NCT04197375

Brief Summary

Many tennis tournaments are played outdoors in hot and humid conditions, which poses a significant challenge particularly for children athletes. The purpose of this investigation is to examine if a precooling method can reduce thermal strain and consequently improve the performance of adolescent tennis athletes while exercising in hot conditions.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
8

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Aug 2018

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2018

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2018

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

December 7, 2019

Completed
6 days until next milestone

First Posted

Study publicly available on registry

December 13, 2019

Completed
Last Updated

December 13, 2019

Status Verified

December 1, 2019

Enrollment Period

2 months

First QC Date

December 7, 2019

Last Update Submit

December 12, 2019

Conditions

Keywords

heat stressheat strainperformancechildrenexercisethermal

Outcome Measures

Primary Outcomes (12)

  • Heart rate

    Heart rate data were continuously monitored using a Polar Team system (Polar® Team 2, Polar Electro Oy, Kempele, Finland

    Up to 4 hours, during a one complete tennis match

  • Core temperature

    Visceral temperature was continuously recorded throughout the match using telemetric pills (BodyCap, Caen, France)

    Up to 4 hours, during a one complete tennis match

  • Skin temperature

    Skin temperature was continuously recorded throughout the match using iBUTTON sensors (type DS1921 H, Maxim/Dallas Semiconductor Corp., USA)

    Up to 4 hours, during a one complete tennis match

  • Change from baseline thermal comfort at after each set

    Thermal comfort was assessed via the thermal comfort scale (1 = comfortable; 5 = extremely uncomfortable).

    Change from baseline up to 1 hour after each set and up to 4 hours at the end of the match

  • Change from baseline thermal sensation at after each set

    Thermal sensation was assessed via the thermal sensation scale (-3 = cold; +3 = hot)

    Change from baseline up to 1 hour after each set and up to 4 hours at the end of the match

  • Change from baseline rating of perceived exertion at after each set

    We used the Borg 20th Scale (6 = no exertion at all; 20 = maximal exertion)

    Change from baseline up to 1 hour after each set and up to 4 hours at the end of the match

  • Change from baseline urine specific gravity (hydration status) at the end of each match

    Urine samples was obtained to evaluate the urine specific gravity. Urine specific gravity (single assessmentno units) was assessed using a refractometer (PAL-10S, ATAGO CO., LTD., Fukaya, Saitama Prefecture, Japan). Urine color was assessed using a urine color scale

    Change from baseline up to 4 hours at the end of the tennis match

  • Match - play characteristics (i.e., performance)

    They were recorded by analyzing the video footage from the match. The quantitative performance indices assessed were: games and points won in each set and normalized to the number of games and points recorded in each set, respectively. Unforced errors, first and second serve accuracy, aces, shots per rally and direction changes in each point calculated. Point's duration, between point-duration as well the effective point time calculated. The effective point time starting with the ball toss of the serve and ending when the ball passed the player or bounced twice on court. In case of double fault, starting time recorded from the beginning of the second serve.

    Up to 4 hours, during a one complete tennis match

  • Air temperature

    It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's

    Up to 4 hours, during a one complete tennis match

  • Relative humidity

    It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's guidelines

    Up to 4 hours, during a one complete tennis match

  • Wind speed

    It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's guidelines

    Up to 4 hours, during a one complete tennis match

  • Solar radiation

    It was measured continuously using a portable weather station (Kestrel 5500FW Fire Weather Meter Pro, USA) placed 1 meter above the ground according to the manufacturer's guidelines. Solar radiation is measured directly by the device of portable weather station.

    Up to 4 hours, during a one complete tennis match

Study Arms (2)

Pre-cooling scenario

EXPERIMENTAL

One hour before a tennis match, the pre-cooling group was wearing a Cooling Cap (WElkins Sideline Cooling System, SCS) for 45 minutes.

Behavioral: Thermal stress and performance using a pre-cooling protocol

Sham evaluation

SHAM COMPARATOR

Participants were monitored during a usual game without any kind of pre-cooling strategy

Biological: Thermal stress and performance without a pre-cooling protocol

Interventions

One hour before a tennis match, participants were wearing a Cooling Cap (WElkins Sideline Cooling System, SCS) for 45 minutes. During the tennis match the following variables were monitored: heart rate, core temperature, skin temperature, thermal sensation and comfort, rating of perceived exertion and hydration status.

Pre-cooling scenario

During a tennis match the following variables were monitored: heart rate, core temperature, skin temperature, thermal sensation and comfort, rating of perceived exertion and hydration status.

Sham evaluation

Eligibility Criteria

Age14 Years - 17 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Healthy adolescent athletes

You may not qualify if:

  • Diagnosed chronic medical condition;
  • Symptoms of acute illness;
  • Recent (past 4 weeks) usage of medications known to affect the circulatory system, the thyroid, the pituitary function, or the metabolic status.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

FAME Lab, Department of Exercise Science, University of Thessaly

Trikala, Thessaly, 42100, Greece

Location

Related Publications (1)

  • Misailidi M, Mantzios K, Papakonstantinou C, Ioannou LG, Flouris AD. Environmental and Psychophysical Heat Stress in Adolescent Tennis Athletes. Int J Sports Physiol Perform. 2021 Dec 1;16(12):1895-1900. doi: 10.1123/ijspp.2020-0820. Epub 2021 May 21.

MeSH Terms

Conditions

Heat Stress DisordersMotor Activity

Condition Hierarchy (Ancestors)

Wounds and InjuriesBehavior

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
PREVENTION
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Senior Researcher in human physiology

Study Record Dates

First Submitted

December 7, 2019

First Posted

December 13, 2019

Study Start

August 1, 2018

Primary Completion

September 30, 2018

Study Completion

September 30, 2018

Last Updated

December 13, 2019

Record last verified: 2019-12

Locations