3) temperate training (CONT; live and train <600 m, 13°C, 55% RH). Heat adaptations were determined from a 45-min heat-response test (33°C, 55% RH, 65% velocity corresponding to the peak oxygen uptake) at baseline and immediately and 1 and 3 wk postexposure (baseline, post, 1 wkP, and 3 wkP, respectively). Core temperature, heart rate, sweat rate, sodium concentration, plasma volume, and perceptual responses were analyzed using magnitude-based inferences. Results: Submaximal heart rate (effect size [ES] = −0.60 [−0.89; −0.32]) and core temperature (ES = −0.55 [−0.99; −0.10]) were reduced in HOT until 1 wkP. Sweat rate (ES = 0.36 [0.12; 0.59]) and sweat sodium concentration (ES = −0.82 [−1.48; −0.16]) were, respectively, increased and decreased until 3 wkP in HOT. Submaximal heart rate (ES = −0.38 [−0.85; 0.08]) was likely reduced in H+H at 3 wkP, whereas CONT had unclear physiological changes. Perceived exertion and thermal sensation were reduced across all groups. Conclusions: Despite greater physiological stress from combined heat training and “LHTL” hypoxia, thermoregulatory adaptations are limited in comparison with independent heat training. The combined stimuli provide no additional physiological benefit during exercise in hot environments.

Perceived exertion is associated with an altered brain activity during exercise with progressive hyperthermia

2001 ◽  
Vol 91 (5) ◽  
pp. 2017-2023 ◽  
Author(s):  
Lars Nybo ◽  
Bodil Nielsen
Keyword(s):  
Core Temperature ◽  
Perceived Exertion ◽  
Prolonged Exercise ◽  
Brain Activity ◽  
Occipital Cortex ◽  
Rating Of Perceived Exertion ◽  
Frequency Index ◽  
Spectral Frequency ◽  
Hot Environments ◽  
Electroencephalogram Eeg

The present study tested the hypothesis that perceived exertion during prolonged exercise in hot environments is associated with changes in cerebral electrical activity rather than changes in the electromyogram (EMG) of the exercising muscles. Therefore, electroencephalogram (EEG) in three positions (frontal, central, and occipital cortex), EMG, rating of perceived exertion (RPE), and core temperature were measured in 14 subjects during submaximal exercise in normal (18°C, control) and hot (40°C, hyperthermia) environments. RPE increased from 11 ± 1 units at 5 min to 20 ± 0 units at exhaustion (50 ± 3 min) in the trial with progressive hyperthermia, whereas exercise in the control trial was maintained with a stable core temperature for 1 h without exhausting the subjects. Altered EEG activity was observed in all electrode positions, and stepwise forward-regression analysis identified core temperature and a frequency index of the EEG over the frontal cortex as the best predictors of RPE. In contrast, there were no significant correlations between RPE and any of the measured EMG parameters (median spectral frequency, root mean square, or amplitude), and the EMG parameters were not different in hyperthermia compared with control. Thus hyperthermia does not seem to affect the activation pattern of the muscles. Rather, the linear correlation among core temperature, EEG frequency index, and RPE indicates that alterations in cerebral activity may be associated with the hyperthermia-induced development of fatigue during prolonged exercise in hot environments.

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