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NCT Number: NCT07250555

Analysis of Bioenergetics and Fatigue Responses in Basketball (TEAM)

The aims of the study are:

1. To examine skeletal muscle and blood metabolites during an official basketball game and to relate those to skeletal muscle performance during and after the game. 2. To investigate whether skeletal muscle and blood metabolites are related to game-induced fatigue. 3. To relate field activity during a basketball game with the responses of skeletal muscle and blood metabolites. 4. To investigate how blood lactate reflects muscle lactate concentration during a basketball game. 5. To determine whether temporary fatigue develops during a basketball game. game.

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Key information

Conditions

Age range

18 year–30 year

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

University of Thessaly, Department of Physical Education and Sports Science

Trikala, Thessaly, 42100, Greece

Location status: Recruiting

Location contact

Athanasios Chatzinikolaou, Professor

CONTACT

[email protected]

+30 25310 39632

Ioannis G Fatouros, Professor

CONTACT

[email protected]

+30 24310 47047

Ioannis G Fatouros, Professor

PRINCIPAL_INVESTIGATOR

About this study

The basketball players will participate in three experimental games (N = 10/game) on an indoors basketball stadium. During a 2-week familiarization period, volunteers will be familiarized with the experimental procedures and participate in very light training (at local basketball facilities) aimed at developing match tactics and team cohesion. At the end of the familiarization period and before the experimental game, participants will undergo a 3-day baseline performance testing (resting conditions) at University (Department of Physical Education and Sport Sciences, University of Thessaly) facilities. Prior to the games, the players will refrain from strenuous exercise and intake of alcohol for 48 hours and from tobacco and caffeine for 12 h. Dietary intake will be monitored with daily diet recalls for 7 days before the experimental period and will be standardized for all participants by a registered dietitian. The dietitian will also prescribe the meals and snacks on the game-day. On the day of the game, participants will arrive at the stadium 1.5 h before for resting skeletal muscle and blood sampling. For the first muscle biopsy and in preparation for later obtainment of biopsies from vastus lateralis muscle. An incision will be made under local anesthesia (20 mg/ml xylocaine without adrenalin) and covered by sterile band-aid strips and a thigh and shoulder bandages. In addition, an inertial measurement unit (IMU) and a heart rate monitor will be placed on each subject. During the match, a number of physiological measurements will be performed at fixed times (before the game, at half-time and post-match) and after intense exercise periods within the four 10-min periods of the game. Volunteers will be randomly assigned, using the sealed envelope procedure, in six teams representing all field positions and each team will play in one of three experimental games (random allocation using standard procedures) against each other in a full 40-minute game according to official regulations. A total of 10 additional players (from various playing positions) will serve as substitute players that could enter the pitch for a few minutes when a player will have to leave the court (either participate in measurements or will have completed it's pre-determined playing time or in case of an injury). Fifteen players (pre/post game measurement group) will have muscle and blood samples taken at rest, at the end of the 2nd period (half-time) and at the end of the 4th period (end of game). A second group of eight players (intense periods measurement group 1) will have muscle and blood samples collected at rest and during the first and third period of the game (immediately after an intense period of game-play). A third group of seven players (intense periods measurement group 1) will have muscle and blood samples collected at rest and during the second and fourth period of the game (immediately after an intense period of game-play). An intense exercise period of game-play is identified as a period with a heart rate of > 90% of maximal [as assessed by the maximal heart rate obtained during a graded exercise test to measure the maximal oxygen consumption (VO2max)], a high number of high-intensity runs (speed of > 18 km/h), sprints (speed of > 25 km/h) and/or jumps evaluated by a professional licensed coach. All muscle biopsies will be sampled from the vastus lateralis. All players will have their field activity and heart rate measured throughout the game using IMU units and heart rate monitors. Games will start at 17.00 - 18 p.m. to avoid diurnal variations and will be held under normal environmental conditions. A standardized 30-min warm-up period will be performed before each game. All games will be videotaped.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Health status: were free of recent musculoskeletal injuries and/or illnesses (≥ 8 months before the study).
  • Not consuming ergogenic supplements/medications (≥ 6 months before the study)
  • Not smokers

Exclusion criteria

  • Completion of the pre-determined participation time during the experimental game.
  • Completion of all field measurements.
  • Completion of all pre-determined sampling points for biological tissue.

Treatment and study plan

BASKETBALL GAME

Other

Participants will arrive 1.5 hours pre-game for initial vastus lateralis muscle biopsies and blood sampling under local anesthesia (20 mg/ml xylocaine without adrenalin). They will be fitted with IMU sensors and heart rate monitors. Volunteers are randomly assigned to teams(6 teams) for a full 40-minute game. During the match, physiological measurements will be performed at fixed times (pre, at half-time, and post-match) and after intense exercise periods (HR>90% max, high-speed runs>18km/h) within the four 10-min periods. Three groups provide samples: Group 1 (n=15): rest, half-time, end-game. Group 2 (n=8): rest, post-intense period in 1st/3rd periods. Group 3 (n=7): rest, post-intense period in 2nd/4th periods. Ten players serve as substitutes. Games will start at 17.00 - 18 p.m. to avoid diurnal variations and will be held under normal environmental conditions. A standardized 30-min warm-up period will be performed before each game.

Primary outcomes

  1. Measurement of countermovement jump height

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be measured using a force platform system

  2. Bilateral strength peak force and rate of force development on mid-thigh pull

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be measured using a dynamometer.

  3. Measurement of maximal sprinting speed over 5 meters

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    5-m sprinting speed will be assessed on the basketball court using infrared photocells

  4. Measurement of maximal sprinting speed over 20 meters

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    20-m sprinting speed will be assessed on the basketball court using infrared photocells

  5. Measurement of the capacity to perform repeated sprints

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    5 x 20m repeated maximal sprints will be performed with 25 sec rest in between. Speed will be recorded using infrared photocells

  6. Measurement of field activity variables during the basketball game

    Time frame: Continuous monitoring during each 40-minute game.

    Field activity will be continuously recorded during the basketball game using a microsensor inertial measurement unit (Kinexon Perform IMU).

  7. Measurement of heart rate during the basketball game ad recording the average and maximal heart rate of the game.

    Time frame: Continuous monitoring during each 40-minute game.

    Field activity will be continuously recorded during the basketball game using a Team Polar Pro heart rate monitor.

  8. Measurement of skeletal muscle glycogen content

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be assessed on muscle biopsy samples. Muscle glycogen content will be determined spectrophotometrically.

  9. Measurement of skeletal muscle fiber-type distribution and fiber-type- specific glycogen content.

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be assessed on muscle biopsy samples by histochemical analysis

  10. Measurement of skeletal muscle phosphocreatine levels

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be assessed on muscle biopsy samples by a flurometric assay.

  11. Measurement of skeletal muscle lactate

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be assessed on muscle biopsy samples by a flurometric assay.

  12. Measurement of effort and fatigue

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be measured by using the Borg Rating of Perceived Exertion (RPE) scale

Secondary outcomes

  1. Body mass

    Time frame: Change from baseline (pre-game) to 40 minutes of the game

    Body mass will be measured using a beam balance

  2. Body height

    Time frame: At baseline

    Body height will be measured using a beam balance with a stadiometer

  3. Body mass index (BMI)

    Time frame: At baseline

    BMI will be calculated using the Quetelet's equation

  4. Body fat (BF)

    Time frame: At baseline

    Body fat (%) will be assessed by whole-body dual-energy X-ray absorptiometry (DXA)

  5. Fat mass (FM)

    Time frame: At baseline

    FM (kg) will be assessed by whole-body dual-energy X-ray absorptiometry (DXA)

  6. Fat-free mass (FFM)

    Time frame: At baseline

    FFM (kg) will be assessed by whole-body dual-energy X-ray absorptiometry (DXA)

  7. Bone mass density

    Time frame: At baseline

    Bone mass density will be measured by using Dual-emission X-ray absorptiometry

  8. Bone mass content

    Time frame: At baseline

    Bone mass content will be measured by using Dual-emission X-ray absorptiometry

  9. Dietary intake

    Time frame: At baseline

    Dietary intake will be assesed over a 7-day period using diet recalls

  10. Evaluation of physical activity (PA)

    Time frame: At baseline

    International Physical Activity Questionnaire - IPAQ

  11. Rest Heart Rate

    Time frame: At baseline

    The rest heart rate will be estimated using a heart rate monitor

  12. Peak Maximal oxygen consumption (Peak VO2)

    Time frame: At baseline

    Peak VO2 will be estimated by open circuit spirometry via breath by breath method

  13. Basketball-specific conditioning (endurance)

    Time frame: At baseline

    Yo-Yo intermittent endurance test 1

  14. Basketball-specific conditioning (recovery)

    Time frame: At baseline

    Yo-Yo intermittent recovery test 1

  15. Concentric and eccentric isokinetic peak torque of knee extensors and flexors of both dominant and non-dominant limbs

    Time frame: At baseline

    Will be measured at 60°/s using a three-repetition protocol via an isokinetic dynamometer

  16. Maximal heart rate

    Time frame: Change from baseline (pre-game) to that recorded during the 40-minute game

    Will be measured using an automated online pulmonary gas exchange system via breath- by- breath analysis during a graded exercise testing on a treadmill

  17. Measurement of blood lactate

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be measured in capillary blood collected from the index finger using a handheld portable analyzer

  18. Measurement of plasma glucose concentration

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be measured using a Clinical Chemistry Analyzer and a commercially available kit

  19. Measurement of blood Glycerol concentration

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be measured using a commercially available kit using a coupled enzyme assay involving glycerol kinase and glycerol phosphate oxidase, resulting in a colorimetric/fluorometric product proportional to the glycerol present.

  20. Measurement of Plasma ammonia concentration

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be quantitatively determined on an analyzer using a commercially available kit

  21. Measurement of Plasma potassium concentration

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be measured using a flame photometer (Radiometer FLM3), with lithium as the internal standard

  22. Measurement of Plasma- free fatty acid

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be measured spectophotometrically using an enzymatic kit

  23. Measurement of blood hemoglobin and hematocrit

    Time frame: Change from baseline to the: a. 20th minute (half-time) and 40th minute (end of the game) (N=10), b. 5th minute (mid-1st period) and 25th minute (mid-3rd period) (N=10) and c. 15th minute (mid-2nd period) and 35th minute (mid-4th period) (N=10).

    Will be measured using an automated hematology analyzer

  24. Measurement of fluid loss and intake

    Time frame: Change from baseline (pre-game) to 40 minutes of the game

    Will be measured using the measures of body mass (using a digital weight scale) and water consumption during a game.

Study contacts

Contact information is provided by the study sponsor or research team.

Athanasios Chatzinicolaou, Professor

CONTACT

[email protected]

+30 25310 39632

Ioannis G Fatouros, Professor

CONTACT

[email protected]

+302431047047

Sponsors and collaborators

Lead sponsor

University of Thessaly

Other

Collaborators

  • Democritus University of Thrace
  • University of Southern Denmark

Registry information

Official study title

sTudy of the bioEnergetics and fAtigue Responses of a Basketball gaMe: The TEAM Trial

Acronym: TEAM

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Nov 26, 2025
Registry last updated
Nov 26, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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