title: Correlated neurocardiologic and fitness changes in athletes interrupting training.
abstract: OBJECTIVE
  We studied nine male Dutch top marathon skaters during a 1-month interruption of their training schedules after their last contest in the winter to investigate a possible decline in baroreflex sensitivity.
  
  
  METHODS
  Before and after this period, a maximal exercise test was done, and at days 0, 4, 7, 14, and 28 neurocardiologic measurement sessions--heart rate and noninvasive baroreflex sensitivity, recumbent and tilt--were performed.
  
  
  RESULTS
  Interruption of training resulted in a significant and relevant decrease in the maximal oxygen uptake (from 65.7 +/- 5.8 to 61.6 +/- 4.7 mL O2 x kg(-1) x min(-1); P = 0.03), most likely associated with decreased competitive possibilities. Resting heart rate modestly increased (from 54.6 +/- 7.2 to 58.8 +/- 7.5 bpm), however, not significantly. Heart rate during 60 degrees tilt increased considerably (from 70.1 +/- 6.1 to 80.1 +/- 9.1 bpm; P = 0.01), possibly due to a decrease in blood volume and an increase in cardiopulmonary baroreflex gain. Arterial baroreflex sensitivity decreased significantly in the recumbent (from 13.3 +/- 5.4 to 9.8 +/- 3.8 ms x mm Hg(-1), P = 0.04), but not in the 60 degrees tilt position (from 6.7 +/- 2.0 to 6.0 +/- 2.5 ms x mm Hg(-1)). The relative decrease in baroreflex sensitivity and maximal oxygen uptake correlated significantly (r = 0.71, P = 0.02).
  
  
  CONCLUSIONS
  In summary, our data show that correlated detrimental changes in fitness and baroreflex sensitivity are measurable in these athletes after a month of interruption of training.
authors.affiliation: Cardiology Department, Leiden University Medical Center, The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: Frederiks
authors.forename: C A
authors.initials: CA
authors.lastname: Swenne
authors.forename: A V
authors.initials: AV
authors.lastname: Bruschke
authors.forename: E T
authors.initials: ET
authors.lastname: van der Velde
authors.forename: A C
authors.initials: AC
authors.lastname: Maan
authors.forename: B J
authors.initials: BJ
authors.lastname: TenVoorde
authors.forename: M G
authors.initials: MG
authors.lastname: Vanrooijen
authors.forename: W L
authors.initials: WL
authors.lastname: Mosterd
authors.forename: P
authors.initials: P
authors.lastname: Schiereck
mesh_terms: D000328:Adult; D017704:Baroreflex / Q000502:physiology*; D006339:Heart Rate; D006801:Humans; D008297:Male; D010101:Oxygen Consumption; D010807:Physical Endurance / Q000502:physiology*; D012861:Skating / Q000502:physiology*; D013647:Task Performance and Analysis; D018667:Tilt-Table Test