Heat stress and tennis performance
– Written by Julien D. Périard, Qatar
Extremely hot conditions took over Rod Laver Arena and the rest of the tennis grounds in Melbourne Park during the 2014 Australian Open. After days of sweltering hot weather and temperatures reaching 43ºC, play was suspended for several hours when organisers invoked the Extreme Heat Policy. The stoppage in play, however, occurred only after a plastic bottle had reportedly started melting on court, a ball boy and a male player fainted, a female player experienced cramping and vomiting, and several notable players expressed their concerns regarding the safety of continuing to compete in such conditions. Unfortunately, the sequence of events that played out on the international stage in Australia is mirrored worldwide each year in numerous lower-profile events, highlighting the challenges and consequences of competing under severe heat stress. In effect, the development of hyperthermia during exercise in the heat has been shown to impair endurance1 and intermittent exercise performance (e.g. soccer)2,3. These performance impairments occur in conjunction with elevations in physiological and perceptual strain, relative to when exercise is performed in cooler conditions. During the development of hyperthermia, progressive dehydration can also occur if fluids are not sufficiently consumed, which can in turn exacerbate the rise in thermal strain.
Tennis is a high-intensity, long-duration intermittent activity4 with work periods performed at 60 to 75% of maximal oxygen uptake interspersed with periods of light activity or rest5. The cumulative effect of these high-intensity repetitive efforts over several hours has a detrimental influence on performance through the development of fatigue4,6. This fatigue, described as a time-dependent exercise-induced decrement in the capacity to produce maximal force or power, has important implications for several performance aspects such as sprinting, jumping and force production. This brief review will examine the role of heat stress and hydration on match-play tennis performance and thermoregulation.
MATCH-PLAY TENNIS, HEAT STRESS AND THERMOREGULATION
The rise in body core temperature during exercise is mediated by relative intensity/workload and the prevailing environmental conditions. In conditions within the prescriptive zone – ambient temperatures in which deep body core temperature remains stable during exercise7 – core temperature increases safely up to 38.3°C during match-play tennis8-10. This suggests that in temperate environments, both autonomic (e.g. sweating) and behavioural (e.g. adjustments in play and recovery) thermoregulation successfully regulate core temperature. However, in hot ambient conditions core temperatures above 39.5ºC have been reported during play8,11-13. The development of this thermal strain, along with the concomitant increase in physiological and perceptual strain (Figures 1 and 2), is characterised by a reduction in effective playing time10,13, which is the percentage of total match time spent with the ball in play. This reduction stems from both a decrease in point duration10 and/or an increase in time between points (e.g. Table 1)13. Accordingly, these adjustments in match-play characteristics in hot ambient conditions have been suggested to represent behavioural strategies adopted to minimise or offset the sensation of environmental conditions being rated as difficult. In essence, these adjustments allow players a certain measure of self-regulation with regard to the rate of heat production in environmental conditions that contribute to increased core temperature during exercise.
FATIGUE AND PERFORMANCE IN THE HEAT
Over the course of a tennis match, players repeatedly execute forceful lower-limb actions to produce explosive strokes and rapid on-court movements (e.g. accelerations, decelerations, multi-directional displacements). As the intensity and/or the duration of matches increase, these movements lead to exercise-induced fatigue. Mechanisms both proximal (i.e. central fatigue) and distal (i.e. peripheral fatigue) to the neuromuscular junction modulate this fatigue, which can lead to alterations in performance. For example, Girard et al4,6,14 reported that neuromuscular function deteriorated during prolonged (3 hours) match-play tennis in temperate conditions. More specifically, the authors noted that lower limb strength decreased during a maximal voluntary isometric contraction of both the knee extensors and plantar flexors following play, in association with peripheral (i.e. low-frequency fatigue) and central (i.e. a reduction in voluntary activation) fatigue. Recently, it was demonstrated that knee extensor and plantar flexor strength is reduced immediately following match-play tennis in both hot (36ºC) and cool (22ºC) conditions (Figure 3)15. However, after play in the heat, the reduction in strength was exacerbated in the knee extensors only, persisting for 24 hours after match completion. This loss of strength was attributed to a combination of both central and peripheral fatigue factors, whereas fatigue in the plantar flexors was mainly attributed to peripheral fatigue.
Naturally, the development of fatigue at the neuromuscular level has important implications for performance via losses in the efficiency of on-court movements and stroke proficiency, especially during tour-nament play. Accordingly, fatigue during extended play is manifested by decrements in match-related physical performance (i.e. sprinting and jumping), regardless of the environmental conditions14,16. From a tennis perspective, a decrease in sprint ability may reduce the time required to achieve whole body stability in the preparation of stroke execution, which may lead to less accurate or less powerful strokes and/or enhance error rate17. Interestingly however, despite the exacerbated loss of strength in the knee extensors following match-play tennis under heat stress, physical performance parameters are similarly impaired in hot and cool conditions, with the impairment occurring primarily after approximately 60 minutes of total playing time, with limited additional reductions thereafter18. As such, it appears that the additional increase in body core temperature incurred in hot compared with cool matches does not exacerbate the overall reduction in sprinting and jumping ability.
HYDRATION AND PERFORMANCE IN THE HEAT
Hyperthermia is of particular concern when tennis tournaments are played in hot environmental conditions, such as during the Australian and US Opens, where air temperature can exceed 40°C. In these hot environments, dehydration can occur if fluids losses are not replenished. Although the precise influence a given level of dehydration has on performance remains a topic of debate, it has been reported that exercise-induced dehydration amounting to a 2 to 7% deficit in pre-exercise body mass can reduce endurance exercise performance by 7 to 60% (for a review on the topic see Cheuvront et al19).
During match-play tennis sweat rates vary based on ambient temperature and humidity, but can reach 2.5 L per hour in certain individuals. Interestingly, thirst is a poor indicator of hydration status and during exercise the sensation of thirst may not be perceived until 1.5 L of body water is lost, or a deficit of 2% body mass is incurred. As such, ad libitum fluid consumption often leads to involuntary dehydration20. It is therefore recommended that hydration regimens be individualised based on sweat rate and composition. However, gastric emptying, the process by which fluid leaves the stomach and enters the duodenum, is only around 1.2 L per hour, which may prevent some hydration regimens to fully offset fluid losses when sweating is profuse. Therefore, it is further recommended to replace fluid losses so that dehydration does not exceed 1 to 2% of pre-exercise body mass during prolonged exercise21,22. It is also suggested that fluid consumption should not result in a gain in body mass. However, this latter point may be irrelevant if an individual begins exercise in a severely dehydrated state (i.e. acute or chronic hypohydration)22.
Recently, it was demonstrated that due to the nature of the game (i.e. the regular breaks allowing ample opportunity to rehydrate), ad libitum fluid consumption allowed for less than 1% in body mass loss to occur during match-play in the heat23. However, it was also demonstrated that undertaking play in a well-hydrated state by following an individualised hydration regimen attenuated the early rise in thermal, perceptual and physiological strain (Figure 4). Conversely, repeated-sprint ability and maximal voluntary strength in the lower limbs deteriorated similarly following play, regardless of whether competition was undertaken in a euhydrated or slightly dehydrated state, but then recovered within 24 hours23. Consequently, it appears that when tennis is played in the heat, undertaking the matches in a euhydrated state, optimising sodium intake and preventing large decrements in body mass may help in minimising thermal, physiological and perceptual strain in the early part of a match, whereas this will have minimal influence on the decrement in physical performance.
Competitive match-play tennis in the heat leads to significantly greater levels of thermal, physiological and perceptual strain compared to when play is undertaken in temperate or cool conditions. This occurs despite the ability to hydrate adequately and maintain body mass losses under 1%. The increases in strain however, may be attenuated somewhat by strategies and on-court tactics that result in reducing effective playing time (e.g. decreasing point duration and increasing time between points). Indeed, these behavioural strategies appear to minimise or offset the rise in strain, in particular the sensation of environmental conditions being rated as difficult. Along with measurable increases in thermal strain, the development of fatigue can lead to a cascade of alterations in neuromuscular function, which can impact on performance acutely in a match setting and over a longer time course during tournament play. Notwithstanding, physical performance responses such as jumping and sprinting are similarly impaired when competing in hot and cool environments. Ultimately, while recent findings provide novel insight into the influence of heat stress on performance, more specific research into tennis movements and strokes is required to fully elucidate the role of hyperthermia within the sport.
Julien D. Périard Ph.D.
Athlete Health and Performance Research Centre
Aspetar – Orthopaedic and Sports Medicine Hospital
1. Rowell LB. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev 1974; 54:75-159.
2. Mohr M, Nybo L, Grantham J, Racinais S. Physiological responses and physical performance during football in the heat. PLoS One 2012; Epub.
3. Ozgunen KT, Kurdak SS, Maughan RJ, Zeren C, Korkmaz S, Yazici Z et al. Effect of hot environmental conditions on physical activity patterns and temperature response of football players. Scand J Med Sci Sports 2010; 20:140-147.
4. Girard O, Lattier G, Maffiuletti NA, Micallef JP, Millet GP. Neuromuscular fatigue during a prolonged intermittent exercise: Application to tennis. J Electromyogr Kinesiol 2008; 18:1038-1046.
5. Fernandez J, Mendez-Villanueva A, Pluim BM. Intensity of tennis match play. Br J Sports Med 2006; 40:387-391.
6. Girard O, Racinais S, Micallef JP, Millet GP. Spinal modulations accompany peripheral fatigue during prolonged tennis playing. Scand J Med Sci Sports 2011; 21: 455-464.
7. Lind AR. A physiological criterion for setting thermal environmental limits for everyday work. J Appl Physiol 1963; 18:51-56.
8. Bergeron MF, McLeod KS, Coyle JF. Core body temperature during competition in the heat: National Boys' 14s Junior Championships. Br J Sports Med 2007; 41:779-783.
9. Therminarias A, Dansou P, Chirpaz-Oddou MF, Gharib C, Quirion A. Hormonal and metabolic changes during a strenuous tennis match. Effect of ageing. Int J Sports Med 1991; 12:10-16.
10. Morante SM, Brotherhood JR. Autonomic and behavioural thermoregulation in tennis. Br J Sports Med 2008; 42: 679-685.
11. Hornery DJ, Farrow D, Mujika I, Young W. An integrated physiological and performance profile of professional tennis. Br J Sports Med 2007; 41: 531-536.
12. Morante SM, Brotherhood JR. Air temperature and physiological and subjective responses during competitive singles tennis. Br J Sports Med 2007; 41:773-778.
13. Périard JD, Racinais S, Knez WL, Herrera CP, Christian RJ, Girard O. Thermal, physiological and perceptual strain mediate alterations in match-play tennis under heat stress. Br J Sports Med 2014; 48:i32-i38.
14. Girard O, Lattier G, Micallef JP, Millet GP. Changes in exercise characteristics, maximal voluntary contraction, and explosive strength during prolonged tennis playing. Br J Sports Med 2006; 40:521-526.
15. Périard JD, Girard O, Racinais S. Neuromuscular adjustments of the knee extensors and plantar flexors following match-play tennis in the heat. Br J Sports Med 2014; 48:i45-i51.
16. Ojala T, Häkkinen K. Effects of the tennis tournament on players' physical performance, hormonal responses, muscle damage and recovery. J Sports Sci Med 2013; 12:240-248.
17. Ferrauti A, Pluim BM, Weber K. The effect of recovery duration on running speed and stroke quality during intermittent training drills in elite tennis players. J Sports Sci 2001; 19:235-242.
18. Girard O, Christian RJ, Racinais S, Périard JD. Heat stress does not exacerbate tennis-induced alterations in physical performance. Br J Sports Med 2014; 48:i39-i44.
19. Cheuvront SN, Carter RC, Sawka MN. Fluid balance and endurance exercise performance. Curr Sports Med Rep 2003; 2:202-208.
20. Bergeron MF, Armstrong LE, Maresh CM. Fluid and electrolyte losses during tennis in the heat. Clin Sports Med 1995; 14: 23-32.
21. Sawka MN, et al. American College of Sports Medicine position stand: exercise and fluid replacement. Med Sci Sports Exerc 2007; 39:377-390.
22. Maughan RJ, Shirreffs SM. Dehydration and rehydration in competative sport. Scand J Med Sci Sports 2010; 20: 40-47.
23. Périard JD,Racinais S, Knez WL, Herrera CP, Christian RJ, Girard O. Coping with heat stress during match-play tennis: Does an individualised hydration regimen enhance performance and recovery? Br J Sports Med 2014; 48:i64-i70.
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