Evidence map›Paper›PMID 41423958›Full record

ArticleEuropean journal of sport science2026

Effects of Incremental Training on the Physiology and Mucosal Immunity of Adolescent Swimmers.

Ming-Ru Chiang, Chi-Cheng Lu, Katsuhiko Suzuki, Bao-Lien Hung, Hsing-Hao Wang, Shih-Hua Fang

Abstract read
In one paragraph

Article in European journal of sport science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ming-Ru ChiangDepartment of Pediatrics, Jen-Ai Hospital, Taichung, Taiwan.
Chi-Cheng LuDepartment of Sport Performance, National Taiwan University of Sport, Taichung, Taiwan.ORCID https://orcid.org/0000-0003-3149-0914
Katsuhiko SuzukiFaculty of Sport Sciences, Waseda University, Tokorozawa, Japan.
Bao-Lien HungDepartment of Sports Medicine, China Medical University, Taichung, Taiwan.
Hsing-Hao WangDepartment of Sport Performance, National Taiwan University of Sport, Taichung, Taiwan.
Shih-Hua FangDepartment of Sport Performance, National Taiwan University of Sport, Taichung, Taiwan.ORCID https://orcid.org/0000-0002-8172-3096

Funding

National Science and Technology Council in Taiwan NSTC 112-2410-H-028 -001 -MY3
6 · The paper itself

Abstract

Optimizing training intensity and volume is crucial for adolescent swimmers, as excessive high-intensity exercise may cause fatigue, overtraining, and hinder recovery. Research has shown that training load affects immune function and sleep. This study examined how progressively increasing training intensity impacts salivary immunity, sleep quality, perceived fatigue, and performance in adolescent swimmers. Eighteen male swimmers participated in a three-week protocol with daily 100-min sessions at 70%, 80%, and 90% of maximum heart rate, respectively. Saliva and questionnaire data were collected twice weekly to assess cortisol, testosterone, α-amylase, immunoglobulin A, lactoferrin, and perceived exertion. Sleep was measured using actigraphy. Performance was evaluated weekly through 200-m freestyle and 25-m lap counts within 16 min. Results showed a significant weekly increase in maximum heart rate (p < 0.001). Muscle soreness and perceived exertion were significantly higher after training at 80% and 90% intensities (p < 0.05) compared to rest days. Sleep quality and most salivary immune markers did not significantly change over time. However, the testosterone/cortisol ratio decreased after 5 days at 80% intensity (p < 0.01). Performance significantly improved at 80% and 90% intensities compared to 70%. In conclusion, a progressively incremental training program enhanced athletic performance without negatively affecting sleep or immune markers. These findings support controlled intensity increases for improving performance while maintaining physiological balance in adolescent swimmers.

Indexed as

Athletic PerformanceImmunity, MucosalPhysical Conditioning, HumanSwimmingAdolescentalpha-AmylasesFatigueHeart RateHumansHydrocortisoneImmunoglobulin ALactoferrinMaleMyalgiaPhysical ExertionSalivaalpha-AmylasesHydrocortisoneImmunoglobulin ALactoferrinTestosteroneincremental trainingsalivary immunitysleepswimmer

Identifiers

PMID41423958
PMCPMC12719612

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.