High-intensity/sprint interval training (HIIT/SIT) improves aerobic and anaerobic performance, but it is unknown if HIIT/SIT increases strength, muscle mass/size, and muscle endurance (ME). We aimed to determine if HIIT/SIT increases strength, muscle mass/size, and ME. Databases (Ovid Medline, Sport Discus, EMBASE, and CINAHL) and the gray literature (Google Scholar) were searched for original research articles investigating the impact of HIIT/SIT on strength, muscle mass/size, and ME (23 March 2025). The risk of bias (ROB) was assessed via the Cochrane ROB 2 Tool. Meta-analyses were performed when three or more randomized controlled trials compared HIIT/SIT to a common comparator. Fifty-four studies were included (N = 1136). Twenty-five studies had a high ROB, while twenty-nine had some concerns. Standardized mean differences (SMD) (95% CI) of 0.16; (−0.09, 0.40), 0.33; (−0.21, 0.87) were observed for meta-analyses comparing the effect of HIIT/SIT to moderate intensity continuous training (MICT) and non-exercise controls (CON) on FFM, respectively. A meta-analysis comparing the effect of HIIT/SIT to resistance training (RT) on leg press strength yielded a SMD of −0.82; 95% CI: (−1.97, 0.33). HIIT/SIT may induce slightly greater gains than MICT and CON for FFM, while RT is likely superior to HIIT/SIT for improving leg press strength. However, the certainty of evidence is low, and 95% CIs intersect zero for all analyses.

Objectives: This study aimed to assess changes in anthropometric measures, cardiometabolic markers, and physical fitness following a structured basketball training program in healthy prepubertal boys. Methods: The intervention consisted of a 6-week pre-season phase followed by a 32-week basketball training season conducted during the academic year. Training sessions were held three times per week at moderate to vigorous intensity, along with a weekly match. The participants were assessed at baseline, 6, 9, and 12 months. A reference group was evaluated at baseline for comparison. The study was registered at ClinicalTrials.gov (identifier: NCT07007624). Results: Seventeen boys completed the program. Anthropometric assessments revealed increases in fat-free mass in the trunk and lower limbs, along with maintenance of an adequate BMI. After nine months, participants in the intervention showed significant improvements in fitness tests, including a 45% increase in Course Navette performance (p < 0.001), a 21% increase in horizontal jump performance (p = 0.001), and a 13% increase in abdominal test performance (p < 0.001). Conclusion: These findings suggest that a structured, school-based basketball program may enhance physical fitness and support healthy body composition maintenance in healthy-weight prepubertal boys.

Background: Athletes’ skin is exposed to increased microbial challenges due to rigorous physical activity, perspiration, constant “skin-to-skin” contact, frequent showering, use of hygiene products, and environmental factors present in training settings. This study aims to characterize the skin microbiome communities of young wrestlers and kickboxers in comparison with their non-athlete age-peers. Methods: A total of 56 combat sport athletes (30 males and 26 females, mean age ± SD = 18.2 ± 1.5 years) and 25 non-athlete youths (control group: 13 males and 12 females, mean age ± SD = 19.8 ± 1.2 years) voluntarily consented to participate in the study conducted by our research team in 2023 and 2024. The skin microbiome analysis involved standardized sampling, DNA isolation, molecular sequencing, and bioinformatic analysis, thus enabling detailed characterization and comparison of the skin microbial community in contact sports athletes and the control group. Results: Our results revealed notable sexual dimorphism in the skin microbiome composition of youth. Males showed a higher relative abundance of bacterial genera associated with nosocomial infections and respiratory diseases, while females had more skin inflammation- and infection-related genera (relative abundances in males vs. in females: Corynebacterium—12.0 vs. 7.2; Luteimonas—4.4. vs. 1.4; Paracoccus—8.8 vs. 5.0; Psychrobacter—6.3 vs. 4.4; Cutibacterium—6.4 vs. 11.4; Kocuria—1.6 vs. 3.9; Micrococcus—5.8 vs. 8.5; Pseudomonas—1.2 vs. 3.4; Streptococcus 3.3 vs. 6.2). We also found skin microbiome differences between athletes and non-athletes in both sexes: wrestlers, who experience frequent skin-to-skin contact and wear less covering sportswear, had microbiome profiles distinct from both kickboxers and non-athletes (relative abundances in athletes vs. in non-athletes: Psychrobacter—7.3 vs. 0.4; Staphylococcus 9.5 vs. 18.5; predominance of genera by sports type: relative abundance of Cutibacterium and Streptococcus was higher in kickboxers, and relative abundance of Acinetobacter, Enhydrobacter, Micrococcus, and Enhydrobacter was higher in wrestlers). Bacteria linked to skin infections (e.g., Aliterella, Arthrobacter, and Empedobacter) were present in around 30% of wrestlers and kickboxers but were absent in the control group. Conclusions: These results underscore the heightened risk of skin infections in contact sports and highlight the importance of regular microbiome monitoring and hygiene protocols among young athletes.

(1) Background: Fatigue impacts neuromuscular performance, especially in endurance sports like rowing. The aim is to explore how continuous workload affects explosiveness and fatigue progression. This study examines acute fatigue during repeated race events by assessing vertical jump height, force output, and subjective fatigue over three consecutive days at the 2024 Hungarian National Rowing Championships. (2) Methods: Nine rowers (five women, four men; mean age 20.17 ± 1.73 years) competed in multiple 2000 m races over three days. Lower limb explosiveness was measured via countermovement jump (CMJ) using a Kistler force plate, pre- and post-race. Heart rate data were recorded with Polar Team Pro®. Subjective fatigue was assessed using the ‘Daily Wellness Questionnaire’. (3) Results: We found a significant difference in the pattern of the medians of the force exerted by males during the jump between the results of the Thursday preliminaries (ThuQMe = 13.3) and the second final (ThuF2Me = −75.5). Women showed no notable changes. (4) Conclusion: Repeated high-intensity races induce neuromuscular fatigue in men, reflected in reduced explosiveness and increased subjective fatigue. Future research should incorporate biochemical markers to deepen the understanding of fatigue mechanisms.

This study examined the effects of a short-term ballistic training program on neuromuscular performance and strength-deficit (SDef) in elite youth female soccer players. Twenty-two under-20 athletes completed a 4-week intervention during the pre-season phase, comprising 12 loaded and 8 unloaded ballistic training sessions performed at maximal intended velocity. Pre- and post-intervention assessments included vertical jumps (squat jump [SJ], countermovement jump [CMJ]), sprinting speed (5, 10, and 20 m), one-repetition maximum (1RM) and peak force (PF) in the half-squat (HS), and peak power and velocity during jump squats (JS) at 30% of 1RM. SDef was calculated as the percentage difference in PF between 1RM in the HS and 30% 1RM. Significant improvements were observed in SJ, CMJ, sprint speed, 1RM-strength, and bar-derived mechanical outputs (ES = 1.18–1.66; p < 0.05), with no significant changes in SDef. These results indicate that elite youth female soccer players can improve strength-, power-, and speed-related capacities without compromising force production at higher movement velocities (thus maintaining their SDef). The improvements observed likely reflect the combined effect of a high-frequency, velocity-oriented training approach and a concurrent reduction in traditional technical–tactical (i.e., soccer-specific) training volume. This is the first study to demonstrate that ballistic exercises alone—when properly structured—can enhance neuromuscular performance in female soccer players without increasing SDef. These findings provide practical guidance for practitioners aiming to optimize physical development in team-sport athletes without relying on heavier training loads or extended resistance training sessions—and, especially, without compromising their ability to apply force at higher velocities.

Mental health disorders, particularly depression and anxiety, have become increasingly prevalent among elite athletes, exacerbated by factors such as competitive pressure and the Coronavirus Disease 19 (COVID-19) pandemic. This study analyzes trends in the use of antidepressants, anxiolytics, and cannabinoids (delta-9-tetrahydrocannabinol (THC)/cannabidiol (CBD)) among Italian athletes from 2011 to the first half of 2023 (FH2023), referring to anti-doping reports published by the Italian Ministry of Health. Data from 13,079 athletes were examined, with a focus on non-prohibited medications, banned substances, and regulatory impacts, including threshold adjustments for THC since 2013 and the legalization of CBD. The results show fluctuating use of antidepressants/anxiolytics, with peaks in 2021 and the FH2023, coinciding with post-pandemic awareness. Positive THC cases rose following regulatory changes, reflecting socio-cultural trends. Gender disparities emerged, with THC use predominantly among males (e.g., nine males vs. one female in 2013), though female athletes were underrepresented in testing. This study highlights the need for personalized, evidence-based strategies that balance therapeutic efficacy and anti-doping compliance. Clinicians should carefully consider prescribing selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines to address depression and anxiety and should monitor the risks of CBD contamination. Future research should adopt longitudinal, gender-sensitive approaches to refining guidelines and combating stigma in professional sports.

Background: This study aimed to develop a method to analyze the kinetic and kinematic characteristics of the traditional karate Gyaku Tsuki (reverse punch), focusing on the activation sequence of lower and upper extremities and trunk muscles during execution. Methods: An elite male (N = 1) karate athlete (in kata) performed 20 Gyaku Tsuki punches while equipped with 16 wireless surface EMG sensors integrated with 3-axis accelerometers. The five punches with the highest forearm acceleration were selected for analysis. EMG, accelerometer, and synchronized video data were recorded and processed. Results: A novel visualization technique was developed to represent muscle activation over time, distinguishing a spectrum of 0–25–50–75–100% activation levels. Muscle activation times for arm, leg, and trunk muscles ranged from −0.31 to −0.11 s relative to punch execution, indicating rapid, coordinated muscle engagement. Conclusions: This method enables detailed analysis of muscle activation patterns in karate punches. It offers valuable insights for biomechanics researchers and practical applications for coaches aiming to enhance performance and prevent injuries through better understanding of movement dynamics.

Background: High-intensity actions like accelerations and decelerations, often performed unilaterally, are crucial in elite female football but increase the risk of interlimb asymmetries and injury. Flywheel resistance training enhances eccentric strength, yet limited research has assessed how different inertial loads affect mechanical outputs in unilateral exercises. Purpose: This study investigated how two inertial loads (0.107 kg·m2 and 0.133 kg·m2) influence power, acceleration, speed, and asymmetry during unilateral hip extensions in elite female footballers. Methods: Eighteen professional players (27 ± 4 years, 59.9 ± 6.5 kg, 168.2 ± 6.3 cm, BMI 21.2 ± 1.8) completed unilateral hip extensions on a conical flywheel under both inertia conditions. A rotary encoder measured peak/average power, acceleration, speed, and eccentric-to-concentric (E:C) ratios. Bilateral asymmetries between dominant (DL) and non-dominant (NDL) limbs were assessed. Paired t-tests and Cohen’s d were used for analysis. Results: Higher inertia reduced peak and mean acceleration and speed (p < 0.001, d > 0.8). Eccentric peak power significantly increased in the NDL (p < 0.001, d = 3.952). E:C ratios remained stable. Conclusions: Greater inertial loads reduce movement velocity but increase eccentric output in the NDL, offering potential strategies to manage neuromuscular asymmetries in elite female football players.

Women have a lower age-matched cardiovascular risk than men, largely due to estrogen’s protective role in endothelial function. While exercise improves vascular health, acute vascular responses are influenced by factors such as age, fitness level, metabolic status, and exercise modality. In premenopausal women, fluctuations in estrogen levels during the menstrual cycle may further affect vascular reactivity. Here, we review current evidence on acute exercise-induced vascular responses in women, emphasizing menstrual phase influences and key biomarkers such as flow-mediated dilation (FMD), along with others including vascular conductance and pulse wave velocity (PWV). Despite limited and heterogeneous evidence, shear-induced vascular responses, (including FMD) following acute exercise, appear to be relatively stable across menstrual cycle phase, suggesting that strict phasic control may not always be necessary. However, future high-quality studies are needed to further clarify this response. In contrast, other vascular assessments that rely more heavily on neural components—such as vascular conductance and PWV—show greater estrogen sensitivity. Nonetheless, the inconsistencies between studies again underscore the need for future research with hormonal verification. Morever, adequate sample sizes, and standardized exercise protocols will improve both consistency and help develop and promote the inclusion of women in vascular research.

Over the last two and a half decades, there has been a surge of research into adverse childhood experiences (ACEs). ACEs have been found to be a significant predictor of mental health outcomes in adulthood, and researchers have begun to explore the relationship between ACEs and mental health outcomes in athletes. However, to the best of the authors’ knowledge, no study has directly compared the mental health of student-athletes to non-student-athletes in the context of exposure to ACEs. In the present study, we compared psychological outcomes observed in college students (123 student-athletes and 149 non-student-athletes) on two mental health variables—depressive symptoms and difficulties in emotion regulation—at one university in the U.S. Results indicated that exposure to ACEs had a significant effect on both depressive symptoms and difficulties in emotion regulation, while student-athlete status only had a significant effect on depressive symptoms. There was no significant interaction effect between exposure to ACEs and student-athlete status. This pattern of main effects and an absence of an interaction effect remained even when the psychological trait of hardiness was controlled for. The implications and limitations of these results will be discussed.