Female National Collegiate Athletic Association Research Articles

Tweeting for Nutrition: Feasibility and Efficacy Outcomes of a 6-Week Social Media-Based Nutrition Education Intervention for Student-Athletes.

Coccia, C, Fernandes, SM, and Altiti, J. Tweeting for nutrition: feasibility and efficacy outcomes of a 6-week social media-based nutrition education intervention for student-athletes. J Strength Cond Res 34(7): 2084-2092, 2020-The main objective of this study was to determine the feasibility and efficacy of a social media-based nutrition intervention using Twitter on nutrition knowledge, dietary practices, body mass index (BMI), self-efficacy, and social support among student-athletes. Participants included 50 male and female National Collegiate Athletic Association Division I student-athletes between the ages of 18 and 24 years. Data were collected in October 2014. The study design employed a 6-week social media intervention using Twitter, to increase nutrition knowledge, self-efficacy, social support, and dietary adherence to the recommendations from the Dietary Guidelines for Americans. Descriptive statistics were calculated for all study variables and pre-post differences were assessed using paired t-tests. The results indicate a 6-week nutrition intervention delivered solely through social media resulted in increased nutrition knowledge (t = -2.23; p = 0.035), reduced fat intake (t = -1.57; p = 0.13), and decreased BMI (t = 2.32; p = 0.027) in student-athletes. In conclusion, social media-based nutrition education may provide university-based strength and conditioning coaches and other sports practitioners with a tool for widespread and timely access to students to facilitate healthy dietary behaviors.

Jumping Performance of Elite NCAA Division 1 Student-athletes: The Effect of Basketball Shoe Design – Part I

Background: Assessment of basketball shoes as personal protection equipment (PPE) at the collegiate level is unique. Objective: The purpose of Part I in this pilot study was to examine the effect of shoe design on jump height in elite male and female National Collegiate Athletic Association (NCAA) Division 1 basketball student-athletes. Method: Each team selected two pairs of AdidasTM branded shoes. The male student-athletes selected the AdidasTM Harden Vol. 3 and the AdidasTM SM Pro basketball shoes. The female student-athletes selected the AdidasTM Harden Vol. 3 and the AdidasTM Captain Marvel basketball shoes. A total of sixteen basketball student-athletes (six males, ten females) performed an acute series of four styled basketball jumps on two ForceDecksTM Force Platforms while trying to maximize jump height by tapping VertecTM Jump Vanes. Two trials were performed in each shoe and for each type of jump which included a countermovement jump, drop jump from 30cm, step and jump, and a series of plyometric jumps. Results: The results of this pilot study indicated a non-significant effect of basketball shoe design on jump height while performing an acute series of basketball style jumps for either the male or female basketball student-athletes. However, there were significant differences in jump height and peak power between the male and female basketball student-athletes (p = 0.001). Conclusion: In addition to the results, the use of quantitative performance testing on the effectiveness of basketball shoe designs as PPE may assist in the mitigation of non-contact ankle and lower limb injuries.

Epidemiologic Assessment of Concussions in an NCAA Division I Women's Soccer Team.

Background:Among collegiate sports, ice hockey and wrestling have been reported to have the highest rates of concussion injury. Recent literature has shown that among all sports, female soccer players had the highest rate of concussion injury at the high school level. Sport-specific analysis will increase our knowledge of epidemiologic characteristics of this serious injury in young soccer players, where “heading” is commonly involved during participation.Hypothesis:Heading during soccer will be associated with increased frequency of concussion injury in collegiate female players compared with other mechanisms of injury, and concussion injury mechanism and rates will differ by setting of injury (practice or match) and player position.Study Design:Descriptive epidemiologic study.Methods:This was a retrospective review and epidemiologic analysis of all concussions documented from a single National Collegiate Athletic Association (NCAA) Division I female collegiate soccer team between 2004 and 2017. A total of 381 participants were reviewed, and concussion injury mechanism, setting (practice or match), player position, and number of games and practices missed due to injury were analyzed.Results:Overall, 25 concussions in 22 players from the 2004 to 2017 seasons were identified, for an annual rate of 1.79 concussions per year. Collisions (36%) followed by headers (20%) were the most common mechanisms. Forwards sustained the most concussions (32%). Injuries were more common in games (56%) than practice (40%). Of note, the most common cause of concussion during practice was headers (40%). Of the concussions documented, 20 (91%) were the player’s first concussion. On average, each concussion resulted in a player missing 3.96 games and 12.46 practices.Conclusion:Our results demonstrate that concussion rates in female NCAA soccer players vary by position and occur with different frequencies and mechanisms in practice and games. Interventions for concussion avoidance should aim to limit exposure to high-risk activity, including player-to-player contact in games and headers in practice. Although gameplay and collisions can be unpredictable and difficult to control, practice settings can be modified in an attempt to decrease risk.

Dietary and Biological Assessment of the Omega-3 Status of Collegiate Athletes: A Cross-Sectional Analysis.

Omega-3 fatty acids (ω-3 FA) are associated with cardiovascular health, brain function, reduction of inflammation, and several other physiological roles of importance to competitive athletes. The ω-3 FA status of National Collegiate Athletic Association (NCAA) Division I athletes has not been well-described. The purpose of this study was to evaluate the ω-3 FA status of NCAA Division I athletes using dietary and biological assessment methodology. Athletes from nine NCAA Division I institutions from throughout the U.S. (n = 1,528, 51% male, 34 sports represented, 19.9 ± 1.4 years of age) completed a food frequency questionnaire (FFQ) to assess ω-3 FA from diet and supplements. Omega-3 Index (O3i) was evaluated in a sub-set of these participants (n = 298, 55% male, 21 sports represented, 20.0 ± 1.3 years of age) using dried blood spot sampling. Only 6% (n = 93) of athletes achieved the Academy of Nutrition & Dietetics' recommendation to consume 500 mg DHA+EPA per day. Use of ω-3 FA supplements was reported by 15% (n = 229) of participants. O3i was 4.33 ± 0.81%, with no participants meeting the O3i benchmark of 8% associated with the lowest risk of cardiovascular disease. Every additional weekly serving of fish or seafood was associated with an absolute O3i increase of 0.27%. Overall, sub-optimal ω-3 FA status was observed among a large, geographically diverse group of male and female NCAA Division I athletes. These findings may inform interventions aimed at improving ω-3 FA status of collegiate athletes. Further research on athlete-specific ω-3 FA requirements is needed.

Celiac Disease Symptoms in Athletes: Prevalence Indicators of Perceived Quality of Life.

Celiac disease (CD) is a common gastrointestinal pathology; however, prevalence and comorbidities are unknown in collegiate athletics. (1) Athletes will have similar odds of CD as general population estimates (approximately 1 in 141) based on self-report and signs and symptoms, (2) athletes scoring higher on the Celiac Symptom Index (CSI) will have lower self-reported quality of life (QoL), (3) athletes scoring higher on the CSI will have higher depression scores, and (4) athletes scoring higher on the CSI will have higher perceived stress scores. Epidemiological cross-sectional study. Level 4. The CSI, WHO Quality of Life-BREF, Beck Depression Inventory, and Perceived Stress Scale were used to assess patients' signs and symptoms of CD and psychosocial measures/QoL in male and female National Collegiate Athletic Association (all divisions) athletes (N = 141). Participants also self-reported a formal diagnosis of CD. Chi-square analyses determined CD prevalence. Odds ratios determined risk for either being diagnosed with CD or reporting more symptoms than the general population. Correlational analyses determined whether symptoms correlated with QoL and psychosocial measures. Athletes were 3.85 times (95% CI, 0.42-34.89) more likely to report a CD diagnosis and were 18.36 times (95% CI, 2.40-140.48) more likely to report a high degree of CD symptoms than the general population. Athletes with more symptoms had worse physical, psychological, social, and environmental QoL indicators and higher depression and perceived stress scores. Athletes may be a higher risk population for experiencing CD and report greater signs/symptoms compared with general population estimates. Additionally, athletes with higher CD symptom scores also reported poorer QoL. Allied health care professionals should be aware of the diversity of CD symptoms and be prepared to refer athletes when gastrointestinal symptoms persist to ensure proper care and unhampered performance.

Awareness of Anterior Cruciate Ligament Injury-Preventive Training Programs Among Female Collegiate Athletes.

Neuromuscular training programs can reduce the rate of noncontact anterior cruciate ligament (ACL) injuries, particularly in female athletes. To assess the awareness of, experience with, and factors associated with participation in preventive training programs (PTPs) among female collegiate athletes and their knowledge of ACL injuries. Cross-sectional study. National Collegiate Athletic Association (NCAA) sports programs. A total of 440 female NCAA athletes (age = 20 ± 1 years) representing 20 sports during the 2017-2018 academic year. We used a 12-item survey to collect data on each participant's age, sport, position, college, NCAA division, and awareness of and experience with PTPs. We performed descriptive statistics and used odds ratios (ORs) to assess relationships between demographic data and awareness of or interest in PTPs. Of the 440 respondents, 85% (n = 373) knew that female athletes were at higher risk for sustaining ACL injuries than male athletes, and 89% (n = 391) knew that ACL injuries were preventable. Thirty-three percent (n = 143) were familiar with the concept of ACL PTPs. Only 15% (n = 64) had ever performed PTPs, but 89% (n = 391) reported they would perform a daily PTP if it could prevent ACL injuries. Fifty-two of the 64 respondents (81%) who had performed PTPs said athletic trainers or coaches oversaw the PTPs. Participants were more likely to be familiar with ACL PTPs if they (OR = 3.5; 95% confidence interval [CI] = 2.0, 5.8) or a teammate (OR = 4.6; 95% CI = 2.1, 9.8) had sustained an ACL injury. Respondents were more willing to perform PTPs if they (OR = 2.3; 95% CI = 0.80, 6.6) or a teammate (OR = 3.4; 95% CI = 1.8, 6.6) had sustained an ACL injury. Although 89% of respondents expressed interest in performing daily ACL PTPs, only 15% had performed such programs, and only 33% were familiar with the concept of ACL PTPs.

Effects of Seasonal Vitamin D3 Supplementation on Strength, Power, and Body Composition in College Swimmers.

The purpose of this study was to evaluate the impact of fall season vitamin D3 supplementation on strength/power, body composition, and anabolic hormones in swimmers with optimal vitamin D status at summer's end. Male and female National Collegiate Athletic Association Division I swimmers (N = 19) with optimal 25-hydroxyvitamin D [25(OH)D] randomly received 5,000IU of vitamin D3 (VITD) or placebo (PLA) daily for 12 weeks while participating in swimming and strength and conditioning training (August-November). Before and after the intervention, the participants underwent blood sampling for analysis of serum 25(OH)D, parathyroid hormone, total testosterone, free testosterone, sex hormone-binding globulin, and insulin-like growth factor 1, dual-energy X-ray absorptiometry, and strength/power testing (bench press, squat, dead lift, standing broad jump, vertical jump, and dips and pull-ups). Sex was used as a covariate for analyses. The 25(OH)D was decreased by 44% in PLA (p < .05) and increased by 8% in VITD over the 12 weeks. Fat-free mass increased in VITD (56.4-59.1kg; p < .05), but not PLA (59.4-59.7kg; p < .01). Significant Group × Time interaction effects were observed for dead lift (F = 21.577, p < .01) and vertical jump (F = 11.219, p < .01), but no other strength/power tests. Total testosterone decreased similarly in both groups, but free testosterone decreased and sex hormone-binding globulin increased only in PLA (p < .01). There were no group differences or changes in insulin-like growth factor 1 with the intervention. The findings suggest that vitamin D supplementation is an efficacious strategy to maintain 25(OH)D during the fall season training and to enhance some aspects of strength/power and fat-free mass in swimmers. Further research on the relationship between vitamin D and anabolic hormones is needed.

Hip and Groin Injuries in National Collegiate Athletic Association Women's Soccer Players.

Background:Hip and groin injuries are common in competitive soccer players and have been shown to be significant sources of time loss. There are few studies describing the epidemiology of hip and groin injuries in female National Collegiate Athletic Association (NCAA) soccer players.Purpose:To describe the epidemiology of hip and groin injuries in women’s collegiate soccer players.Study Design:Descriptive epidemiology study.Methods:The NCAA Injury Surveillance System/Program (ISS/ISP) was analyzed from 2004 through 2014 for data related to hip and groin injuries in female collegiate soccer players. Injuries and athlete-exposures (AEs) were reported by athletic trainers. Data were stratified by time of season, event type, injury type, treatment outcome, time loss, and player field position.Results:Between 2004 and 2014, there were 439 recorded hip or groin injuries in female soccer players and an overall rate of injury of 0.57 per 1000 AEs. Injuries were 12.0 times more likely to occur during the preseason (4.41/1000 AEs) as opposed to during the regular season (0.37/1000 AEs) (injury rate ratio [IRR], 12.01; 95% confidence interval [CI], 9.92-14.55) or postseason (0.38/1000 AEs) (IRR, 11.55; 95% CI, 7.06-18.91). Rates of injury were similar during the regular season and postseason (IRR, 0.96; 95% CI, 0.59-1.58). Rates of injury were higher during competition (0.69/1000 AEs) than during practice (0.52/1000 AEs) (IRR, 1.33; 95% CI, 1.08-1.63). Most injuries were new (87.5%; n = 384) and unlikely to recur (12.5%; n = 55).Conclusion:Hip and groin injuries in female NCAA soccer players are uncommon, and fortunately, most players return to play quickly without recurrence. Future prospective studies should evaluate the effectiveness of strength and conditioning programs in preventing these injuries.

Body Composition Assessment in Female National Collegiate Athletic Association Division I Softball Athletes as a Function of Playing Position Across a Multiyear Time Frame.

Peart, A, Wadsworth, D, Washington, J, and Oliver, G. Body composition assessment in female National Collegiate Athletic Association Division I softball athletes as a function of playing position across a multiyear time frame. J Strength Cond Res 33(11): 3049-3055, 2019-The purpose of this study was to record changes in total body mass, lean body mass (LBM), fat mass (FM), and body fat percentage (BF%) in female National Collegiate Athletic Association (NCAA) Division I level softball athletes over a multiyear time frame using dual-energy x-ray absorptiometry (iDXA). Forty-two (20.36 ± 1.59 years) NCAA Division I collegiate softball athletes volunteered over 2 years. Subjects tested 3 times throughout the season (pre-season, mid-season, and post-season) in 2015-2017. Total and regional LBM, FM, and BF% were measured by the iDXA. A mixed-design analysis of variance was performed to examine LBM, FM, BF%, and player position interaction over time. Where appropriate, post hoc tests were used to determine statistically different variables (p ≤ 0.05). Lean body mass decreased significantly (p = 0.048) from mid-season (50.02 ± 0.28) to post season (49.67 ± 0.37). Fat mass and BF% decreased significantly for all playing positions over the season except for pitchers, who showed significantly (p < 0.000) higher levels of FM (26.56 ± 1.74) and BF% (31.77 ± 1.14) than all other positions. The current study revealed that all athletes decreased in LBM during the competitive season. Pitchers from this study consistently maintain a higher FM and BF% than the catchers, infielders, and outfielders. These data reveal that more emphasis of training and conditioning for optimal performance should be focused on the pitching position to maintain a healthy body composition.

Ten-Year Epidemiology of Ankle Injuries in Men's and Women's Collegiate Soccer Players.

Data from the National Collegiate Athletic Association (NCAA) Injury Surveillance Program (ISP) have indicated that ankle injuries are the most common injuries among NCAA soccer players. To review 10 years of NCAA-ISP data for soccer players' ankle injuries to understand how the time period (2004-2005 through 2008-2009 versus 2009-2010 through 2013-2014), anatomical structure injured, and sex of the athlete affected the injury rate, mechanism, and prognosis. Descriptive epidemiology study. Online injury surveillance. The NCAA-ISP was queried for men's and women's soccer ankle data from 2004 to 2014. Ankle-injury rates were calculated on the basis of injuries per 1000 athlete-exposures. Rate ratios (RRs) were used to compare injury rates. Injury proportion ratios (IPRs) were used to compare injury characteristics. When compared with the 2004-2005 through 2008-2009 seasons, the 2009-2010 through 2013-2014 seasons showed a similar rate of injuries (RR = 0.94, 95% confidence interval [CI] = 0.85, 1.04) but fewer days missed (P < .001) and fewer recurrent injuries (IPR = 0.55, 95% CI = 0.41, 0.74). The 4 most common ankle injuries, which accounted for 95% of ankle injuries, were lateral ligament complex tears (65.67%), tibiofibular ligament (high ankle) sprains (10.3%), contusions (10.1%), and medial (deltoid) ligament tears (9.77%). Of these injuries, high ankle sprains were most likely to cause athletes to miss ≥30 days (IPR = 1.9, 95% CI = 1.24, 2.90). Men and women had similar injury rates (RR = 1.02, 95% CI = 0.94, 1.11). Men had more contact injuries (IPR = 1.28, 95% CI = 1.16, 1.41) and contusion injuries (IPR = 1.34, CI = 1.03, 1.73) but fewer noncontact injuries (IPR = 0.86, 95% CI = 0.78, 0.95) and lateral ligamentous complex injuries (IPR = 0.92, 95% CI = 0.86, 0.98). Although the rate of ankle injuries did not change between the 2004-2005 through 2008-2009 seasons and the 2009-2010 through 2013-2014 seasons, the prognoses improved. Among the 4 most common ankle injuries, high ankle sprains resulted in the worst prognosis. Overall, male and female NCAA soccer players injured their ankles at similar rates; however, men were more likely to sustain contact injuries.

Evaluation of a Goalkeeper-Specific Adaptation to the Yo-Yo Intermittent Recovery Test Level 1: Reliability and Variability

Ehlert, AM, Cone, JR, Wideman, L, and Goldfarb, AH. Evaluation of a goalkeeper-specific adaptation to the Yo-Yo intermittent recovery test level 1: reliability and variability. J Strength Cond Res 33(3): 819-824, 2019-The Yo-Yo Intermittent Recovery Test Level 1 (YYIR1) has been shown to be a reliable test with strong correlations to physical match performance in field soccer players. However, the YYIR1 has less goalkeeper (GK) specificity. Therefore, the purpose of this study was to evaluate the test-retest reliability of a goalkeeper-specific adaptation of the YYIR1 (YYIR1-GK). Sixteen National Collegiate Athletic Association (NCAA) collegiate GKs (8 men and 8 women) performed the YYIR1-GK test twice (>4 and <7 days apart) to determine its reliability and variability. Subjects were tested at the same time of day and in a controlled indoor environment. Heart rate using polar monitors and rating of perceived exertion were obtained at the end of each stage of the YYIR1-GK. Test-retest reliability for each test was assessed by Pearson correlations, intraclass correlation coefficient (ICC), and coefficient of variation (CV). The YYIR1-GK was shown to have a strong test-retest reliability and low variability for male (r = 0.981, ICC = 0.980, CV = 5.82%) and female (r = 0.969, ICC = 0.956, CV = 9.60%) NCAA GKs, respectively. Male GKs performed significantly more stages and therein covered a greater distance in the YYIR1-GK than the female GKs (p = 0.05). This study suggests that the YYIR1-GK is a consistent assessment of intermittent fitness with high test-retest reliability and low variability in male and female NCAA GKs. It is suggested that larger numbers of GKs of various skill levels be evaluated in the future.

Preliminary Scale of Reference Values for Evaluating Reactive Strength Index-Modified in Male and Female NCAA Division I Athletes.

The purpose of this analysis was to construct a preliminary scale of reference values for reactive strength index-modified (RSImod). Countermovement jump data from 151 National Collegiate Athletic Association (NCAA) Division I collegiate athletes (male n = 76; female n = 75) were analyzed. Using percentiles, scales for both male and female samples were constructed. For further analysis, athletes were separated into four performance groups based on RSImod and comparisons of jump height (JH), and time to takeoff (TTT) were performed. RSImod values ranged from 0.208 to 0.704 and 0.135 to 0.553 in males and females, respectively. Males had greater RSImod (p < 0.001, d = 1.15) and JH (p < 0.001, d = 1.41) as compared to females. No statistically significant difference was observed for TTT between males and females (p = 0.909, d = 0.02). Only JH was found to be statistically different between all performance groups. For TTT no statistical differences were observed when comparing the top two and middle two groups for males and top two, bottom two, and middle two groups for females. Similarities in TTT between sexes and across performance groups suggests JH is a primary factor contributing to differences in RSImod. The results of this analysis provide practitioners with additional insight as well as a scale of reference values for evaluating RSImod scores in collegiate athletes.

Endothelial Vasodilation After a High-Volume Training Load and Tapered Training in Collegiate Female Swimmers

Weihl, FM and Van Guilder, GP. Endothelial vasodilation after a high-volume training load and tapered training in collegiate female swimmers. J Strength Cond Res 35(3): 811-818, 2021-High-volume endurance training loads have been linked to adverse remodeling of the heart and large arteries; yet, data on the vascular endothelial function are unclear. Moreover, although collegiate-level endurance athletes often perform high-volumes of vigorous endurance training and resistance training as part of their strength and conditioning programs, it is unknown whether they also experience vascular abnormalities, particularly changes in endothelial function. The aim of this study was to verify the impact of a high-volume training load phase followed by low-volume tapered training on endothelial vasodilator function in National Collegiate Athletic Association (NCAA) Division I competitive female swimmers. Microvascular endothelial vasodilation was assessed by pulse arterial tonometry that provides a reactive hyperemia index in 10 female NCAA Division 1 swimmers after 4 weeks of a high-volume training load, and subsequently, after 3 weeks of low-volume tapered training as part of preparation for annual conference championships. The reactive hyperemia index was calculated as the ratio of the pulse volume amplitude after 5 minutes of left-arm brachial artery ischemia to the baseline amplitude, divided by same ratio in the contralateral arm. The high-volume training load included a 4-week block of dual-day sessions (120 minutes per practice) consisting of vigorous intensity endurance and high-intensity interval/sprint swim training, coupled with 5K running, resistance training, and Olympic weightlifting. Tapered training consisted of 3 weeks of 3-5 swims per week at ∼50% V̇o2max for 60 minutes per practice (∼4,000 minutes per practice). The reactive hyperemia index (1.73 ± 0.50) was low in athletes after the high-volume training load with 8 athletes demonstrating endothelial dysfunction. However, after tapered training, the reactive hyperemia index was ∼33% higher (2.29 ± 0.43; 95% confidence interval [CI]: 1.98-2.60, p = 0.0223 vs. the high-volume training load). Effect size, as expressed by the partial eta2 (0.46) and Cohen's dz (1.1923; 95% CI: 0.1687-2.4643) with tapered training, was large. These results demonstrate distinct differences in endothelial vasodilation after 4 weeks of a high-volume training load compared with a 3-week taper in NCAA Division I female swimmers.

Applying Career Construction Theory to Female National Collegiate Athletic Association Division I Conference Commissioners

Women’s participation in collegiate sport has increased dramatically since the passage of Title IX, but there has not been a corresponding increase in the percentage of women in administrative positions. Women have, however, been successful obtaining leadership positions in conference offices, as more than 30% of National Collegiate Athletic Association Division I conference commissioners were women in 2016. This research used career construction theory as a framework to explore the experiences of these women. Findings revealed that participants constantly negotiate time spent on personal and professional obligations, and relationships created in the workplace turned into organic mentorship relationships. Participants felt that there were limited amounts of sexism in the workplace, but all discussed experiencing instances of sexism, indicating a culture of gender normalcy. Women may experience increased success in leadership positions at conference offices, compared with on-campus athletic departments, due to limited direct interaction with football and donors.

Time Trends in Incidence and Severity of Injury Among Collegiate Soccer Players in the United States

Background: A number of sociocultural and environmental changes have occurred over the past several decades that may affect the risk of injury among young athletes playing soccer. Purpose: To identify trends in injury incidence and severity between 2 time periods (1990-1996 and 2004-2009) in both male and female National Collegiate Athletic Association (NCAA) soccer players in the United States. Design: Descriptive epidemiology study. Methods: Data were analyzed from the NCAA Injury Surveillance System. The rate ratio (RR), along with the 95% Wald CI, compared incidence density in 2004-2009 relative to that in 1990-1996. Results: Overall sex-pooled injury rates were significantly lower in the 2004-2009 cohort compared with the 1990-1996 cohort (RR = 0.88; 95% CI = 0.86-0.91), and this was true for almost every category of injury studied. We observed only 1 significant sex difference between the time periods with regard to noncontact injuries, as men experienced a significant increase in rate of noncontact injuries between 1990-1996 and 2004-2009 (RR = 1.09; 95% CI = 1.02-1.17), whereas women experienced a significant decrease (RR = 0.70; 95% CI = 0.67-0.75). Conclusion: These surveillance data show decreasing trends in collegiate soccer injuries. Whether these decreases are attributable to greater resources being allocated toward athlete health, injury management, or the safety of the playing environment cannot be determined. Given the prominence of soccer play in the United States, public health efforts should promote the use of this surveillance system to better inform and evaluate injury prevention practices and policies directed toward player safety.

Validity of Urine Specific Gravity When Compared With Plasma Osmolality as a Measure of Hydration Status in Male and Female NCAA Collegiate Athletes

Sommerfield, LM, McAnulty, SR, McBride, JM, Zwetsloot, JJ, Austin, MD, Mehlhorn, JD, Calhoun, MC, Young, JO, Haines, TL, and Utter, AC. Validity of urine specific gravity when compared with plasma osmolality as a measure of hydration status in male and female NCAA collegiate athletes. J Strength Cond Res 30(8): 2219-2225, 2016-The purpose of this study was to evaluate the response of urine specific gravity (Usg) and urine osmolality (Uosm) when compared with plasma osmolality (Posm) from euhydration to 3% dehydration and then a 2-hour rehydration period in male and female collegiate athletes. Fifty-six National Collegiate Athletic Association (NCAA) wrestlers (mean ± SEM); height 1.75 ± 0.01 m, age 19.3 ± 0.2 years, and body mass (BM) 78.1 ± 1.8 kg and 26 NCAA women's soccer athletes; height 1.64 ± 0.01 m, age 19.8 ± 0.3 years, and BM 62.2 ± 1.2 kg were evaluated. Hydration status was obtained by measuring changes in Posm, Uosm, Usg, and BM. Male and female subjects dehydrated to achieve an average BM loss of 2.9 ± 0.09% and 1.9 ± 0.03%, respectively. Using the medical diagnostic decision model, the sensitivity of Usg was high in both the hydrated and dehydrated state for males (92%) and females (80%). However, the specificity of Usg was low in both the hydrated and dehydrated states for males (10 and 6%, respectively) and females (29 and 40%, respectively). No significant correlations were found between Usg and Posm during either the hydrated or dehydrated state for males or females. Based on these results, the use of Usg as a field measure of hydration status in male and female collegiate athletes should be used with caution. Considering that athletes deal with hydration status on a regular basis, the reported low specificity of Usg suggests that athletes could be incorrectly classified leading to the unnecessary loss of competition.

Assessing Intentions to Eat a Healthful Diet Among National Collegiate Athletic Association Division II Collegiate Athletes.

Many athletes fail to obtain the optimal levels of energy and nutrients to support health and performance. The constructs underlying the Theory of Planned Behavior (TPB) may help identify barriers to healthful eating that can be addressed in nutrition-education programs. To use the TPB to examine factors regarding collegiate male and female student-athletes' intentions of eating a healthful diet. Cross-sectional study. Online survey tool. The survey was taken by 244 male and female National Collegiate Athletic Association Division II athletes, and data from 201 were analyzed. Mean age of the athletes was 20 ± 1.31 years (range, 18-24 years); most were white (86.1%) and female (78.6%). We assessed predictive strength of attitude, subjective norms, and perceived behavioral control on behavioral intentions. Regression analysis evaluated how the variables of TPB were valued and how they predict behavioral intentions. The combination of attitude, subjective norms, and perceived behavioral controls accounted for 73.4% (R 2) of the variance in behavioral intention (F = 180.82, P < .001). Attitude had the greatest influence on behavioral intentions (β = .534, P < .001). Understanding both the intentions of collegiate athletes to eat healthfully and how highly they value nutrition is crucial for the development of effective nutrition education and counseling programs.

Perceptions of body weight and nutritional practices among male and female National Collegiate Athletic Association Division II athletes

ABSTRACTObjective: This study investigated body weight and nutritional behavior perceptions among Division II collegiate athletes. Participants: The sample was composed of 155 collegiate athletes who responded to a survey. Methods: Data were self-reported by athletes via questionnaire. Independent-sample t tests were used to identify significant gender differences related to body weight perceptions, nutritional practices, and ideal weight difference (IWD). An alpha level of .05 was used to determine statistical significance. Results: Mean ± SD female and male IWD was −6.8 ± 8.8 and 1.3 ± 12.3 lbs, respectively (p < .001). Significant differences in level of agreement regarding perceived body weight effects on performance and dietary practices existed between genders. Conclusions: Significant gender differences may exist regarding body weight perceptions and nutritional practices among collegiate athletes. Deliverance of gender-specific educational information about proper nutritional practices is warranted. To properly tailor interventions to specific sports, research with larger sample sizes is needed.

Hydration profile and sweat loss perception of male and female division II basketball players during practice.

Hydration affects multiple aspects of basketball performance, but few investigations have examined the hydration profiles of collegiate basketball players. We examined multiday prepractice hydration status of 11 male and 11 female NCAA (National Collegiate Athletic Association) Division II basketball players' sweat losses, fluid intake, and how accurately players estimated their sweat losses. Urine-specific gravity (USG) was spontaneously assessed before 2 practices. Sweat losses and fluid intakes were measured during a conditioning practice (CP) and sport-specific practice (SP). After practices, players filled 1,030 ml practice bottles to estimate their sweat losses. Urine-specific gravity between practices exhibited a moderate correlation (r = 0.54; p = 0.012) and were consistently high (17% of samples = USG >1.030) with no difference in mean USG between men (1.026 ± 0.004) and women (1.022 ± 0.008). Athletes' estimations of their sweat loss volumes between CP and the longer SP were strongly correlated (r = 0.88; p < 0.001). Estimation error was high (absolute error for both practices = 71 ± 52%) and error direction varied greatly within men. Women consistently underestimated sweat losses by 63 ± 28% and 65 ± 20% during CP and SP. Sweat losses during SP equaled 2,471 ± 495 ml and 1,910 ± 441 ml for men and women, respectively, but high practice fluid intake limited body mass losses to 1.1 ± 0.6% by the end of practice. It is plausible that hypohydration is related to poor conceptualization of sweat losses. Simulating the methodology of this study could help identify chronically hypohydrated athletes and be used to educate on between-practice fluid needs.

Sex differences in dynamic closed kinetic chain upper quarter function in collegiate swimmers.

Upper quarter injuries have a higher incidence in female swimmers; however, to date, there are few ways to assess the basic functional ability of this region. The upper quarter Y balance test (YBT-UQ) may assist in this process because it was developed to provide a fundamental assessment of dynamic upper quarter ability at the limit of stability. To examine how sex affects performance on the YBT-UQ in swimmers. Cohort study. Forty-three male and 54 female National Collegiate Athletic Association Division I college swimmers were recruited preseason. We measured YBT-UQ performance for the left and right limbs in the medial, inferolateral, and superolateral directions. The maximum score for each direction was normalized to upper extremity length. The average of the greatest normalized reach scores in each reach direction was used to develop a composite score (average distance in 3 directions/limb length [LL] × 100). To examine reach symmetry between sexes, the difference in centimeters between the left and right sides was calculated for each reach direction prior to normalization. Statistical analysis was conducted using an independent-samples t test (P < .05). Average scores in the medial (women: 92.5 ± 7.4%LL, men: 100.0 ± 8.7%LL; P < .01) and inferolateral (women: 85.6 ± 10.3%LL, men: 89.8 ± 10.8%LL; P = .05) directions and composite score (women: 83.4 ± 8.3%LL, men: 88.3 ± 8.9%LL; P < .01) were higher in men than in women. No differences were observed for reach symmetry in any direction. Performance on several YBT-UQ indices was worse for female than male collegiate swimmers. These results may have implications for the use of preseason and return-to-sport testing in swimmers as a measurement of upper quarter function and symmetry.