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Physiological Considerations for Paratriathlon Training and Competition

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Triathlon Medicine

Abstract

Paratriathlon is a multi-impairment, Paralympic, endurance sport with athletes’ impairments typically consisting of spinal cord injury, cerebral palsy or other neurological disorders, amputations, or visual impairments. As the sport made its Paralympic Games debut only in 2016, there is a dearth of literature concerning the sport. This opposes able-bodied triathlon whereby a significant mass of information is available concerning the physiology, training habits and competitive performance of athletes. However, due to primary or secondary consequences of paratriathletes’ impairments, there are many considerations that must be made when attempting to transfer information on training or competition from able-bodied triathletes. Paratriathletes may be at risk of intolerably high internal training load as movement inefficiencies augment the metabolic cost of daily ambulation and sporting performance. This can then result in a susceptibility for mucosal immunity suppression, and subsequent illness, or overreaching genesis. Likewise, paratriathletes’ impairments may diminish their thermoregulatory capacity, resulting in amplified strain when competing in the heat. This has implications for all impairment types due to myriad factors that interact with heat loss or gain during races. Nonetheless, strategies, such as heat acclimation, may be utilised to ameliorate the thermal strain of competition in the heat.

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References

  1. Mujika I, Orbañanos J, Salazar H. Physiology and training of a world-champion paratriathlete. Int J Sports Physiol Perform. 2015;10:927–30.

    Article  PubMed  Google Scholar 

  2. Suriano R, Bishop D. Physiological attributes of triathletes. J Sci Med Sport. 2010;13:340–7.

    Article  CAS  PubMed  Google Scholar 

  3. Mujika I. Olympic preparation of a world-class female triathlete. Int J Sports Physiol Perform. 2014;9:727–31.

    Article  PubMed  Google Scholar 

  4. Schmit C, Le Meur Y, Duffield R, Robach P, Oussedik N, Coutts AJ, Hausswirth C. Heat-acclimatization and pre-cooling: a further boost for endurance performance? Scand J Med Sci Sports. 2017;27:55–65.

    Article  CAS  PubMed  Google Scholar 

  5. Kirschblum SC, Burns SP, Biering-Sorensen F, Donovan W, Graves DE, Jha A, et al. International standards for neurological classification of spinal cord injury (revised 2011). J Spinal Cord Med. 2011;34:535–46.

    Article  Google Scholar 

  6. Paulson TAW, Goosey-Tolfrey VL. Current perspectives on profiling and enhancing wheelchair court sport performance. Int J Sports Physiol Perform. 2017;12:275–86.

    Article  PubMed  Google Scholar 

  7. Bhambhani Y. Physiology of wheelchair racing in athletes with spinal cord injury. Sports Med. 2002;32:23–51.

    Article  PubMed  Google Scholar 

  8. Goosey-Tolfrey VL, Leicht CA. Field-based physiological testing of wheelchair athletes. Sports Med. 2013;43:77–91.

    Article  PubMed  Google Scholar 

  9. Brown R, DiMarco AF, Hoit JD, Garshick E. Respiratory dysfunction and management in spinal cord injury. Respir Care. 2006;51:853–70.

    PubMed  Google Scholar 

  10. Nash MS. Known and plausible modulators of depressed immune functions following spinal cord injuries. J Spinal Cord Med. 2000;23:109–10.

    Article  CAS  PubMed  Google Scholar 

  11. Webborn N, Van de Vliet P. Paralympic medicine. Lancet. 2012;380:65–71.

    Article  PubMed  Google Scholar 

  12. Iturricastillo A, Yanci J, Granados C, Goosey-Tolfrey VL. Quantifying wheelchair basketball match load: a comparison of heart-rate and perceived-exertion methods. Int J Sports Physiol Perform. 2016;11:508–14.

    Article  PubMed  Google Scholar 

  13. Freund PR, Brengelmann GL, Rowell LB, Halar E. Attenuated skin blood flow response to hyperthermia in paraplegic men. J Appl Physiol. 1984;56:1104–9.

    Article  CAS  PubMed  Google Scholar 

  14. Hopman MT, Oeseburg B, Binkhorst RA. Cardiovascular responses in paraplegic subjects during arm exercise. Eur J Appl Physiol Occup Physiol. 1992;65:73–8.

    Article  CAS  PubMed  Google Scholar 

  15. Goosey-Tolfrey VL, Keil M, Brooke-Wavell K, de Groot S. A comparison of methods for the estimation of body composition in highly trained wheelchair games players. Int J Sports Med. 2016;37:799–806.

    Article  CAS  PubMed  Google Scholar 

  16. Graham-Paulson T, Perret C, Goosey-Tolfrey VL. Case study: dose response of caffeine on 20 km handcycling time trial performance in a para-triathlete. Int J Sport Nutr Exerc Metab. 2017;28:274–8.

    Article  CAS  Google Scholar 

  17. Mueller SM, Anliker E, Knechtle P, Knechtle B, Toigo M. Changes in body composition in triathletes during an ironman race. Eur J Appl Physiol. 2013;113:2343–52.

    Article  CAS  PubMed  Google Scholar 

  18. Runciman P, Tucker R, Ferreira S, Albertus-Kajee Y, Derman W. Paralympic athletes with cerebral palsy display altered pacing strategies in distance-deceived shuttle running trials. Scand J Med Sci Sports. 2016;26:1239–48.

    Article  CAS  PubMed  Google Scholar 

  19. Bax MC. Terminology and classification of cerebral palsy. Dev Med Child Neurol. 1964;6:295–7.

    Article  CAS  PubMed  Google Scholar 

  20. Blauwet CA, Brook EM, Tenforde AS, Broad E, Hu CH, Abdu-Glass E, Matzkin EG. Low energy availability, menstrual dysfunction, and low bone mineral density in individuals with a disability: implications for the para athlete population. Sports Med. 2017;47:1697–708.

    Article  PubMed  Google Scholar 

  21. Maltais D, Wilk B, Unnithan V, Bar-Or O. Responses of children with cerebral palsy to treadmill walking exercise in the heat. Med Sci Sports Exerc. 2004;36:1674–81.

    Article  PubMed  Google Scholar 

  22. Kloyiam S, Breen S, Jakeman P, Conway J, Hutzler Y. Soccer-specific endurance and running economy in soccer players with cerebral palsy. Adapt Phys Act Q. 2011;28:354–67.

    Google Scholar 

  23. Sagawa Y Jr, Turcot K, Armand S, Thevenon A, Vuillerme N, Watelain E. Biomechanics and physiological parameters during gait in lower-limb amputees: a systematic review. Gait Posture. 2010;33:511–26.

    Article  Google Scholar 

  24. Sherk VD, Bemben MG, Bemben DA. Interlimb muscle and fat comparisons in persons with lower-limb amputation. Arch Phys Med Rehabil. 2010;91:1077–81.

    Article  PubMed  Google Scholar 

  25. Østlie K, Franklin RJ, Skjeldal OH, Skrondal A, Magnus P. Musculoskeletal pain and overuse syndromes in adult acquired major upper-limb amputees. Arch Phys Med Rehabil. 2011;92:1967–73.

    Article  PubMed  Google Scholar 

  26. Ward KH, Meyers MC. Exercise performance of lower-extremity amputees. Sports Med. 1995;20:207–14.

    Article  CAS  PubMed  Google Scholar 

  27. Webborn ADJ. Heat-related problems for the Paralympic games, Atlanta 1996. Br J Ther Rehabil. 1996;3:429–36.

    Article  Google Scholar 

  28. Klute GK, Rowe GI, Mamishev AV, Ledoux WR. The thermal conductivity of prosthetic sockets and liners. Prosthetics Orthot Int. 2007;31:292–9.

    Article  CAS  Google Scholar 

  29. Legro MW, Reiber G, del Aguila M, Ajax MJ, Boone DA, Larsen JA, et al. Issues of importance reported by persons with lower limb amputations and prostheses. J Rehabil Res Dev. 1999;36:155–63.

    CAS  PubMed  Google Scholar 

  30. Crandall CG, Davis SL. Cutaneous vascular and sudomotor responses in human skin grafts. J Appl Physiol. 2010;109:1524–30.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Bothwell JE. Pigmented skin lesions in tyrosinase-positive oculocutaneous albinos: a study in black south Africans. Int J Dermatol. 1997;36:831–6.

    Article  CAS  PubMed  Google Scholar 

  32. Taylor JB, Santi G, Mellalieu SD. Freestyle race pacing strategies (400 m) of elite able-bodied swimmers and swimmers with disability at major international championships. J Sports Sci. 2016;34:1913–20.

    Article  PubMed  Google Scholar 

  33. Magno e Silva MP, Winckler C, Costa e Silva AA, Bilzon J, Duarte E. Sports injuries in Paralympic track and field athletes with visual impairment. Med Sci Sports Exerc. 2013;45:908–13.

    Article  PubMed  Google Scholar 

  34. Borresen J, Lambert MI. The quantification of training load, the training response and the effect on performance. Sports Med. 2009;39:779–95.

    Article  PubMed  Google Scholar 

  35. Mujika I. The alphabet of sports science research starts with a Q. Int J Sports Physiol Perform. 2013;8:465–6.

    Article  PubMed  Google Scholar 

  36. Cejuela-Anta R, Esteve-Lanao J. Training load quantification in triathlon. J Hum Sport Exerc. 2011;6:1–15.

    Article  Google Scholar 

  37. Derman W, Runciman P, Schwellnus MP, Jordaan E, Blauwet C, Webborn N, et al. High precompetition injury rate dominates the injury profile at the Rio 2016 summer Paralympic games: a prospective cohort study of 51 198 athlete days. Br J Sports Med. 2018;52:24–31.

    Article  PubMed  Google Scholar 

  38. Derman W, Schwellnus MP, Jordaan E, Runciman P, Blauwet C, Webborn N, et al. Sport, sex and age increase risk of illness at the Rio 2016 summer Paralympic games: a prospective cohort study of 51 198 athlete days. Br J Sports Med. 2018;52:17–23.

    Article  PubMed  Google Scholar 

  39. Paulson TAW, Mason B, Rhodes J, Goosey-Tolfrey VL. Individualized internal and external training load relationships in elite wheelchair rugby players. Front Physiol. 2015;6:388.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Foster C, Florhaug JA, Franklin J, Gottschall L, Hrovatin LA, Parker S, et al. A new approach to monitoring exercise training. J Strength Cond Res. 2001;15:109–15.

    CAS  PubMed  Google Scholar 

  41. Foster C. Monitoring training in athletes with reference to overtraining syndrome. Med Sci Sports Exerc. 1998;30:1164–8.

    Article  CAS  PubMed  Google Scholar 

  42. Cunniffe B, Griffiths H, Proctor W, Davies B, Baker JS, Jones KP. Mucosal immunity and illness incidence in elite rugby union players across a season. Med Sci Sports Exerc. 2011;43:388–97.

    Article  PubMed  Google Scholar 

  43. Fahlman MM, Engels HJ. Mucosal IgA and URTI in American college football players: a year longitudinal study. Med Sci Sports Exerc. 2005;37:374–80.

    Article  CAS  PubMed  Google Scholar 

  44. Neville V, Gleeson M, Folland JP. Salivary IgA as a risk factor for upper respiratory infections in elite professional athletes. Med Sci Sports Exerc. 2008;40:1228–36.

    Article  CAS  PubMed  Google Scholar 

  45. Pyne DB, Gleeson M. Effects of intensive exercise training on immunity in athletes. Int J Sport Med. 1998;19(Suppl 3):183–94.

    Article  Google Scholar 

  46. Walsh NP, Gleeson M, Shephard RJ, Gleeson M, Woods JA, Bishop NC, et al. Position statement part one: immune function and exercise. Exerc Immunol Rev. 2011;17:6–63.

    PubMed  Google Scholar 

  47. Brandtzaeg P. Role of secretory antibodies in defence against infections. Int J Med Microbiol. 2003;293:3–15.

    Article  CAS  PubMed  Google Scholar 

  48. Moreira A, Mortatti AL, de Arruda AFS, Freitas CG, de Arrudo M, Aoki MS. Salivary IgA response and upper respiratory tract infection symptoms during a 21-week competitive season in young soccer players. J Strength Cond Res. 2014;28:467–73.

    Article  PubMed  Google Scholar 

  49. Leicht CA, Bishop NC, Paulson TAW, Griggs KE, Goosey-Tolfrey VL. Salivary immunoglobulin a and upper respiratory symptoms during 5 months of training in elite tetraplegic athletes. Int J Sports Physiol Perform. 2012;7:210–7.

    Article  PubMed  Google Scholar 

  50. Edmonds R, Burkett B, Leicht A, McKean M. Effect of chronic training on heart rate variability, salivary IgA and salivary alpha-amylase in elite swimmers with a disability. PLoS One. 2015. https://doi.org/10.1371/journal.pone.0127749.

  51. Stephenson BT. Paratriathletes’ physiological response to training load and its manipulation for performance in the heat (Unpublished doctoral thesis). Loughborough: Loughborough University; 2018.

    Google Scholar 

  52. Hough J, Corney R, Kouris A, Gleeson M. Salivary cortisol and testosterone responses to high-intensity cycling before and after an 11-day intensified training period. J Sports Sci. 2013;31:1614–23.

    Article  PubMed  Google Scholar 

  53. Coutts AJ, Slattery KM, Wallace LK. Practical tests for monitoring performance, fatigue and recovery in triathletes. J Sci Med Sport. 2007;10:372–81.

    Article  PubMed  Google Scholar 

  54. Meeusen R, Duclos M, Foster C, Fry A, Gleeson M, Nieman D, et al. Prevention, diagnosis, and treatment of the overtraining syndrome: joint consensus statement of the European College of Sport Science and the American College of Sports Medicine. Med Sci Sports Exerc. 2013;45:186–205.

    Article  PubMed  Google Scholar 

  55. Le Meur Y, Hausswirth C, Natta F, Couturier A, Bignet F, Vidal PP. A multidisciplinary approach to overreaching detection in endurance trained athletes. J Appl Physiol. 2013;114:411–20.

    Article  CAS  PubMed  Google Scholar 

  56. Coutts AJ, Wallace LK, Slattery KM. Monitoring changes in performance, physiology, biochemistry, and psychology during overreaching and recovery in triathletes. Int J Sports Med. 2007;28:125–34.

    Article  CAS  PubMed  Google Scholar 

  57. Papacosta E, Nassis G. Saliva as a tool for monitoring steroid, peptide and immune markers in sport and exercise science. J Sci Med Sport. 2011;14:424–34.

    Article  PubMed  Google Scholar 

  58. Lehmann M, Foster C, Kuel J. Overtraining in athletes: a brief review. Med Sci Sports Exerc. 1993;25:854–62.

    Article  CAS  PubMed  Google Scholar 

  59. Hausswirth C, Louis J, Aubery A, Bonnet G, Duffield R, Le Meur Y. Evidence of disturbed sleep and increased illness in overreached endurance athletes. Med Sci Sports Exerc. 2014;46:1036–45.

    Article  PubMed  Google Scholar 

  60. Killer SC, Svendsen IS, Jeukendrup AE, Gleeson M. Evidence of disturbed sleep and mood state in well-trained athletes during short-term intensified training with and without a high carbohydrate nutritional intervention. J Sports Sci. 2017;35:1402–10.

    Article  CAS  PubMed  Google Scholar 

  61. Gupta L, Morgan K, Gilchrist S. Does elite sport degrade sleep quality? A systematic review. Sports Med. 2017;47:1317–33.

    Article  PubMed  Google Scholar 

  62. Thornton HR, Delaney JA, Duthie GM, Dascombe BJ. Effects of pre-season training on the sleep characteristics of professional rugby league players. Int J Sports Physiol Perform. 2018;13:176–82.

    Article  PubMed  Google Scholar 

  63. Caia J, Thornton HR, Kelly V, Scott TJ, Halson SL, Cupples B, Driller MW. Does self-perceived sleep reflect sleep estimated via activity monitors in professional rugby league athletes? J Sports Sci. 2018;36:1492–6.

    Article  PubMed  Google Scholar 

  64. Scheer FA, Zeitzer JM, Ayas NT, Brown R, Czeisler CA, Shea SA. Reduced sleep efficiency in cervical spinal cord injury; association with abolished night time melatonin secretion. Spinal Cord. 2006;44:78–81.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  65. Silva A, Queiroz SS, Winckler C, Vital R, Sousa RA, Fagundes V, et al. Sleep quality evaluation, chronotype, sleepiness and anxiety of Paralympic Brazilian athletes: Beijing 2008 Paralympic games. Br J Sports Med. 2012;46:150–4.

    Article  PubMed  Google Scholar 

  66. Bresciani G, Cuevas MJ, Molinero O, Almar M, Suay F, Salvador A, et al. Signs of overload after an intensified training. Int J Sports Med. 2011;32:338–43.

    Article  CAS  PubMed  Google Scholar 

  67. Zeller S, Abel T, Strueder HK. Monitoring training load in handcycling: a case study. J Strength Cond Res. 2017;31:3094–100.

    Article  PubMed  Google Scholar 

  68. Ely BR, Ely MR, Cheuvront SN, Kenefick RW, DeGroot DW, Montain SJ. Evidence against a 40 °C core temperature threshold for fatigue in humans. J Appl Physiol. 2009;107:1519–25.

    Article  PubMed  Google Scholar 

  69. Galloway SD, Maughan RJ. Effects of ambient temperature on the capacity to perform prolonged cycle exercise in man. Med Sci Sports Exerc. 1997;29:1240–9.

    Article  CAS  PubMed  Google Scholar 

  70. Périard JD, Racinais S. Performance and pacing during cycle exercise in hyperthermic and hypoxic conditions. Med Sci Sports Exerc. 2016;48:845–53.

    Article  CAS  PubMed  Google Scholar 

  71. Daanen HAM, Racinais S, Périard JD. Heat acclimation decay and re-introduction: a systematic review and meta-analysis. Sports Med. 2018;48:409–30.

    Article  PubMed  Google Scholar 

  72. Guy JH, Deakin GB, Edwards AM, Miller CM, Pyne DB. Adaptation to hot environmental conditions: an exploration of the performance basis, procedures and future directions to optimise opportunities for elite athletes. Sports Med. 2014;45:303–11.

    Article  Google Scholar 

  73. Périard JD, Racinais S, Sawka MN. Adaptations and mechanisms of human heat acclimation: applications for competitive athletes and sports. Scand J Med Sci Sports. 2015;25(Suppl 1):20–38.

    Article  PubMed  Google Scholar 

  74. Racinais S, Wilson MG, Périard JD. Passive heat acclimation improves skeletal muscle contractility in humans. Am J Phys. 2017;312:R101–7.

    CAS  Google Scholar 

  75. Baillot M, Hue O. Hydration and thermoregulation during a half-ironman performed in tropical climate. J Sports Sci Med. 2015;14:263–8.

    PubMed  PubMed Central  Google Scholar 

  76. Del Coso J, González C, Abian-Vicen J, Salinero Martín JJ, Soriano L, Areces F, et al. Relationship between physiological parameters and performance during a half-ironman triathlon in the heat. J Sports Sci. 2014;32:1680–7.

    Article  PubMed  Google Scholar 

  77. Peeling P, Landers G. The effect of a one-piece competition speedsuit on swimming performance and thermoregulation during a swim-cycle trial in triathletes. J Sci Med Sport. 2007;10:327–33.

    Article  PubMed  Google Scholar 

  78. Kerr CG, Trappe TA, Starling RD, Trappe SW. Hyperthermia during olympic triathlon: influence of body heat storage during the swimming stage. Med Sci Sports Exerc. 1998;30:99–104.

    Article  CAS  PubMed  Google Scholar 

  79. Kenney WL. Physiological correlates of heat intolerance. Sports Med. 1985;2:279–86.

    Article  CAS  PubMed  Google Scholar 

  80. Abel T, Schneider S, Platen P, Strüder HK. Performance diagnostics in handbiking during competition. Spinal Cord. 2006;44:211–6.

    Article  CAS  PubMed  Google Scholar 

  81. Griggs KE, Havenith G, Price MJ, Mason BS, Goosey-Tolfrey VL. Thermoregulatory responses during competitive wheelchair rugby match play. Int J Sports Med. 2017;38:177183.

    Google Scholar 

  82. Veltmeijer MTW, Pluim B, Thijssen DHJ, Hopman MTE, Eijsvogels TMH. Thermoregulatory responses in wheelchair tennis players: a pilot study. Spinal Cord. 2014;52:373–7.

    Article  CAS  PubMed  Google Scholar 

  83. Leprêtre P-M, Goosey-Tolfrey VL, Janssen TW, Perret C. Editorial: Rio, Tokyo Paralympic games and beyond: how to prepare athletes with motor disabilities for peaking. Front Physiol. 2016;7:497.

    Article  PubMed  PubMed Central  Google Scholar 

  84. James CA, Richardson AJ, Wilmott AGB, Watt PW, Gibson OR, Maxwell NS. Short-term heat acclimation and precooling, independently and combined, improve 5 km running performance in the heat. J Strength Cond Res. 2018;32:1366–75.

    Article  PubMed  Google Scholar 

  85. Tucker R, Marle T, Lambert EV, Noakes TD. The rate of heat storage mediates an anticipatory reduction in exercise intensity during cycling at a fixed rating of perceived exertion. J Physiol. 2006;574:905–15.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  86. Schmit C, Duffield R, Hausswirth C, Coutts AJ, Le Meur Y. Pacing adjustments associated with familiarization: heat versus temperate environments. Int J Sports Physiol Perform. 2016;11:855–60.

    Article  PubMed  Google Scholar 

  87. Andrews AM, Wunderlich B, Linberg A. Core temperature changes in service members with and without amputations during the army 10-miler. Mil Med. 2011;176:664–8.

    Article  PubMed  Google Scholar 

  88. Pandolf KB, Gange RW, Latzka WA, Blank IH, Kraning KK II, Gonzalez RR. Human thermoregulatory responses during heat exposure after artificially induced sunburn. Am J Phys. 1992;262:R610–6.

    CAS  Google Scholar 

  89. Racinais S, Alonso JM, Coutts AJ, Flouris AD, Girard O, González-Alonso J, et al. Consensus recommendations on training and competing in the heat. Br J Sports Med. 2015;49:1164–73.

    Article  CAS  PubMed  Google Scholar 

  90. Tyler CJ, Reeve T, Hodges GJ, Cheung SS. The effects of heat adaptation on physiology, perception and exercise performance in the heat: a meta-analysis. Sports Med. 2016;46:1699–724.

    Article  PubMed  Google Scholar 

  91. Stanley J, Halliday A, D’Auria S, Buchheit M, Leicht AS. Effect of sauna-based heat acclimation on plasma volume and heart rate variability. Eur J Appl Physiol. 2015;115:785–94.

    Article  PubMed  Google Scholar 

  92. Zurawlew MJ, Walsh NP, Fortes MB, Potter C. Post-exercise hot water immersion induces heat acclimation and improves endurance exercise performance in the heat. Scand J Med Sci Sports. 2015;26:745–54.

    Article  PubMed  Google Scholar 

  93. Casadio JR, Kilding AE, Cotter JD, Laursen PB. From lab to real world: heat acclimation considerations for elite athletes. Sports Med. 2017;47:1467–76.

    Article  PubMed  Google Scholar 

  94. Taylor NAS. Human heat adaptation. Compr Physiol. 2014;4:325–65.

    Article  PubMed  Google Scholar 

  95. Garrett AT, Rehrer NJ, Patterson MJ. Induction and decay of short-term heat acclimation in moderately and highly trained athletes. Sports Med. 2011;41:757–71.

    Article  PubMed  Google Scholar 

  96. Garrett AT, Creasy R, Rehrer NJ, Patterson MJ, Cotter JD. Effectiveness of short-term heat acclimation for highly trained athletes. Eur J Appl Physiol. 2012;112:1827–37.

    Article  PubMed  Google Scholar 

  97. Lorenzo S, Halliwill JR, Sawka MN, Minson CT. Heat acclimation improves exercise performance. J Appl Physiol. 2010;109:1140–7.

    Article  PubMed  PubMed Central  Google Scholar 

  98. Schmit C, Duffield R, Hausswirth C, Brisswalter J, Le Meur Y. Optimizing heat acclimation for endurance athletes: high- vs. low-intensity training. Int J Sports Physiol Perform. 2018;13:816–23.

    Article  PubMed  Google Scholar 

  99. Wingfield GL, Gale R, Minett GM, Marino FE, Skein M. The effect of high versus low intensity heat acclimation on performance and neuromuscular responses. J Therm Biol. 2016;58:50–9.

    Article  PubMed  Google Scholar 

  100. Gibson OR, Mee JA, Tuttle JA, Taylor JA, Watt PW, Maxwell NS. Isothermic and fixed intensity heat acclimation methods induce similar heat adaptation following short and long-term timescales. J Therm Biol. 2015;49(50):55–65.

    Article  PubMed  Google Scholar 

  101. Neal RA, Corbett J, Massey HC, Tipton MJ. Effect of short-term heat acclimation with permissive dehydration on thermoregulation and temperate exercise performance. Scand J Med Sci Sports. 2016;26:875–84.

    Article  CAS  PubMed  Google Scholar 

  102. Magalhães FC, Passos RL, Fonseca MA, Oliveira KP, Ferreira-Júnior JB, Martini AR, et al. Thermoregulatory efficiency is increased after heat acclimation in tropical natives. J Physiol Anthropol. 2010;29:1–12.

    Article  PubMed  Google Scholar 

  103. Ruddock AD, Thompson SW, Hudson SA, James CA, Gibson OR, Mee JA. Combined active and passive heat exposure induced heat acclimation in a soccer referee before 2014 FIFA world cup. Springerplus. 2016;5:617.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  104. Zurawlew MJ, Mee JA, Walsh NP. Heat acclimation by post-exercise hot water immersion in the morning reduces thermal strain during morning and afternoon exercise-heat-stress. Int J Sports Physiol Perform. 2018. https://doi.org/10.1123/ijspp.2017-0620.

  105. Scoon GSM, Hopkins WG, Mayhew S, Cotter JD. Effect of post-exercise sauna bathing on the endurance performance of competitive male runners. J Sci Med Sport. 2007;10:259–62.

    Article  PubMed  Google Scholar 

  106. Castle PC, Kularatne BP, Brewer J, Mauger AR, Austen RA, Tuttle JA, et al. Partial heat acclimation of athletes with spinal cord lesion. Eur J Appl Physiol. 2013;113:109–15.

    Article  PubMed  Google Scholar 

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  1. Peter Harrison Centre for Disability Sport, School of Sport Exercise and Health Sciences, Loughborough University, Loughborough, Leicestershire, UK

    Ben Stephenson & V. L. Goosey-Tolfrey

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  1. Ben Stephenson
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  2. V. L. Goosey-Tolfrey
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Correspondence to V. L. Goosey-Tolfrey .

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  1. International Triathlon Union ITU, Medical Committee Maison du Sport International, Lausanne, Switzerland

    Sergio Migliorini

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Stephenson, B., Goosey-Tolfrey, V.L. (2020). Physiological Considerations for Paratriathlon Training and Competition. In: Migliorini, S. (eds) Triathlon Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-22357-1_26

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