2018 | Issue 1 Train Smart, Not Hard! How training can both help recovery and be fun Inside this edition All the action from the World Transplant Winter Games 2018 Countdown to the 2019 World Transplant Games Fit for Life! Update And more! Inside this edition 02 Board of Trustees 08 World Transplant Winter Games 2018 03 Guest Editorial Anzére, Switzerland – report, photos Train Smart, Not Hard! 12 Transplant Australia’s High Performance Camp Jonas Vanbekbergen, Belgium Kate Carlyle 05 Message from the President Country Member News 06 Transplantoux Symposium – Exercise is 14 Spanish Transplant Games Medicine 18 Hong Kong Transplant & Dialysis Games Diethard Monbaliu and Stefan De Smet, Belgium 18 British Transplant Games 07 Athletes’ Advisory Commission 15 Games Review Liam Barnett, UK 16 Fit for Life! Update 19 WTGF Future Event NewcastleGateshead 2019 Acknowledgements Officers and Councillors Editor: Chris Thomas Sub Editor: Colleen Horan-Green Executive: Content/Article Coordinator: Karen Cole Artwork: Inkcap Design, Bath, UK www.inkcapdesign.co.uk Printer: Printech Europe Ltd, Chelmsford, UK Chris Thomas Liz Schick Colin White President Honorary Secretary Treasurer www.printecheurope.com Front cover: Transplant recipient Trustees: Suzanne Halbish at a high performance camp at the Australian Institute of Sport in Canberra, Australia Anders Billström Zachery Brooks Dr Ka-foon Chau Prof Won-Hyun Cho Olivier Coustere Vicente Granados Paul Harden André Lassooij -Cabezas WTGF Basepoint Business Centre 1 Winnall Valley Road Gudrun Manuwald- Willie Uys Seemuller Winchester SO23 0LD United Kingdom Staff: Tel: +44 1962 832560 Email: [email protected] Website: www.wtgf.org Registered Address: World Transplant Games Federation, Basepoint Business Centre, 1 Winnall Valley Road, Winchester, Hampshire, SO23 0LD, UK Kim Renyard Gary Green Karen Cole Company limited by guarantee No.10323481 Executive Manager Sports Manager Office Administrator Registered in England Page 2 GUEST EDITORIAL Train Smart, Not Hard! Jonas Vanbekbergen is a sports trainer for recreational and elite athletes who is now applying his knowledge to help transplant recipients . Here he explains how a carefully tailored training programme can both help recovery and be fun xercise is fun. And should be fun, for physical activity should become Figure 1: Supercompensation Model E a part of daily life to attenuate side effects of immunosuppression and increase metabolic health. Some Supercompensation Involution transplant recipients take it to the Training Stimulus next level and reach physical fitness levels well beyond those of the general Fitness population. This is their way to honour base level their donor and to act as ambassadors of a healthy lifestyle after transplantation. These days an increasing number of Recovery sport events are being organized in which both the general population and transplant recipients participate. Just as elite athletes are able to gain great benefit from professional guidance to reach their personal performance goals, so can transplant recipients. Fatigue I cannot stress enough the importance of early physical rehabilitation after solid organ transplantation. Starting with a low physical capacity before transplantation, Zatsiorsky & Kraemer, 2016 with some usual further deterioration in the early aftermath of the surgical in an attempt to find appropriate From my personal experience of working procedure, it is pivotal to implement training recommendations, only to with transplant recipients in the last five both aerobic and muscle strengthening get overwhelmed by the latest fitness years, I feel that an effective training exercises early after transplantation. trends. Should I do kettle bell swings to programme is a tailored programme However, here I briefly discuss my gain explosivity, perform high-intensity carefully balancing training stressors and training philosophy in those who have interval training for aerobic capacity, eat the capacity to recover from them. The already regained normal muscle strength paleo to stimulate adaptions in body latter not exclusively being influenced by and fitness and who now aim to increase composition? One can’t see the forest physical factors, but also encompassing exercise performance. for the trees anymore. Many ways lead to psychological aspects. Many people browse the web Rome, none of them are the only way up. ‘Train hard or go home!’, a popular quote by wannabe athletes. I prefer to adapt it to ‘Train smart or go home’. Get the basics right: train frequently, Many people browse the web in an eat well, sleep well! Understand what attempt to find appropriate training you are doing, why you are doing it, what signals your body is giving you both recommendations, only to get during and after training, and how your overwhelmed by the latest fitness body responds to it. Train frequently, but take care of the timing and the trends.” load to enable a temporary status of 2018 Issue 1 | Page 3 GUEST EDITORIAL continued Profile Figure 2: How often should you train? Training session Jonas Vanbekbergen Jonas has always been driven by Fitness his passion for exercise and sport. After his graduation as Master of Science in Physical Education and Movements Sciences, Jonas worked as an exercise physiologist at KU Leuven for about 8 years. Through Time his experience, Jonas developed his Fitness baseline skills as a trainer of both recreational and elite athletes. Nowadays, Jonas applies his knowledge to transplant recipients, Normal recovery phase per sport guiding them in their journey from - Highly individual different physically unfit patients to well- - Strongly intensity-dependent trained ‘athletes’ capable of realising their personal performance goals. Whether this is finishing a 5 km walk or winning a medal at the World Transplant Games, his enthusiastic approach is contagious and brings out the best in everyone with whom Endurance Strength Core stability & flexibility he works. 24h – 48hr ~ 3 à 4x/week 48h – 72hr ~ 2 à 3x/week 24h – 36hr ~ 4 à 5x/week ‘supercompensation’ (Figure 1). and recover from successive training days date of transplantation), comorbidities This is a phase occurring following will be able to compete for gold. On the (i.e., musculoskeletal, pulmonary, etc.), recovery from training, in which the body other hand, when successive training medication (i.e. beta-blockers decreasing adapted itself to better handle a similar stimulus is provided too late, no long- heart rate), body composition, current training stressor on a future occasion. term performance adaptations will be physical fitness (how was this assessed?), You just got stronger! With well-timed accomplished with physical fitness levels current (last weeks) and past (last years) successive training sessions, what we remaining stable at baseline level. Want training activity, etc. Try also to find out call ‘progressive overload’, step by step to get FIT? Get your training frequency, what he or she already knows about your fitness (and performance) level will intensity & time right! training strategies and principles. increase. However, in case the successive Step two, describe exactly your SMART training session is planned too early Three steps goal! What is the specific goal in the (figure 2), physical fitness might drop Making one’s training schedule should long-term, and can this be divided into due to accumulating fatigue, not per se pass three steps: (1) individual profiling multiple goals in the short term? How leading to a greater supercompensation (who are we making a training program can we quantify whether the goal was following a long period of recovery. In fact, for), (2) smart goal setting, and (3) create, reached? Is the goalsetting realistic and this is a typical phenomenon observed implement, and constantly evaluate and achievable? When do we want to reach during for instance the ‘Tour de France’. adapt the training strategy. this goal? Physical fitness during such stage races A lot of factors need to be taken into And finally, step three, built the progressively decreases over time in most account to gain insights in the profile road towards your goal. Make your cyclists due to ‘overtraining’. Only those of the person you are working with. periodization, your training plan, which with a tremendous capacity to cope with To name a few: medical history (i.e., is in fact the structuring of all your sessions taking into account training specificity, intensity, and volume, and of Only those with a tremendous course the personal life/work balance. And remember, no better feeling as capacity to cope with and recover from when a plan comes together! successive training days will be able to Jonas Vanbekbergen compete for gold.” Belgium Page 4 MESSAGE FROM THE PRESIDENT Understanding the barriers to physical activity WTGF President Chris Thomas shares his thoughts on the complexities involved in encouraging people to ‘get fit’ he consensus was overwhelming. ability to help themselves – that is those I hope everyone, especially those The scene: a conference centre in who naturally tend to gravitate towards who are not very active, takes time to T Leuven, Belgium, where 200 or 300 health and fitness. complete the survey. The Federation hundred people interested in exercise Our role, like a good classroom has a lot to learn if we are to achieve our after transplantation had gathered. All teacher, must be to help those who need aim of ‘more transplant recipients, more credit to Professor Diethard Monbaliu it the most. To help those who have a active, more often’. from Transplantoux for organising fear of movement with their transplant. We will continue to offer first class the ‘Exercise is Medicine’ conference Those who don’t know how to take the world events focused on sport – such to celebrate 10 years of this exciting first steps? Those who are looking for as the Winter and Summer Games. organisation. guidance and social support. However everywhere across the world Throughout the two days speaker The next stage in our understanding the definition of sport and activity after speaker rose to talk of the various of the complexities of this paradigm is changing.