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Topic:Endurance

Endurance in horses refers to the ability of these animals to sustain prolonged physical activity, often assessed in the context of endurance racing or long-distance riding. This capability is influenced by a combination of physiological, genetic, and environmental factors. Key aspects of equine endurance include cardiovascular efficiency, muscular stamina, and metabolic adaptations that allow for sustained energy production. Research in this area often focuses on the mechanisms of energy metabolism, the impact of training regimens, and the genetic markers associated with endurance performance. This page compiles peer-reviewed research studies and scholarly articles that explore the physiological, genetic, and environmental determinants of endurance in horses.
Exercise-related changes in the anabolic index (testosterone to cortisol ratio) and serum amyloid A concentration in endurance and racehorses at different fitness levels.
Frontiers in veterinary science    April 17, 2023   Volume 10 1148990 doi: 10.3389/fvets.2023.1148990
Grzędzicka J, Dąbrowska I, Malin K, Witkowska-Piłaszewicz O.Increased training loads in both human and equine athletes are generally implemented to improve their physical performance. These loads are tolerated only within appropriate training periodization with regard to recovery time. Otherwise, training overload causes failure in the systemic adaptation, which at first leads to overreaching, and progressively to overtraining syndrome (OTS). Exercise endocrinology, and anabolic/catabolic balance as an indicator of athlete performance status and OTS has continued to attract attention. In human medicine, changes in testosterone and cortisol levels, as w...
Magnetic Resonance Imaging Measurements of the Proximal Palmar Cortex of the Third Metacarpal Bone and the Suspensory Ligament in Non-Lame Endurance Horses before and after Six Months of Training.
Animals : an open access journal from MDPI    March 20, 2023   Volume 13, Issue 6 1106 doi: 10.3390/ani13061106
Likon I, Dyson S, Nagy A.Proximal metacarpal injury is common in endurance horses, yet exercise-induced changes in this region have not been described. This study aimed to document objective exercise-induced changes in the proximal palmar cortex of the third metacarpal bone (PcMcIII) and the suspensory ligament (SL). Low-field magnetic resonance (MR) images of both proximal metacarpal regions were obtained from six novice and six experienced horses, before and after six months of endurance training. Measurements were acquired in T1-weighted transverse MR images at four levels and included the thickness of the PcMcIII,...
Hydroelectrolytic and Acid-Base Parameters after 80 to 115 km Endurance Races (Raid Uruguayo) and Their Association with the Comfort Index.
Animals : an open access journal from MDPI    February 14, 2023   Volume 13, Issue 4 670 doi: 10.3390/ani13040670
Marichal G, Trigo P, Soto C, Meikle A, Suárez G.The Raid Uruguayo (RAID) is an equestrian endurance competition. This study characterized the hydroelectrolytic parameters (Na, K, Cl, tCa, and iCa), hematocrit (Ht), total plasma protein (TPP), and blood pH from 900 equine athletes (finishers and non-finishers) competing over distances of 80 to 115 km under different climate conditions. Paired blood samples were taken prior to the start of the competition (sample 1) and at the end of the race or at the time of leaving the competition (sample 2). The association of the comfort index (CI: low, moderate, and high) with blood parameters was evalu...
Invited review: The speed-duration relationship across the animal kingdom.
Comparative biochemistry and physiology. Part A, Molecular & integrative physiology    February 4, 2023   Volume 279 111387 doi: 10.1016/j.cbpa.2023.111387
Burnley M.The parameters of the hyperbolic speed-duration relationship (the asymptote critical speed, CS, and the curvature constant, D') provide estimates of the maximal steady state speed (CS) and the distance an animal can run, swim, or fly at speeds above CS before it is forced to slow down or stop (D'). The speed-duration relationship has been directly studied in humans, horses, mice and rats. The technical difficulties with treadmill running in dogs and the relatively short greyhound race durations means that, perhaps surprisingly, it has not been assessed in dogs. The endurance capabilities of li...
Molecular docking and experimental validation of the effect of ergothioneine on heat shock protein-70 following endurance exercise by Arabian stallions.
BMC veterinary research    January 30, 2023   Volume 19, Issue 1 27 doi: 10.1186/s12917-023-03584-6
Adah AS, Ayo JO, Adah DA, Nwonuma CO, Lawal TA.Exercise-induced oxidative stress is a challenge in equine sports. This study aims at determining the effects of ergothioneine on heat shock protein-70 (HSP-70) following the stress of an endurance exercise of 30 km by Arabian stallions. Molecular docking was also done to investigate the interaction between the ligand ergothioneine and heat shock protein-70 using sulfogalactosylceramide and sulfogalactoglycerolipid as standards. The study involved a total of 18 clinically healthy stallions, with an average age of 6.7 ± 2.4 years and an average weight of 411.54 ± 12.46 kg. Only cli...
Changes in novel anti-infalmmatory cytokine concetration in the bood of endurance and race horses at different levels of training.
Computational and structural biotechnology journal    December 13, 2022   Volume 21 418-424 doi: 10.1016/j.csbj.2022.12.016
Plisak U, Szczepaniak J, Żmigrodzka M, Giercuszkiewicz-Hecold B, Witkowska-Piłaszewicz O.Several anti-inflammatory cytokines have been proposed as markers for exercise monitoring in humans such as the interleukin 1 receptor agonist (IL-ra), or interleukin 13 (IL-13). Equine athletes may be considered a model for human exercise physiology research, however there is a lack of such studies of this species. Thus, we decided to examine the changes of IL-1ra and IL-13 in serum concentration during aerobic (endurance) and anaerobic (race) exercise in horses of different fitness levels in comparison with the well-known anti-inflammatory cytokine interleukin 10 (IL-10). The group of endura...
Free Swimming and Exercise-Induced Pulmonary Hemorrhage in Endurance Horses: A Preliminary Study.
Journal of equine veterinary science    December 2, 2022   Volume 120 104182 doi: 10.1016/j.jevs.2022.104182
Vinardell T, David F, Galezowski AM, Ali M, Qasim M, Massie SL, McCrae P, Filho S, Leguillette R.Swimming is used for rehabilitation of musculoskeletal injuries and for conditioning to improve equine fitness. However, there are anecdotal reports that suggest that tethered swimming can induce epistaxis, likely secondary to exercise-induced pulmonary hemorrhage (EIPH). The objective of this observational, prospective study was to investigate if EIPH occurs during intensive free-swimming training sessions (5 × 70m) using 15 endurance horses. On tracheo-bronchoscopic evaluations following swimming, low grade mucus scores were observed, but no tracheal blood was observed. Bronchoalveolar la...
Prevalence of radiographic changes in forelimb digits and metacarpophalangeal joints of South African endurance racehorses.
Journal of the South African Veterinary Association    November 8, 2022   Volume 93, Issue 2 156-167 doi: 10.36303/JSAVA.490
Hollenbach E, Robert MP, le Roux C, Smit Y.If the number of events alone is considered, endurance riding is the fastest growing and the second-most popular Fédération Equestre Internationale (FEI) discipline. Lameness is the most common cause of elimination from endurance races worldwide. To the authors' knowledge, no studies have been published investigating the prevalence of radiographic changes in the forelimb digits and metacarpophalangeal joints (MCP) of endurance racehorses in South Africa. Unassigned: Investigate the prevalence of radiographic changes in the forelimb digits and MCP joints of South African endurance racehorses....
Changes in Acute Phase Response Biomarkers in Racing Endurance Horses.
Animals : an open access journal from MDPI    October 31, 2022   Volume 12, Issue 21 doi: 10.3390/ani12212993
Mihelić K, Vrbanac Z, Bojanić K, Kostanjšak T, Ljubić BB, Gotić J, Vnuk D, Bottegaro NB.This study aimed to evaluate if exercise-induced acute phase response (APR) occurs in endurance horses in response to the race. The study included 23 horses competing in an endurance competition with a successfully passed clinical examination before the race. Blood samples were collected before the start and within 30 min after the end of the race. Haematological and biochemical tests were performed and correlated to acute phase biomarkers changes. Values of calprotectin and haptoglobin (Hp) decreased after the races compared to values before, while concentrations of ceruloplasmin and albumin ...
Mining the equine gut metagenome: poorly-characterized taxa associated with cardiovascular fitness in endurance athletes.
Communications biology    October 3, 2022   Volume 5, Issue 1 1032 doi: 10.1038/s42003-022-03977-7
Mach N, Midoux C, Leclercq S, Pennarun S, Le Moyec L, Rué O, Robert C, Sallé G, Barrey E.Emerging evidence indicates that the gut microbiome contributes to endurance exercise performance. Still, the extent of its functional and metabolic potential remains unknown. Using elite endurance horses as a model system for exercise responsiveness, we built an integrated horse gut gene catalog comprising ~25 million unique genes and 372 metagenome-assembled genomes. This catalog represents 4179 genera spanning 95 phyla and functional capacities primed to exploit energy from dietary, microbial, and host resources. The holo-omics approach shows that gut microbiomes enriched in Lachnospiraceae...
Blood Profile, Hormones, and Telomere Responses: Potential Biomarkers in Horses Exhibiting Abnormal Oral Behavior.
Journal of equine veterinary science    September 29, 2022   Volume 118 104130 doi: 10.1016/j.jevs.2022.104130
Hanis F, Chung ELT, Kamalludin MH, Idrus Z.The high prevalence of abnormal oral behavior (AOB) in working horses has been linked to management issues and the pathophysiology of this behavior remains unclear. Therefore, this study aims to elucidate the blood profile, hormones, and telomere length responses between low and high levels of AOB among different horse working groups. A total of 207 healthy horses from various breeds were initially selected from four working groups (leisure riding, equestrian, endurance, and patrolling) and observed for the time spent on AOB. Then, six horses each with higher and lower AOB than the population ...
Risk factors for lameness elimination in British endurance riding.
Equine veterinary journal    September 14, 2022   Volume 55, Issue 4 632-641 doi: 10.1111/evj.13875
Bloom F, Draper S, Bennet E, Marlin D, Williams J.Horse welfare is a priority in the equine sport of endurance riding. Identification and reduction of risk factors associated with elimination and lameness have been the focus of research to date, however, this has centred on international competition. National federations recognise there is a need to consider risk factors for elimination at a more local level. Objective: Determine current risk factors associated with horse eliminations, specifically lameness eliminations within British endurance. Methods: Retrospective cohort study. Methods: Data were extracted from the Endurance GB database, ...
Is Continuous Monitoring of Skin Surface Temperature a Reliable Proxy to Assess the Thermoregulatory Response in Endurance Horses During Field Exercise?
Frontiers in veterinary science    May 27, 2022   Volume 9 894146 doi: 10.3389/fvets.2022.894146
Verdegaal EJMM, Howarth GS, McWhorter TJ, Delesalle CJG.Hyperthermia is a performance and welfare issue for exercising horses. The thermoregulatory stressors associated with exercise have typically been estimated by responses in the laboratory. However, monitoring surface skin temperature (T ) coincident with core temperature (T ) has not previously been investigated in horses exercising in the field. We investigated the suitability of monitoring surface T as a metric of the thermoregulatory response, and simultaneously investigated its relationship with T using gastrointestinal (GI) temperature. We evaluated T in 13 endurance horses competing...
Genome-wide survey on three local horse populations with a focus on runs of homozygosity pattern.
Journal of animal breeding and genetics = Zeitschrift fur Tierzuchtung und Zuchtungsbiologie    April 21, 2022   Volume 139, Issue 5 540-555 doi: 10.1111/jbg.12680
Criscione A, Mastrangelo S, D'Alessandro E, Tumino S, Di Gerlando R, Zumbo A, Marletta D, Bordonaro S.Purosangue Orientale Siciliano, Sanfratellano and Siciliano represent the Sicilian equine genetic resource. This study aimed to investigate the genetic diversity, population structure and the pattern of autozygosity of Sicilian horse populations using genome-wide single-nucleotide polymorphism (SNP) data generated with the Illumina Equine SNP70 array. The genotyping data of 17 European and Middle East populations were also included in the study. The patterns of genetic differentiation, model-based clustering and Neighbour-Net showed the expected positioning of Sicilian populations within the w...
Effects of Competitive ELISA-Positive Results of Piroplasmosis on the Performance of Endurance Horses.
Animals : an open access journal from MDPI    March 3, 2022   Volume 12, Issue 5 doi: 10.3390/ani12050637
Bravo-Barriga D, Serrano-Aguilera FJ, Barrasa-Rita R, Habela MÁ, Chacón RB, Ezquerra LJ, Martín-Cuervo M.Endurance is an increasingly popular equestrian sport. However, in southern Europe, there is a high prevalence of horses that are asymptomatic carriers of equine piroplasmosis (EP), a tick-borne disease that could affect their performance. This study aimed to evaluate the impact and influence of EP on the performance of endurance horses. Blood samples were collected from 40 horses in Extremadura, Spain, before and after a race, in different national elite horse endurance competitions. Hematological and biochemical parameters and EP seroprevalence were analysed by competitive enzyme-linked immu...
Kinematic Analysis During Straight Line Free Swimming in Horses: Part 2 – Hindlimbs.
Frontiers in veterinary science    January 31, 2022   Volume 8 761500 doi: 10.3389/fvets.2021.761500
Santosuosso E, Leguillette R, Vinardell T, Filho S, Massie S, McCrae P, Johnson S, Rolian C, David F.Swimming is used for rehabilitation and conditioning purposes in equine sports medicine. We described the swimming kinematics of the equine forelimbs in Part 1. The aim of Part 2 is to assess stifle, tarsus, and hind fetlock joints kinematics in swimming horses. The objectives were 1- to calculate and compare joint angles during swimming against passive mobilizations (PM), 2- to determine joints angular velocities during a swimming stride cycle. Methods: Eleven elite endurance horses were used to swim in a 100-meter straight pool. Underwater (swimming) and overground PM videos were recorded fr...
Effect of Equine-Assisted Activities and Therapies on Cardiorespiratory Fitness in Children with Cerebral Palsy: A Randomized Controlled Trial.
Journal of integrative and complementary medicine    January 28, 2022   Volume 28, Issue 1 51-59 doi: 10.1089/jicm.2021.0158
Suk MH, Kwon JY. To determine the effects of an equine-assisted activities and therapies (EAAT) program on cardiorespiratory fitness (CRF) in children with cerebral palsy (CP). An evaluator-blinded, parallel, two-arm, randomized controlled clinical trial with 1:1 randomization. A tertiary university hospital and a local arena. Forty-six children with CP (24 boys and 22 girls) classified as Gross Motor Function Classification System levels I, II, or III were included. The EAAT program was conducted for 40 min twice a week for 16 weeks (32 lessons). Clinical global impression scales, motor capacity, cardi...
Moderate-intensity training in hypoxia improves exercise performance and glycolytic capacity of skeletal muscle in horses.
Physiological reports    December 11, 2021   Volume 9, Issue 23 e15145 doi: 10.14814/phy2.15145
Mukai K, Kitaoka Y, Takahashi Y, Takahashi T, Takahashi K, Ohmura H.We investigated whether moderate-intensity training of horses in moderate hypoxia for 4 weeks elicits greater adaptations in exercise performance, aerobic capacity, and glycolytic/oxidative metabolism in skeletal muscle compared to normoxic training. In a randomized crossover study design, seven untrained Thoroughbred horses (5.9 ± 1.1 years, 508 ± 9 kg) completed 4 weeks (3 sessions/week) of two training protocols consisting of 3-min cantering at 70% of maximal oxygen consumption ( ) in hypoxia (HYP; F O  = 14.7%) and normoxia (NOR; F O  = 21.0%) with a 4-month washout period....
Circulating Transcriptional Profile Modulation in Response to Metabolic Unbalance Due to Long-Term Exercise in Equine Athletes: A Pilot Study.
Genes    December 9, 2021   Volume 12, Issue 12 doi: 10.3390/genes12121965
Cappelli K, Mecocci S, Capomaccio S, Beccati F, Palumbo AR, Tognoloni A, Pepe M, Chiaradia E.Physical exercise has been associated with the modulation of micro RNAs (miRNAs), actively released in body fluids and recognized as accurate biomarkers. The aim of this study was to measure serum miRNA profiles in 18 horses taking part in endurance competitions, which represents a good model to test metabolic responses to moderate intensity prolonged efforts. Serum levels of miRNAs of eight horses that were eliminated due to metabolic unbalance (Non Performer-NP) were compared to those of 10 horses that finished an endurance competition in excellent metabolic condition (Performer-P). Circulat...
Changes in electrolyte concentrations and hydration status in endurance horses following transport and an overnight stay prior to competition.
American journal of veterinary research    November 26, 2021   Volume 82, Issue 12 1026-1031 doi: 10.2460/ajvr.20.11.0193
Fielding CL, Magdesian KG.To evaluate changes in electrolyte concentrations and hydration status that take place in endurance horses prior to the start of a competition and determine whether these changes would be associated with elimination. Methods: 19 horses entered in the 2016 Tevis Cup 100-Miles (160 km) One-Day Western States Trail Ride. Methods: Heparinized blood samples were collected at 5 time points: prior to transport to the ride (T0), during check-in the day before the ride (T1), 1 to 2 hours before the start of the ride (T2), at the 15-km mark (T3), and at the 55-km mark (T4). Packed cell volume and plasma...
Does Experience Make Hucul Horses More Resistant to Stress? A Pilot Study.
Animals : an open access journal from MDPI    November 24, 2021   Volume 11, Issue 12 3345 doi: 10.3390/ani11123345
Topczewska J, Krupa W, Sokołowicz Z, Lechowska J.The aim of the study was to determine whether experience related to horse age and number of starts in championships influences stress level, measured by salivary cortisol concentration. The study involved 18 clinically healthy Hucul mares who participated in the Polish Championships for Hucul Horses. Evaluation of performance value was carried out in accordance with the guidelines specified in the breeding and genetic resources conservation program for this breed. The championship lasted two days, consisting of conformation evaluation, endurance, and Hucul path. Saliva was collected at baselin...
Bone stress injuries and fatigue fractures of the pelvis in endurance horses.
Equine veterinary journal    November 17, 2021   Volume 54, Issue 6 1064-1075 doi: 10.1111/evj.13536
Puccetti M, Beccati F, Denoix JM.Bone stress injuries and fatigue fractures of the pelvis are reported in only a small number of endurance horses. Objective: To describe bone stress injuries and fatigue fracture of the pelvis in endurance horses trained and competing on the deep sand surfaces. Methods: Retrospective case series. Methods: Medical records of horses used for endurance and diagnosed with bone stress injuries and/or fatigue fractures of the pelvis by ultrasound were reviewed. The bone stress injuries and fatigue fractures were classified as affecting the iliac wing, the iliac shaft, the tuber ischiadicum, the rest...
Pre-race and race management impacts serum muscle enzyme activity in Australian endurance horses.
Equine veterinary journal    November 8, 2021   Volume 54, Issue 5 895-904 doi: 10.1111/evj.13519
Buckley P, Buckley DJ, Freire R, Hughes KJ.Marked increases in serum muscle enzyme activity can occur in endurance horses but the diagnostic certainty in predicting cases of myopathy is unclear. Improved understanding of horse management effects on serum muscle enzyme activity as markers of muscle health would assist interpretation of serum muscle enzyme activity and guide management to reduce myopathy risk. Objective: To investigate associations between serum muscle enzyme activity and management factors in endurance horses. Methods: Cross-sectional study. Methods: One hundred endurance horses competing in four endurance events (offer...
Factors associated with completion of Fédération Équestre Internationale endurance rides (2012-2019): Modelling success to promote welfare-oriented decisions in the equestrian sport of endurance.
Preventive veterinary medicine    November 6, 2021   Volume 198 105534 doi: 10.1016/j.prevetmed.2021.105534
Zuffa T, Bennet ED, Parkin TDH.Endurance riding is a popular equestrian sport organised at the international level by the Fédération Équestre Internationale (FEI). The sport involves prolonged exercise at speed over significant distances, which puts a substantial load on equine athletes' musculoskeletal systems and metabolism and contributes to the risk of injuries and other veterinary problems. The FEI employs a system of in-ride veterinary inspections aimed at early detection of such problems and elimination of horses unfit to continue in the ride. To date, risk factors for elimination due to irregular gait or metaboli...
Salivary cortisol and eye temperature changes during endurance competitions.
BMC veterinary research    October 14, 2021   Volume 17, Issue 1 329 doi: 10.1186/s12917-021-02985-9
de Mira MC, Lamy E, Santos R, Williams J, Pinto MV, Martins PS, Rodrigues P, Marlin D.The purpose of this study was to investigate the usefulness of salivary cortisol (SC) and eye temperature measured by infrared thermography (IRTET) as biomarkers to manage competitions more effectively and monitor horse welfare in endurance competitions. Based on previous studies, it was hypothesised that pre-exercise baseline SC and IRTET would be higher in younger or less experienced horses, and that post-exercise variation from baseline would be higher in the top finishers. Results: Salivary cortisol measured in 61 competing at qualifier 40 km and 80 km rides showed an abrupt variation ...
Effects of a nutraceutical supplement in the management of mild equine squamous gastric disease in endurance horses.
The Veterinary record    September 25, 2021   Volume 189, Issue 11 e942 doi: 10.1002/vetr.942
Lo Feudo CM, Stucchi L, Conturba B, Alberti E, Zucca E, Ferrucci F.Equine squamous gastric disease (ESGD) may require prolonged treatments with acid suppressants; therefore, interest in nutraceutical supplements with anti-ulcerogenic properties has increased. This study aims to investigate the efficacy of Trophogast pellet for the treatment of ESGD in endurance horses. Methods: Fifteen endurance horses were included based on their gastroscopic examination and randomly assigned to a treatment group, receiving Trophogast pellet for 30 days together with management changes, or to a control group, only subjected to management modifications. At the end of treatmen...
Dynamic Metabolic Response, Clotting Times and Peripheral Indices of Central Fatigue in Horse Competing in a 44 Km Endurance Race.
Journal of equine veterinary science    August 29, 2021   Volume 106 103753 doi: 10.1016/j.jevs.2021.103753
A deep knowledge on metabolic response of athlete horse to exercise is of paramount importance for the development of optimal training programs to attain equilibrium between good performance and animal welfare. This study investigated the dynamic change of metabolic, clotting times and peripheral indices of central fatigue in horses competing in an official 44 km endurance race.  From 6 horses blood samples were collected at rest (T), within 5 minutes from the end of race (T), after 30, 60 minutes after the end of race (T and T) to investigate the values of blood lactate, glucose, platelet...
Continuous Monitoring of the Thermoregulatory Response in Endurance Horses and Trotter Horses During Field Exercise: Baselining for Future Hot Weather Studies.
Frontiers in physiology    August 26, 2021   Volume 12 708737 doi: 10.3389/fphys.2021.708737
Verdegaal EJMM, Howarth GS, McWhorter TJ, Boshuizen B, Franklin SH, Vidal Moreno de Vega C, Jonas SE, Folwell LE, Delesalle CJG.Establishing proper policies regarding the recognition and prevention of equine heat stress becomes increasingly important, especially in the face of global warming. To assist this, a detailed view of the variability of equine thermoregulation during field exercise and recovery is essential. 13 endurance horses and 12 trotter horses were equipped with continuous monitoring devices [gastrointestinal (GI) pill, heartrate (HR) monitor, and global positioning system] and monitored under cool weather conditions during four endurance rides over a total of 80 km (40 km loops) and intense trotter trac...
Evaluation of Different Blood Parameters From Endurance Horses Competing at 160 km.
Journal of equine veterinary science    June 19, 2021   Volume 104 103687 doi: 10.1016/j.jevs.2021.103687
Ertelt A, Merle R, Stumpff F, Bollinger L, Liertz S, Weber C, Gehlen H.The purpose of this study was to assess a change in different blood parameters before and after a 160 km endurance race and to evaluate differences in cardiac biomarkers between horses that completed the race and horses that did not. The study population consisted of 52 healthy endurance horses. Horses participating in the study were assigned to three groups: horses that successfully completed the race ("finishers"), horses that failed to qualify at the veterinary check for primarily metabolic reasons ("metabolic") and horses that failed to qualify at the veterinary check for primarily gait re...
Changes in saliva biomarkers during a standardized increasing intensity field exercise test in endurance horses.
Animal : an international journal of animal bioscience    May 22, 2021   Volume 15, Issue 6 100236 doi: 10.1016/j.animal.2021.100236
Contreras-Aguilar MD, Cerón JJ, Muñoz A, Ayala I.Salivary biomarkers could be useful to evaluate stress, fitness level, and skeletal muscle damage associated to exercise in horses in an easy and non-painful way. Therefore, this study aims to evaluate if cortisol in saliva (sCor), salivary alpha-amylase (sAMY) and butyrylcholinesterase (sBChE) and lactate (sLA) and creatine kinase (sCK) in saliva of horses can show changes during a standardized exercise test, and if they are related to heart rate variability (HRV) parameters related to sympathetic and parasympathetic tone, fitness level or skeletal muscle damage. For this purpose, ten enduran...