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Impact of Pre-cooling in Adolescent Tennis Athletes

Primary Purpose

Risk of Heat Stress

Status
Completed
Phase
Not Applicable
Locations
Greece
Study Type
Interventional
Intervention
Thermal stress and performance using a pre-cooling protocol
Thermal stress and performance without a pre-cooling protocol
Sponsored by
Petros Dinas
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Risk of Heat Stress focused on measuring heat stress, heat strain, performance, children, exercise, thermal

Eligibility Criteria

14 Years - 17 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy adolescent athletes

Exclusion Criteria:

  • Diagnosed chronic medical condition;
  • Symptoms of acute illness;
  • Recent (past 4 weeks) usage of medications known to affect the circulatory system, the thyroid, the pituitary function, or the metabolic status.

Sites / Locations

  • FAME Lab, Department of Exercise Science, University of Thessaly

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

Pre-cooling scenario

Sham evaluation

Arm Description

One hour before a tennis match, the pre-cooling group was wearing a Cooling Cap (WElkins Sideline Cooling System, SCS) for 45 minutes.

Participants were monitored during a usual game without any kind of pre-cooling strategy

Outcomes

Primary Outcome Measures

Heart rate
Heart rate data were continuously monitored using a Polar Team system (Polar® Team 2, Polar Electro Oy, Kempele, Finland
Core temperature
Visceral temperature was continuously recorded throughout the match using telemetric pills (BodyCap, Caen, France)
Skin temperature
Skin temperature was continuously recorded throughout the match using iBUTTON sensors (type DS1921 H, Maxim/Dallas Semiconductor Corp., USA)
Change from baseline thermal comfort at after each set
Thermal comfort was assessed via the thermal comfort scale (1 = comfortable; 5 = extremely uncomfortable).
Change from baseline thermal sensation at after each set
Thermal sensation was assessed via the thermal sensation scale (-3 = cold; +3 = hot)
Change from baseline rating of perceived exertion at after each set
We used the Borg 20th Scale (6 = no exertion at all; 20 = maximal exertion)
Change from baseline urine specific gravity (hydration status) at the end of each match
Urine samples was obtained to evaluate the urine specific gravity. Urine specific gravity (single assessmentno units) was assessed using a refractometer (PAL-10S, ATAGO CO., LTD., Fukaya, Saitama Prefecture, Japan). Urine color was assessed using a urine color scale
Match - play characteristics (i.e., performance)
They were recorded by analyzing the video footage from the match. The quantitative performance indices assessed were: games and points won in each set and normalized to the number of games and points recorded in each set, respectively. Unforced errors, first and second serve accuracy, aces, shots per rally and direction changes in each point calculated. Point's duration, between point-duration as well the effective point time calculated. The effective point time starting with the ball toss of the serve and ending when the ball passed the player or bounced twice on court. In case of double fault, starting time recorded from the beginning of the second serve.
Air temperature
It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's
Relative humidity
It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's guidelines
Wind speed
It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's guidelines
Solar radiation
It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's guidelines. Solar radiation is measured directly by the device of portable weather station.

Secondary Outcome Measures

Full Information

First Posted
December 7, 2019
Last Updated
December 12, 2019
Sponsor
Petros Dinas
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1. Study Identification

Unique Protocol Identification Number
NCT04197375
Brief Title
Impact of Pre-cooling in Adolescent Tennis Athletes
Official Title
Impact of Pre-cooling in Adolescent Athletes While Playing Tennis in Hot Conditions
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
August 1, 2018 (Actual)
Primary Completion Date
September 30, 2018 (Actual)
Study Completion Date
September 30, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Petros Dinas

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Many tennis tournaments are played outdoors in hot and humid conditions, which poses a significant challenge particularly for children athletes. The purpose of this investigation is to examine if a precooling method can reduce thermal strain and consequently improve the performance of adolescent tennis athletes while exercising in hot conditions.
Detailed Description
Matches were conducted on hard-court surfaces separated by 24h (n=4 pairs) or 144h (n=1pair) between 9am and 6pm and were played in winning two sets. Participants were paired according to their level of play and competed against the same component at the same time of the day in both matches. Three hours before the start of their scheduled match, each player ingested a telemetric pill in order to estimate the visceral temperature. Upon arrival, all participants provided a urine sample for assessment of urine specific gravity as an indicator of their hydration status and they emptied their bladders before were weighed. They were weighed twice, at baseline and at the end of the match with a precision weight scale (Kern DE 150K2D, KERN & SOHN GmbH, Balingen, Germany). During the match the participants consumed water and any other sport drink and food ad libitum. The total weight of the players' food and fluids that was consumed was measured using a precision weight scale. If participants wished to urinate during the match, they were asked to use a urine cup and their urine was weighed. One hour before the match, the precooling group was wearing a Cooling Cap (WElkins Sideline Cooling System, SCS) for 45 minutes. On removal from a -20oC freezer, the cap surface was 10.7±2.5oC. After 45 minutes, participants removed the cap and they performed a 5 minutes standardized warm-up (running around the court and running exercises from baseline to net and back to baseline) and 10 min tennis specific warm up (rallies and serves) on court. Each participant, before the warm-up, was outfitted with a heart rate chest strap and iBUTTON sensors at four sites of the body (chest, upper arm, thigh and calf). The scoring and timing characteristics of the matches complied with 2016 ITF rules. Three new balls were used for each match with the players retrieving balls between points. Matches were filmed from one end of the court, using a digital video camera (Sony DCR-VX2000E PAL, Japan). Participants were performed on perceptual measurements at baseline, after each set, and at the end of the match. Thermoregulatory, cardiovascular and perceptual responses were recorded with standardized techniques: 1) visceral temperature using telemetric pill (BodyCap, Caen, France) was continuously recorded throughout the match; 2) skin temperature using iBUTTON sensors (type DS1921 H, Maxim/Dallas Semiconductor Corp., USA) on chest, upper arm, thigh and calf was recorded continuously; 3) heart rate (HR) variability data were sampled through short-range telemetry at 1,000 Hz with a Polar RS800CX (Polar Electro , Kempele, Finland). The heart rate monitor signal will be transferred to the Polar Precision Performance Software (release 3.00; Polar Electro Oy); 4) thermal comfort (scale 1-5), thermal sensation (scale 1-10) and rating of perceived exertion using standardized questionnaires were recorded at baseline, after each set, and at the end of the match. Hydration status was recorded with urine specific gravity. All the collected urine samples will be analyzed using a refractrometer (Atago, Tokyo, Japan) for the determination of urine specific gravity. Euhydration will be defined as urine specific gravity <1.02 according to internationally accepted standards. A digital video camera (Sony DCR-VX2000E PAL, Japan) was used to record the match - play characteristics. The footage was used to conduct the retrospective notational analysis. The quantitative performance indices that assessed had been: games and points won in each set and normalized to the number of games and points that record in each set respectively. Also unforced errors, first and second serve accuracy, aces, shots per rally and direction changes in each point calculated. Point's duration, between point-duration as well the effective point time calculated. The effective point time starting with the ball toss of the serve and ending when the ball passed the player or bounced twice on court. In case of double fault, starting time recorded from the beginning of the second serve. Environmental data including air temperature, relative humidity, and wind speed were measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA). The weather station was placed 1 meter above the ground according to the manufacturer's guidelines.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Risk of Heat Stress
Keywords
heat stress, heat strain, performance, children, exercise, thermal

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
8 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pre-cooling scenario
Arm Type
Experimental
Arm Description
One hour before a tennis match, the pre-cooling group was wearing a Cooling Cap (WElkins Sideline Cooling System, SCS) for 45 minutes.
Arm Title
Sham evaluation
Arm Type
Sham Comparator
Arm Description
Participants were monitored during a usual game without any kind of pre-cooling strategy
Intervention Type
Behavioral
Intervention Name(s)
Thermal stress and performance using a pre-cooling protocol
Intervention Description
One hour before a tennis match, participants were wearing a Cooling Cap (WElkins Sideline Cooling System, SCS) for 45 minutes. During the tennis match the following variables were monitored: heart rate, core temperature, skin temperature, thermal sensation and comfort, rating of perceived exertion and hydration status.
Intervention Type
Biological
Intervention Name(s)
Thermal stress and performance without a pre-cooling protocol
Intervention Description
During a tennis match the following variables were monitored: heart rate, core temperature, skin temperature, thermal sensation and comfort, rating of perceived exertion and hydration status.
Primary Outcome Measure Information:
Title
Heart rate
Description
Heart rate data were continuously monitored using a Polar Team system (Polar® Team 2, Polar Electro Oy, Kempele, Finland
Time Frame
Up to 4 hours, during a one complete tennis match
Title
Core temperature
Description
Visceral temperature was continuously recorded throughout the match using telemetric pills (BodyCap, Caen, France)
Time Frame
Up to 4 hours, during a one complete tennis match
Title
Skin temperature
Description
Skin temperature was continuously recorded throughout the match using iBUTTON sensors (type DS1921 H, Maxim/Dallas Semiconductor Corp., USA)
Time Frame
Up to 4 hours, during a one complete tennis match
Title
Change from baseline thermal comfort at after each set
Description
Thermal comfort was assessed via the thermal comfort scale (1 = comfortable; 5 = extremely uncomfortable).
Time Frame
Change from baseline up to 1 hour after each set and up to 4 hours at the end of the match
Title
Change from baseline thermal sensation at after each set
Description
Thermal sensation was assessed via the thermal sensation scale (-3 = cold; +3 = hot)
Time Frame
Change from baseline up to 1 hour after each set and up to 4 hours at the end of the match
Title
Change from baseline rating of perceived exertion at after each set
Description
We used the Borg 20th Scale (6 = no exertion at all; 20 = maximal exertion)
Time Frame
Change from baseline up to 1 hour after each set and up to 4 hours at the end of the match
Title
Change from baseline urine specific gravity (hydration status) at the end of each match
Description
Urine samples was obtained to evaluate the urine specific gravity. Urine specific gravity (single assessmentno units) was assessed using a refractometer (PAL-10S, ATAGO CO., LTD., Fukaya, Saitama Prefecture, Japan). Urine color was assessed using a urine color scale
Time Frame
Change from baseline up to 4 hours at the end of the tennis match
Title
Match - play characteristics (i.e., performance)
Description
They were recorded by analyzing the video footage from the match. The quantitative performance indices assessed were: games and points won in each set and normalized to the number of games and points recorded in each set, respectively. Unforced errors, first and second serve accuracy, aces, shots per rally and direction changes in each point calculated. Point's duration, between point-duration as well the effective point time calculated. The effective point time starting with the ball toss of the serve and ending when the ball passed the player or bounced twice on court. In case of double fault, starting time recorded from the beginning of the second serve.
Time Frame
Up to 4 hours, during a one complete tennis match
Title
Air temperature
Description
It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's
Time Frame
Up to 4 hours, during a one complete tennis match
Title
Relative humidity
Description
It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's guidelines
Time Frame
Up to 4 hours, during a one complete tennis match
Title
Wind speed
Description
It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's guidelines
Time Frame
Up to 4 hours, during a one complete tennis match
Title
Solar radiation
Description
It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's guidelines. Solar radiation is measured directly by the device of portable weather station.
Time Frame
Up to 4 hours, during a one complete tennis match

10. Eligibility

Sex
All
Minimum Age & Unit of Time
14 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adolescent athletes Exclusion Criteria: Diagnosed chronic medical condition; Symptoms of acute illness; Recent (past 4 weeks) usage of medications known to affect the circulatory system, the thyroid, the pituitary function, or the metabolic status.
Facility Information:
Facility Name
FAME Lab, Department of Exercise Science, University of Thessaly
City
Tríkala
State/Province
Thessaly
ZIP/Postal Code
42100
Country
Greece

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
34021093
Citation
Misailidi M, Mantzios K, Papakonstantinou C, Ioannou LG, Flouris AD. Environmental and Psychophysical Heat Stress in Adolescent Tennis Athletes. Int J Sports Physiol Perform. 2021 Dec 1;16(12):1895-1900. doi: 10.1123/ijspp.2020-0820. Epub 2021 May 21.
Results Reference
derived

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Impact of Pre-cooling in Adolescent Tennis Athletes

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