Background and study aim. Soccer is a demanding sport which, in addition to technical and motor characteristics, also requires exceptional functional abilities of athletes to play at a high level. The aim of this study: 1) To analyze the disparities in physiological parameters among professional soccer players in teams of varying levels. 2) To explore potential connections between team ranking positions and the physiological attributes of professional soccer players. Material and Methods. 91 professional soccer players who compete in Serbian Super league (age 24.14±5.15) were included in the study. Participants were classified into two groups. The first group consisted of players from teams that were ranked from third to sixth place at the end of 2021/2022 competitive season (n=49). The second group of participants consisted of the players of the teams that were ranked in the last two places at the end of the above-mentioned season (n=42). Maximal oxygen consumption (VO2max), as well as running speeds and heart rates at first and second ventilatory thresholds (VT1 and VT2) were obtained by performing maximal cardiopulmonary exercise test. Results. The results showed a statistically significant difference in terms of VO2max values, running speeds and heart rates at VT1 and VT2 when the top and bottom ranked teams were compared (p < 0.001). Conclusion. The results of the study imply that playing high-level soccer requires exceptional functional abilities, which go beyond technical and tactical characteristics. These exceptional abilities enable players to continuously perform at high intensities during the games in order to achieve top results. Coaches should be aware of the importance of high aerobic capacity for achieving top results, especially if the team consists of less talented players.

Background and Objectives: The aim of the study was to evaluate the health status of professional athletes after recovering from COVID-19 and the impact that SARS-CoV-2 had on their overall cardiorespiratory fitness, which was done by conducting cardiopulmonary exercise testing (CPET). Materials and Methods: A total of twenty-seven professional basketball players (Euroleague Basketball and the ABA League) participated in the study. CPET was performed before (as part of their regular preparticipation exam, during the pre-season period), as well as after SARS-CoV-2 infection (after two weeks of home isolation, during the competitive part of the season). CPET was performed on a treadmill, while cardiovascular, respiratory, and metabolic functions were evaluated by using a breath-by-breath analysis technique (Quark CPET system manufactured by Cosmed, Rome, Italy). Results: Maximal oxygen consumption and aerobic efficiency were significantly reduced after SARS-CoV-2 infection (p = 0.000). An obvious decrease in oxygen pulse was observed during CPET after recovering from COVID-19 (p = 0.001), as was deterioration of ventilatory efficiency. Internal respiration was the most negatively affected. An early transition from aerobic to anaerobic mechanisms of creating energy for work and intensive metabolic fatigue were obvious after SARS-CoV-2 infection. Conclusions: Although it was believed that SARS-CoV-2 only affects the cardiopulmonary status of the elderly population and people with associated comorbidities, it is clear from this research that professional athletes can also be at certain risk. Even though no pathological cardiovascular and respiratory changes were found in athletes after COVID-19, results showed significantly decreased cardiorespiratory fitness, with an emphasis on internal respiration.

Purpose: The aim of this study was to evaluate the influence of different SARS-CoV-2 strains on the functional capacity of athletes. Methods: In total, 220 athletes underwent cardiopulmonary exercise testing (CPET) after coronavirus infection and before returning to sports activities. Eighty-eight athletes were infected by the Wuhan virus, and 66 were infected during the Delta and Omicron strain periods of the pandemic. Results: The CPET results showed significantly decreased maximal oxygen consumption, ventilatory efficiency, and oxygen pulse in athletes who were infected with Wuhan and Delta strains compared to athletes who suffered from Omicron virus infection. An early transition from aerobic to anaerobic metabolic pathways for energy production was observed in the Wuhan and Delta groups but not in athletes who were infected with the Omicron strain. There were no differences in the obtained results when Wuhan and Delta virus variants were compared. Conclusion: These results suggest that the Wuhan and Delta virus strains had a significantly greater negative impact on the functional abilities of athletes compared to the Omicron virus variant, especially in terms of aerobic capacity and cardiorespiratory function.

Background and Study Aim. Given the global spread of COVID-19 and its profound effects on public health, understanding its impact on the physical health and performance of young athletes is crucial for developing guidelines to support their recovery and well-being. The goal of this research was to assess the impact of the COVID-19 infection and possible consequences on the functional abilities of schoolchild athletes, and determine whether there are differences compared to their peers who did not suffer the infection. Material and Methods. This study involved 100 teenagers (median age 15.7±1.167), who engage in two different sports (basketball and soccer), divided into two groups. The first group comprised young athletes (n=53, age 15.79±1.854) who had contracted COVID-19 and underwent 14 days of home isolation. The second group consisted of healthy child athletes (n=47, age 15.60±1.313). Participants underwent a comprehensive pre-participation sports medical examination, which included a cardiopulmonary exercise test (CPET) on a treadmill. CPET assessed various physiological parameters: maximum oxygen consumption (VO2max); heart rates at the first and second ventilatory thresholds (HR at VT1 and HR at VT2); respiratory exchange ratio (RER); maximal pulmonary ventilation (VEmax); ventilatory efficiency (VE/VCO2); oxygen pulse (O2/HR); maximum heart rate (HRmax); three-minute heart rate recovery; and potential electrocardiographic changes. Results. The results indicate that COVID-19 infection has led to statistically significant impairments in the cardiorespiratory functions of child athletes. Notably, there were significant reductions in maximum oxygen consumption (VO2max), maximal pulmonary ventilation (VEmax), oxygen pulse (O2/HR), as well as heart rates at the first ventilatory threshold (HR at VT1), maximum heart rate (HRmax), and heart rate recovery following maximal effort, all demonstrating p-values less than 0.05. Conclusions. The assessed parameters demonstrated that the functions were statistically significantly impaired in child athletes who had recovered from COVID-19 compared to their healthy peers of the same age. However, the infection appeared to have a minimal impact on heart rate variability at ventilatory thresholds. These findings offer valuable insights for coaches and sports medicine physicians in adjusting training programs and supporting the rehabilitation process for young adolescent athletes resuming their training after recovering from COVID-19.

Background: SARS-CoV-2 infection may impair functional capacity in athletes, while prior vaccination status may be associated with post-infection functional status. However, evidence comparing objective post-infection exercise responses according to vaccination status in elite athletes remains limited. Methods: This study included a total of 220 male athletes with PCR-confirmed SARS-CoV-2 infections: 101 unvaccinated and 119 vaccinated with two doses prior to infection. Cardiopulmonary exercise testing (CPET) was performed 14 ± 1 days after confirmation of SARS-CoV-2 infection and before the athletes returned to full training. A two-way ANOVA was conducted for each CPET variable, using vaccination status and sport as fixed factors. Results: After accounting for the type of sport, vaccinated athletes showed significantly higher VO₂max, VO₂ at VT1, oxygen pulse, heart rate at VT1, and heart rate at VT2, as well as lower VE/VCO₂ values. No significant differences were found for VEmax, HRmax, or heart rate during recovery. The interaction between vaccination status and sport was not significant for the main CPET outcomes, indicating a similar pattern in both sports. Conclusions: These findings suggest that prior vaccination is associated with a more favorable early post-infection physiological profile in professional team-sport players.

The aim of this paper is to use OMNIA software to compare the functional characteristics of senior basketball players at different competitive levels